NUR 257 EXAM
NUR 257 EXAM2 QUESTIONS WITH
COMPLETE SOLUTIONS
A client with a confirmed DVT is being discharged from the ED. Which client statement
indicates that the client has received proper nursing instruction and understands how to
manage this condition?
"I should try not to drink too much during the daytime."
"I should lie on my side with my knees bent when sleeping."
"I need to ice my leg every 2 hours for about 20 minutes."
"I need to do my leg exercises five times or more every hour." - "I need to do my leg
exercises five times or more every hour."
A nurse is caring for a client who had an aortic balloon valvuloplasty. The nurse should
inspect the surgical insertion site closely for which complication(s)?
Bleeding and infection
Bleeding and wound dehiscence
Thrombosis and infection
Evisceration - Bleeding and infection
A client who recently had a myocardial infarction develops pericarditis and complains of
chest pain rated 6 (on a scale of 0-10) with deep breathing. Which ordered pro re nata
medications is most appropriate for the nurse to administer?
Morphine sulfate 6 mg IVP every 2-4 hours
Fentanyl 2 mg intravenous pyelogram (IVP) every 2-4 hours
Acetaminophen 650 mg PO every 4 hours
Ibuprofen 800 mg PO every 8 hours - Ibuprofen 800 mg PO every 8 hours
NUR 257 EXAM2
,NUR 257 EXAM
The nurse instructs a client recovering from mechanical valve replacement surgery.
Which client statement indicates that teaching has been effective?
"I can play soccer in a week or two."
"I will not drive until informed by my health care provider."
"I have a low risk of developing an infection in my heart."
"I will not need to take anticoagulant medication every day." - "I will not drive until
informed by my health care provider."
A nurse is caring for a client receiving warfarin therapy following a mechanical valve
replacement. The client had a prothrombin time and International Normalized Ratio
(INR) drawn before breakfast. The laboratory report shows the client's INR reading was
4. What is the nurse's first priority ?
Assess the client for bleeding and notify the health care provider of the results.
Notify the next nurse on afternoon shift to hold the evening dose of warfarin.
Notify the health care provider to request an increase in the warfarin dose.
Be prepared to administer an I.M. vitamin K injection and notify the healthcare provider
of the results. - Assess the client for bleeding and notify the health care provider of the
results.
The nurse suspects a client has developed pericarditis after a week of cold-like
symptoms. Which of the client's signs and symptoms indicate pericarditis?
low urine output secondary to left ventricular dysfunction
fever, chest discomfort, and elevated erythrocyte sedimentation rate (ESR)
pitting edema, chest discomfort, and nonspecific ST-segment elevation
lethargy, anorexia, and heart failure - fever, chest discomfort, and elevated erythrocyte
sedimentation rate (ESR)
NUR 257 EXAM2
,NUR 257 EXAM
A client is admitted to the hospital with aortic stenosis. What assessment findings would
indicate the development of left ventricular failure?
Orthopnea, nausea, pedal edema
Distended jugular veins, pedal edema, nausea
Dyspnea, orthopnea, pulmonary edema
Dyspnea, distended jugular veins, orthopnea - Dyspnea, orthopnea, pulmonary edema
Which would the nurse stress as a periodic lifelong necessity for a client managing
infective endocarditis?
Exercise regimen
Antihypertensive medication
Potassium replacement
Antibiotic therapy - Antibiotic therapy
The nurse is caring for a client who has been diagnosed with aortic stenosis. The client is
prescribed digoxin. What is the rationale for the medication?
left ventricular dysfunction
angina
dyspnea
edema - left ventricular dysfunction
A client is admitted to the hospital with possible acute pericarditis and pericardial
effusion. The nurse knows to prepare the client for which diagnostic test to confirm the
client's diagnosis?
Computed tomography
Echocardiography
Chest x-ray
NUR 257 EXAM2
, NUR 257 EXAM
Cardiac catheterization - Echocardiography
A client comes to the clinic reporting fever, chills, and sore throat and is diagnosed with
streptococcal pharyngitis. A nurse knows that early diagnosis and effective treatment is
essential to avoid which preventable disease?
Rheumatic fever
Cardiomyopathy
Pericarditis
Mitral stenosis - Rheumatic fever
The nurse is educating a client about the care related to a new diagnosis of mitral valve
prolapse. What statement made by the client demonstrates understanding of the teaching?
"I will take antibiotics before getting my teeth cleaned."
"I can get my tongue pierced at a store in the shopping mall."
"I will avoid caffeine, alcohol, and smoking."
"I can get a tattoo at a local parlor." - "I will avoid caffeine, alcohol, and smoking."
A nurse is caring for a client with aortic stenosis whose compensatory mechanisms of the
heart have begun to fail. The nurse will monitor the client carefully for which initial
symptoms?
Dizziness, nausea, diarrhea
Exertional dyspnea, orthopnea, pulmonary edema
Syncope, fever, vomiting
Nausea, vomiting, exertional fatigue - Exertional dyspnea, orthopnea, pulmonary edema
The nurse is assessing a client admitted with infective endocarditis. Which manifestation
would the nurse expect to find?
