NUR 210 (MED/SURG 2 - Test 4) NCLEX STYLE PRACTICE
QUESTIONS AND ANSWERS.
The ion that cannot be regulated properly in clients with cystic fibrosis is
A) chloride
B) sodium
C) calcium
D) potassium
**P-15** correct answers A
(chloride)
For couples in which both individuals carry one defective CF gene, any offspring from the
couple has a ________ percent chance of inheriting two abnormal genes and developing cystic
fibrosis.
A) 100
B) 75
C) 50
D) 25
**P-15** correct answers D
(25)
,Besides the respiratory system, which system would be critical for the nurse to assess in a client
recently diagnosed with cystic fibrosis?
A) Nervous system
B) Gastrointestinal system
C) Musculoskeletal system
D) Urinary system
**P-15** correct answers B
(Gastrointestinal system)
The nurse is caring for an 18-month-old client who is newly diagnosed with cystic fibrosis. The
client is currently hospitalized due to a Pseudomonas aeruginosa infection in the lungs. The
client's vital signs are: P 138, R 43, T 101.3°F, BP 86/40, SpO2 88%. The client is coughing up
thick, green mucus. What independent nursing intervention can the nurse implement to improve
the client's oxygenation?
A) Administration of CFTR modulators
B) Percussion and postural drainage
C) Nutritional counseling
D) Teaching the client to cough into a tissue
**P-15** correct answers B
(Percussion and postural drainage)
A 15-year-old client with cystic fibrosis asks why she has not started her menstrual period yet.
Which response by the nurse is correct?
,A) "Usually girls with cystic fibrosis start menstruating earlier than their peers."
B) "It is normal for girls with cystic fibrosis to start their period at age 16. Just be patient."
C) "Some girls with cystic fibrosis do not experience menstruation due to nutritional problems."
D) "Because secretions are thicker in people with cystic fibrosis, your period will be very heavy
once it starts."
**P-15** correct answers C
("Some girls with cystic fibrosis do not experience menstruation due to nutritional problems.")
The nurse is providing teaching to the client who is pregnant and has cystic fibrosis. The nurse
should explain that the client is at increased risk for which condition?
A) Emergency delivery
B) Gestational diabetes
C) Placenta previa
D) Spontaneous abortion
**P-15** correct answers B
(Gestational diabetes)
The nurse is caring for a client diagnosed with dilated cardiomyopathy. Which clinical
manifestations does the nurse anticipate during the physical assessment? (Select all that apply)
A) Fatigue
B) Lower extremity edema
, C) Syncope
D) Dyspnea
E) Angina
**P-16** correct answers A, B, & D
(Fatigue)
(Lower extremity edema)
(Dyspnea)
A client states to the nurse, "I know I have high blood pressure, but I don't want to take
medication." Based on this data, which health problem is the client at risk for developing?
A) Gastritis
B) Diabetes
C) Cardiomyopathy
D) Metabolic syndrome
**P-16** correct answers C
(Cardiomyopathy)
A client diagnosed with cardiomyopathy reports having to rest between activities during the day.
The client asks the nurse why this is occurring. Which reason should the nurse include in the
response to the client?
QUESTIONS AND ANSWERS.
The ion that cannot be regulated properly in clients with cystic fibrosis is
A) chloride
B) sodium
C) calcium
D) potassium
**P-15** correct answers A
(chloride)
For couples in which both individuals carry one defective CF gene, any offspring from the
couple has a ________ percent chance of inheriting two abnormal genes and developing cystic
fibrosis.
A) 100
B) 75
C) 50
D) 25
**P-15** correct answers D
(25)
,Besides the respiratory system, which system would be critical for the nurse to assess in a client
recently diagnosed with cystic fibrosis?
A) Nervous system
B) Gastrointestinal system
C) Musculoskeletal system
D) Urinary system
**P-15** correct answers B
(Gastrointestinal system)
The nurse is caring for an 18-month-old client who is newly diagnosed with cystic fibrosis. The
client is currently hospitalized due to a Pseudomonas aeruginosa infection in the lungs. The
client's vital signs are: P 138, R 43, T 101.3°F, BP 86/40, SpO2 88%. The client is coughing up
thick, green mucus. What independent nursing intervention can the nurse implement to improve
the client's oxygenation?
A) Administration of CFTR modulators
B) Percussion and postural drainage
C) Nutritional counseling
D) Teaching the client to cough into a tissue
**P-15** correct answers B
(Percussion and postural drainage)
A 15-year-old client with cystic fibrosis asks why she has not started her menstrual period yet.
Which response by the nurse is correct?
,A) "Usually girls with cystic fibrosis start menstruating earlier than their peers."
B) "It is normal for girls with cystic fibrosis to start their period at age 16. Just be patient."
C) "Some girls with cystic fibrosis do not experience menstruation due to nutritional problems."
D) "Because secretions are thicker in people with cystic fibrosis, your period will be very heavy
once it starts."
**P-15** correct answers C
("Some girls with cystic fibrosis do not experience menstruation due to nutritional problems.")
The nurse is providing teaching to the client who is pregnant and has cystic fibrosis. The nurse
should explain that the client is at increased risk for which condition?
A) Emergency delivery
B) Gestational diabetes
C) Placenta previa
D) Spontaneous abortion
**P-15** correct answers B
(Gestational diabetes)
The nurse is caring for a client diagnosed with dilated cardiomyopathy. Which clinical
manifestations does the nurse anticipate during the physical assessment? (Select all that apply)
A) Fatigue
B) Lower extremity edema
, C) Syncope
D) Dyspnea
E) Angina
**P-16** correct answers A, B, & D
(Fatigue)
(Lower extremity edema)
(Dyspnea)
A client states to the nurse, "I know I have high blood pressure, but I don't want to take
medication." Based on this data, which health problem is the client at risk for developing?
A) Gastritis
B) Diabetes
C) Cardiomyopathy
D) Metabolic syndrome
**P-16** correct answers C
(Cardiomyopathy)
A client diagnosed with cardiomyopathy reports having to rest between activities during the day.
The client asks the nurse why this is occurring. Which reason should the nurse include in the
response to the client?
