8/17/25, 8:29
AM
NR340 EXAM II PRACTICE QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED LATEST UPDATE GRADED A++
2025/2026
Terms in this set (48)
A client with diabetes Answer:
mellitus has a blood 1
glucose level of 644 Rationale
mg/dL. The nurse :
interprets that this client is Diabetes mellitus can lead to metabolic acidosis. When
most at risk of the body does not have
developing which type sufficient circulating insulin, the blood glucose
of acid-base level rises. At the same time, the cells of the
imbalance? body use all available glucose. The body
then breaks down glycogen and fat for fuel.
1. Metabolic acidosis The by-products of fat metabolism are
acidotic and can lead to the condition known
as diabetic ketoacidosis. Options 2, 3, and 4
2. Metabolic alkalosis
are incorrect.
3. Respirator
y acidosis
4.Respirator
y alkalosis Reference(s):
Ignatavicius, Workman (2013), pp. 202-203, 1456.
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,8/17/25, 8:29
AM
The nurse notes an Answer: 2.
isolated premature
ventricular Rationale:
contraction (PVC)
As an isolated occurrence, the PVC is not life
on the
threatening. In this situation, the nurse
cardiac monitor. Which
should continue to monitor the client. Frequent
action should the nurse
PVCs, however, may be precursors of more life-
take?
threatening rhythms, such as ventricular
tachycardia and ventricular
1. Prepare for
fibrillation. If this occurs, the health care
defibrillation.
provider needs to be notified. Defibrillation is
done to treat ventricular fibrillation. Lidocaine
2. Continue to monitor the hydrochloride is not needed to treat isolated
rhythm. PVCs; it may be used to treat frequent PVCs in a
client who is symptomatic
3. Notify the health and is experiencing decreased cardiac output
care provider
immediately. Reference(s):
Ignatavicius, Workman (2013), p. 728.
4. Prepare to
administer
lidocaine
hydrochloride
(Xylocaine).
A client is resuming a diet Answer: 1,2,4
after a Billroth II Rationale: The client who has had a Billroth II procedure
procedure. To minimize is at risk for dumping
2/56
,8/17/25, 8:29
AM
complications from syndrome. The client should lie down after eating and
eating, which actions avoid drinking liquids with
should the nurse meals to prevent this syndrome. The client
teach the should be placed on a dry diet that is high in
client to protein, moderate in fat, and low in
do? Select carbohydrates. Frequent small meals are
all that encouraged, and the client should avoid concentrated
apply. sweets.
1. Lay down after
eating.
2. Eat a diet high in protein.
3. Drink liquids with
meals.
4. Eat six small meals
per day.
5. Eat concentrated
sweets between meals
only.
The nurse is getting a Answer:
client out of bed for the 1,2,4,6
first time after having Rational
abdominal e:
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, 8/17/25, 8:29
AM
surgery. What clinical Orthostatic hypotension occurs when a
manifestations should normotensive person develops symptoms of
indicate to the nurse that low blood pressure when rising to an upright
the client may be position. Whenever the nurse gets a
experiencing client up and out of a bed or chair, there is a risk for
orthostatic orthostatic hypotension.
hypotension? Symptoms of nausea, dizziness,
Select all lightheadedness, tachycardia, pallor, and
that apply. reports of seeing spots are characteristic of
1.Nausea orthostatic hypotension. A drop of
2.Dizziness approximately 15 mm Hg in the systolic
3. Bradycardia blood pressure and 10 mm Hg in the
diastolic blood
4. Lightheadedness pressure also occurs. Fainting can result
without intervention, which includes
immediately assisting the client to a
5. Flushing of the face
lying position.
6. Reports of seeing
spots
4/56
AM
NR340 EXAM II PRACTICE QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED LATEST UPDATE GRADED A++
2025/2026
Terms in this set (48)
A client with diabetes Answer:
mellitus has a blood 1
glucose level of 644 Rationale
mg/dL. The nurse :
interprets that this client is Diabetes mellitus can lead to metabolic acidosis. When
most at risk of the body does not have
developing which type sufficient circulating insulin, the blood glucose
of acid-base level rises. At the same time, the cells of the
imbalance? body use all available glucose. The body
then breaks down glycogen and fat for fuel.
1. Metabolic acidosis The by-products of fat metabolism are
acidotic and can lead to the condition known
as diabetic ketoacidosis. Options 2, 3, and 4
2. Metabolic alkalosis
are incorrect.
3. Respirator
y acidosis
4.Respirator
y alkalosis Reference(s):
Ignatavicius, Workman (2013), pp. 202-203, 1456.
1/56
,8/17/25, 8:29
AM
The nurse notes an Answer: 2.
isolated premature
ventricular Rationale:
contraction (PVC)
As an isolated occurrence, the PVC is not life
on the
threatening. In this situation, the nurse
cardiac monitor. Which
should continue to monitor the client. Frequent
action should the nurse
PVCs, however, may be precursors of more life-
take?
threatening rhythms, such as ventricular
tachycardia and ventricular
1. Prepare for
fibrillation. If this occurs, the health care
defibrillation.
provider needs to be notified. Defibrillation is
done to treat ventricular fibrillation. Lidocaine
2. Continue to monitor the hydrochloride is not needed to treat isolated
rhythm. PVCs; it may be used to treat frequent PVCs in a
client who is symptomatic
3. Notify the health and is experiencing decreased cardiac output
care provider
immediately. Reference(s):
Ignatavicius, Workman (2013), p. 728.
4. Prepare to
administer
lidocaine
hydrochloride
(Xylocaine).
A client is resuming a diet Answer: 1,2,4
after a Billroth II Rationale: The client who has had a Billroth II procedure
procedure. To minimize is at risk for dumping
2/56
,8/17/25, 8:29
AM
complications from syndrome. The client should lie down after eating and
eating, which actions avoid drinking liquids with
should the nurse meals to prevent this syndrome. The client
teach the should be placed on a dry diet that is high in
client to protein, moderate in fat, and low in
do? Select carbohydrates. Frequent small meals are
all that encouraged, and the client should avoid concentrated
apply. sweets.
1. Lay down after
eating.
2. Eat a diet high in protein.
3. Drink liquids with
meals.
4. Eat six small meals
per day.
5. Eat concentrated
sweets between meals
only.
The nurse is getting a Answer:
client out of bed for the 1,2,4,6
first time after having Rational
abdominal e:
3/56
, 8/17/25, 8:29
AM
surgery. What clinical Orthostatic hypotension occurs when a
manifestations should normotensive person develops symptoms of
indicate to the nurse that low blood pressure when rising to an upright
the client may be position. Whenever the nurse gets a
experiencing client up and out of a bed or chair, there is a risk for
orthostatic orthostatic hypotension.
hypotension? Symptoms of nausea, dizziness,
Select all lightheadedness, tachycardia, pallor, and
that apply. reports of seeing spots are characteristic of
1.Nausea orthostatic hypotension. A drop of
2.Dizziness approximately 15 mm Hg in the systolic
3. Bradycardia blood pressure and 10 mm Hg in the
diastolic blood
4. Lightheadedness pressure also occurs. Fainting can result
without intervention, which includes
immediately assisting the client to a
5. Flushing of the face
lying position.
6. Reports of seeing
spots
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