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NUR 257 – Exam 2 | Critical Care Nursing Study Guide with Practice Questions and Answers

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This document offers a full review for NUR 257 Exam 2, covering essential high-acuity nursing topics such as cardiac monitoring, shock, fluid resuscitation, respiratory failure, and critical care pharmacology. Includes NCLEX-style practice questions and rationales to help students build clinical judgment and prepare for advanced nursing assessments.

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1. A client diagnosed with PTSD states, "Why did my doctor prescribe an
antidepressant rather than an antianxiety drug for me?" Which of the following are
the most appropriate nursing responses? (Select 3 that apply.): "Antide- pressants
are now considered first-line treatment choice for PTSD."
"There have been no controlled studies on the effect of antianxiety drugs on PTSD."
"Because of their addictive properties, antianxiety drugs are less desirable."
2. A college student has been diagnosed with generalized anxiety disorder (GAD).
Which of the following symptoms should a campus nurse expect this client to
exhibit?: . Fatigue
Insomnia
Irritability
3. A nurse is discussing treatment options with a client whose life has been
negatively impacted by claustrophobia. Which of the following commonly used
behavioral therapies for phobias should the nurse explain to the client?-
: Imploding (flooding) Systematic
desensitization
4. After reporting a sexual assault, a female soldier is diagnosed with a per-
sonality disorder. Which of the following consequences may result?: Stigma of a
psychiatric diagnosis
Service discharge
Loss of service-related disability compensation
Loss of health-care benefits
5. An attractive female client presents with high anxiety levels because of her
belief that her facial features are large and
grotesque. Body dysmorphic disorder


(BDD) is suspected. Which of the following additional symptoms would support
this diagnosis? (Select 3 that apply.): Mirror checking Excessive grooming

,7. Antianxiety drugs are also called and minor tran-
quilizers.: anxiolytics
8. Traits associated with schizoid, obsessive-compulsive, and
personality disorders are commonly seen in clients
with the diagnosis of body dysmorphic disorder.: narcissistic
9. janet becomes panicky when she gets near a dog: specific phobia






,10. patricia weighs and measures her food. long after everyone else has
finished eating, she is still calculating the caloric value of her food and
remeasuring her portion: OCD
11. frances will not leave her house unless a friend or relative goes with her:
agoraphobia
12. the nurse asks heather about the bald spots on her scalp. heather replies that
when she gets nervous, she feels better if she pulls her hair out: -
hair-pulling disorder
13. When monitoring an adult client with Fluid Volume Deficit, the nurse is
aware that the minimum acceptable urine output is: 30mL/hr
14. Your18 months old client weighs 32 pounds and has been having vomiting and
diarrhea for the past two days. Mucous beds are dry and the child does not tear
with crying. The health care provider decides to provide IV fluids. You check the
daily fluid requirement calculation and get ml/day.: 32
pounds divided by 2.2 lbs/Kilo = 14.5 Kilos


(1st 10kg) 100 ml X 10 Kg = 1000 ml
(2nd 10 kg) 50 ml x 4.5 Kg = 225 ml


Total = 1225 ml
15. A patient who has been hospitalized for 2 days has been receiving normal
saline IV at 100 ml/hr, has a nasogastric tube to low suction, and is NPO. Which
assessment finding by the nurse is the priority to report to the health care
provider?: b. Gradually decreasing level of consciousness (LOC)


16. The home health nurse notes that an elderly patient has a low serum
protein level. The nurse will plan to assess for: edema.

, expect to find:: Thirst.
20. Which of the following individuals would be most likely to have the highest
percentage of body weight as water?: Infant
21. Which of the following nursing interventions is most appropriate when caring
for a patient with dehydration?: Monitor daily weight and intake and output.
22. You must prepare the correct IV solution before administration. The order
reads for the patient to receive D5½ NS with 40 mEq KCl/L at 125 ml/hr. You must
add KCl to the IV because no premixed solutions are available. The unit

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