NUR 257 EXAM2
NUR 257 EXAM2 QUESTIONS WITH
COMPLETE SOLUTIONS
A client with a confirmed DVT is being discharged from the ED. Which client statement
indicates that the client has received proper nursing instruction and understands how to
manage this condition?
"I should try not to drink too much during the daytime."
"I should lie on my side with my knees bent when sleeping."
"I need to ice my leg every 2 hours for about 20 minutes."
"I need to do my leg exercises five times or more every hour." - "I need to do my leg
exercises five times or more every hour."
A nurse is caring for a client who had an aortic balloon valvuloplasty. The nurse should
inspect the surgical insertion site closely for which complication(s)?
Bleeding and infection
Bleeding and wound dehiscence
Thrombosis and infection
Evisceration - Bleeding and infection
A client who recently had a myocardial infarction develops pericarditis and complains of
chest pain rated 6 (on a scale of 0-10) with deep breathing. Which ordered pro re nata
medications is most appropriate for the nurse to administer?
Morphine sulfate 6 mg IVP every 2-4 hours
Fentanyl 2 mg intravenous pyelogram (IVP) every 2-4 hours
Acetaminophen 650 mg PO every 4 hours
Ibuprofen 800 mg PO every 8 hours - Ibuprofen 800 mg PO every 8 hours
NUR 257 EXAM2
,NUR 257 EXAM
The nurse instructs a client recovering from mechanical valve replacement surgery.
Which client statement indicates that teaching has been effective?
"I can play soccer in a week or two."
"I will not drive until informed by my health care provider."
"I have a low risk of developing an infection in my heart."
"I will not need to take anticoagulant medication every day." - "I will not drive until
informed by my health care provider."
A nurse is caring for a client receiving warfarin therapy following a mechanical valve
replacement. The client had a prothrombin time and International Normalized Ratio
(INR) drawn before breakfast. The laboratory report shows the client's INR reading was
4. What is the nurse's first priority ?
Assess the client for bleeding and notify the health care provider of the results.
Notify the next nurse on afternoon shift to hold the evening dose of warfarin.
Notify the health care provider to request an increase in the warfarin dose.
Be prepared to administer an I.M. vitamin K injection and notify the healthcare provider
of the results. - Assess the client for bleeding and notify the health care provider of the
results.
The nurse suspects a client has developed pericarditis after a week of cold-like
symptoms. Which of the client's signs and symptoms indicate pericarditis?
low urine output secondary to left ventricular dysfunction
fever, chest discomfort, and elevated erythrocyte sedimentation rate (ESR)
pitting edema, chest discomfort, and nonspecific ST-segment elevation
lethargy, anorexia, and heart failure - fever, chest discomfort, and elevated erythrocyte
sedimentation rate (ESR)
NUR 257 EXAM2
,NUR 257 EXAM
A client is admitted to the hospital with aortic stenosis. What assessment findings would
indicate the development of left ventricular failure?
Orthopnea, nausea, pedal edema
Distended jugular veins, pedal edema, nausea
Dyspnea, orthopnea, pulmonary edema
Dyspnea, distended jugular veins, orthopnea - Dyspnea, orthopnea, pulmonary edema
Which would the nurse stress as a periodic lifelong necessity for a client managing
infective endocarditis?
Exercise regimen
Antihypertensive medication
Potassium replacement
Antibiotic therapy - Antibiotic therapy
The nurse is caring for a client who has been diagnosed with aortic stenosis. The client is
prescribed digoxin. What is the rationale for the medication?
left ventricular dysfunction
angina
dyspnea
edema - left ventricular dysfunction
A client is admitted to the hospital with possible acute pericarditis and pericardial
effusion. The nurse knows to prepare the client for which diagnostic test to confirm the
client's diagnosis?
Computed tomography
Echocardiography
Chest x-ray
NUR 257 EXAM2
, NUR 257 EXAM
Cardiac catheterization - Echocardiography
A client comes to the clinic reporting fever, chills, and sore throat and is diagnosed with
streptococcal pharyngitis. A nurse knows that early diagnosis and effective treatment is
essential to avoid which preventable disease?
Rheumatic fever
Cardiomyopathy
Pericarditis
Mitral stenosis - Rheumatic fever
The nurse is educating a client about the care related to a new diagnosis of mitral valve
prolapse. What statement made by the client demonstrates understanding of the teaching?
"I will take antibiotics before getting my teeth cleaned."
"I can get my tongue pierced at a store in the shopping mall."
"I will avoid caffeine, alcohol, and smoking."
"I can get a tattoo at a local parlor." - "I will avoid caffeine, alcohol, and smoking."
A nurse is caring for a client with aortic stenosis whose compensatory mechanisms of the
heart have begun to fail. The nurse will monitor the client carefully for which initial
symptoms?
Dizziness, nausea, diarrhea
Exertional dyspnea, orthopnea, pulmonary edema
Syncope, fever, vomiting
Nausea, vomiting, exertional fatigue - Exertional dyspnea, orthopnea, pulmonary edema
The nurse is assessing a client admitted with infective endocarditis. Which manifestation
would the nurse expect to find?
NUR 257 EXAM2
