NUR 2502 MDC3 EXAM 2 STUDY GUIDE 2025/2026 COMPLETE QUESTIONS WITH CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS BRAND NEW VERSION

NUR 2502 MDC3 EXAM 2 STUDY GUIDE 2025/2026 COMPLETE QUESTIONS WITH CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS BRAND NEW VERSION 1. A client with chronic bronchitis often shows signs of hypoxia. Which of the following is the priority to monitor for in this client? A. O2 levels B. Barrel chest C. Nutritional Status D. Clubbing of fingers - ANSWER A. O2 levels 2. Which of the following positions offers no benefit to relieve dyspnea in a client with chronic air flow limitation? A. sitting at the edge of the chair, leaning forward with his arms folded and resting on a table B. A low- semi reclining positions with shoulders back and niche apart C. Leaning forward in a chair with feet spread apart and elbows placed on knees D. upright with head slightly flexed, with feet spread apart and shoulders relaxed - ANSWER B. A low- semi reclining positions with shoulders back and niche apart 3. The nurse is caring for a client with a diagnosis of asthma. The nurse notes wheezing through the lung fields, decreased O2 sats and suprasternal retraction inhalation. Which is the priority action by the nurse based on these findings? A. Administer oxygen and a rescue inhaler B. Call a code blue and begin CPR C. Assess for a midline trachea D. Perform peak expiratory flow readings - ANSWER A. Administer oxygen and a rescue inhaler 4. A client has been taking isoniazid (INH) for TB for 3 weeks. What information gathered by the public health nurse needs to be reported to the healthcare provider immediately. A. client has been taking isoniazid daily as prescribed B. client smokes 1.5 packs of cigarettes per day C. client is is drinking 4-6 alcoholic beverages per day D. client was recently started on chantix to quit smoking - ANSWER C. client is is drinking 4-6 alcoholic beverages per day 5. An 84 yr old client is diagnosed with rhinosinusitis. The nurse questions which medication that she sees on the clients PRN medication list. A. Analgesic B. Nasal Spray C. Antihistamine D. Antipyretic - ANSWER C. Antihistamine 6. A nurse is assessing a client with pneumonia and notes decreased lungs sounds on the left side and decreased lung expansion. What is the nurses priority action. A. Check O2 sats and notify the health care provider B. Perform an ABG analysis C. Have the client cough and deep breath D. Increase oxygen flow to 10/min - ANSWER A. Check O2 sats and notify the health care provider 7. A pulmonary nurse cares for patients who have COPD. Which patient would the nurse assess first? A. A 46 yr old with 30 pack a year history of smoking B. A 52 yr old in a tripod position using accessory muscles to breath C. A 68 yr old who has dependent edema and clubbed fingers D. A 74 year old with chronic cough and thick tenacious secretions - ANSWER B. A 52 yr old in a tripod position using accessory muscles to breath 8. A patient has been diagnosed with TB. What action by the nurse takes the highest priority? A. Educating the patient on adherence to the treatment regimen B. Encouraging the patient to eat a well balanced diet C. Informing the patient about follow-up sputum cultures D. Teaching the patient ways to balance rest with activity - ANSWER A. Educating the patient on adherence to the treatment regimen 9. After teaching a patient who is prescribed a long-acting-beta2- agonist, a nurse assesses the patients understanding. Which statement indicates that the patient comprehends the teaching? A I will carry this medication with me at all times incase i need it B. I will take this medication when i start to experience an asthma attack C. I will take this medication every morning to help prevent acute attacks D. I will be weaned off this medication when i no longer need - ANSWER C. I will take this medication every morning to help prevent acute attacks 10. A nurse is providing discharge instructions to a client recently diagnosed with TB. Which statement by the client indicate correct understanding of the teaching? SATA A. I need to strictly adhere to my medication schedule B. My family does not require testing C. I will visit the clinic every week for injections or medication D. I will avoid alcoholic beverages while on this treatment plan E. I will follow up with my healthcare providers regularly. - ANSWER A. I need to strictly adhere to my medication schedule D. I will avoid alcoholic beverages while on this treatment plan E. I will follow up with my healthcare providers regularly. 11. A nurse is teaching a 78 yr old client about the importance of the pneumonia vaccination. Which statement by the client indicates an understanding of the teaching A. Only the flu vaccination is recommended at my age B. I only need vaccination upon admission to a nursing home C. I have already had pneumonia, so i only need on vaccination D. After my 1st pneumonia vaccine, i will need a second vaccination about a year later. - ANSWER D. After my 1st pneumonia vaccine, i will need a second vaccination about a year later. 12. A nursing student is teaching a client about their new diagnosis of pulmonary fibrosis. The student would include which of the following in their teaching A. A sputum culture may show the presence of mycobacterium B. Most clients have progressive disease with a life expectancy of less than 5 yrs C. This is incurable, autosomal recessive genetic disease that affects many organs D. Inflammation of the mucus membranes in the airways can trigger an attack - ANSWER B. Most clients have progressive disease with a life expectancy of less than 5 yrs 13. A nurse is caring for a client who has emphysema. Which of the following should the nurse expect to assess in this client? SATA A. Tripod position B. Clubbing of the fingers C. Bradycardia D. Barrel chest E. Dyspnea - ANSWER A. Tripod position B. Clubbing of the fingers D. Barrel chest E. Dyspnea 14. Client is being discharged on a long term therapy for TB. What referral by the nurse is most appropriate? A. Visiting public health nurses for direct observed therapy B. OT for job retraining C. Physical therapy for home bound therapy services D. Community social worker for meals on wheels - ANSWER A. Visiting public health nurses for direct observed therapy 15. A nurse is caring for a client who is one hour post op following a thoracentesis. Which of the following is a priority assessment finding? A. Persistent cough B. Pain at insertion site C. Tachycardia D. Blood tinges drainage - ANSWER A. Persistent cough 16. Which of the following nursing care interventions should not be included for a client who is diagnosed with nasal fracture? A. prepare the patient for surgery B. Manage pain C. Oxygen delivered vias nasal cannula D. Provide emotional support - ANSWER C. Oxygen delivered vias nasal cannula 17. Which of the following assessment findings are expected for a client with asthma. SATA A. Dyspnea B. Wheezing C. Warm pink skin D. Decreased respiratory rate - ANSWER A. Dyspnea B. Wheezing 18. Urine lab results most indicative of cystitis (UTI) - ANSWER Urinalyisis = bacteria, WBC, positive leukocyte esterase, Nitrite (E. coli). 19. Urine culture and sensitivity 20. Common cause of UTI in the hospitalized patient - ANSWER Catheter 21. Patient teaching regarding UTIs - ANSWER Showers are better than baths Perineal cleansing (front to back) Void immediately after intercourse Antimicrobial therapy No scents! empty bladder regular Avoid tight clothing Increase fluid intake 22. Most common microorganism that causes UTI - ANSWER E. Coli 23. Subjective clinical manifestations of UTI - ANSWER Pain or burning during urination (dysuria) Fever, chills, malaise Hematura (blood in urine) Urinary frequency and urgency Suprapubic pain Foul smelling urine Altered LOC in adults 24. S/s of tension pneumothorax - ANSWER pleuritic pain, respiratory distress, dyspnea, central cyanosis, unequal chest expansion, absent breath sounds, deviated tracheal alignment 25. Clinical manifestations r/t pneumothorax - ANSWER Ineffective breathing pattern, impaired gas exchange, decreased cardiac output, ineffective tissue perfusion 26. Risk factors for a secondary pneumothorax - ANSWER COPD, cystic fibrosis, pneumonia, pulmonary blebs and bullae 27. Causes of traumatic pneumothorax - ANSWER Open (gunshot, stab wounds) Closed (fracture ribs) 28. Risk factors for primary spontaneous pneumothorax - ANSWER No predisposing lung disease 29. Clinical manifestations of a basilar skull fracture - ANSWER Not usually visible on X-rays, bleeding from nose pharynx or ears, Battle's sign (Ecchymosis behind the ears, Raccoon eyes, CSF leak (Halo sign) 30. Causes of acceleration TBI - ANSWER Brain has been hit by something (baseball hit) 31. Clinical manifestations of epidural hematoma - ANSWER Brief LOC followed by a lucid period, progressive deterioration in LOC, possible hemiparesis, dilated and fixed pupil, diagnosis made by CT 32. early s/s of increased ICP - ANSWER diplopia, personality changes, lower GCS Ptosis, early morning headache w/ N/V, unilateral change in pupil size 33. Risk factors for subdural hematoma - ANSWER Acute - clinically symptomatic in the first 48 hrs after injury S/s based on how fast the blood accumulates Chronic - s/s occur 2 weeks or more after the injury Common in elderly, alcoholism Anticoagulant therapy Vein rupture, acceleration-deceleration forces 34. Prioritization of diagnostic tests in the patient w/ s/s of a stroke - ANSWER V/s, SpO2, Bp, Temp, blood glucose and bedside dysphagia assessment 35. Characteristic of decerebrate posturing - ANSWER Hands and feet away from patient (opposite of decorticate) 36. Clinical manifestations of right versus left sided stroke - ANSWER (Right = quick, left = speech) Right: left side is paralyzed, spatial perception, quick impulsive behavior, memory deficits Left: right side is paralyzed, speech/language deficits, slow cautious behavior, memory deficits 37. Risk factors for hemorrhagic stroke - ANSWER Hypertension, smoking, heavy alcohol use, female 38. Glasgow Coma Scale (GCS) - ANSWER assess LOC. tests eyes, verbal, motor. best is 15, intubate at 8, unresponsive at 3 39. Isolation precautions for meningitis - ANSWER Droplet precautions Bacterial meningitis precautions can be lifted after 24 hrs of effect Abx therapy 40. Common causes of meningitis in young children - ANSWER Close contact, indirect or direct contact (strep pneumonia, haemophilus) 41. Definition of ketogenic diet - ANSWER High-fat, low-carb diet (for pediatric). Reduces amount of glutamate in brain, enhances synthesis of GABA. 42. Clinical manifestations during ictal phase of tonic-clonic seizure - ANSWER Generalized: whole brain, absence/petit Mal or tonic-clonic/grand Mal. Ictal: active Tonic: back arched, incontinence, rigidity, epileptic cry Clonic: jerky movements, frothy saliva, blinking eyes Muscle spams in which arms and legs flex Contraction and relaxation w/o warning Initial tonic phase - falls, brief flexion of back, staring Arms up in air signals tonic phase 43. causes of Encephalitis - ANSWER inflammation of active tissue of brain caused by infection or autoimmune Viral (Herpes) Vector viral (West Nile, St. Louis, fungal) 44. Isolation precautions for bacterial meningitis - ANSWER droplet 45. Clinical manifestations of an absence seizure - ANSWER Stop speak mid sentence, blank stare Lip smacking/eye blinking Brief lapse of concsiousness Amnesia of event Frequent but short Continue normally 46. Anxiety is common amongst clients who are diagnosed with COPD. All of the following interventions can assist in reducing the clients anxiety, except? A. Relaxation techniques B. Written plan for dealing with anxiety C. Increase activity D. Professional Counseling - ANSWER C. Increase activity 47. You are caring for a client that recently underwent a tracheostomy. What is nursing intervention priority for post op. A. Pain management B. Oxygen administration C. Turn and reposition D. Maintain client airway - ANSWER D. Maintain client airway