Nur 233 Practice Questions and Correct Answers for Exam 2
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Course
NUR 233
Institution
NUR 233
The nurse is assessing a client newly diagnosed with mild hypertension. Which assessment finding should the nurse expect? A) Auscultating lung sounds B) monitoring for hepatomegaly C) palpating for peripheral edema D) Assessing for jugular vein distention A) Auscultating lung sounds
You are assess...
Nur 233 Practice Questions and Correct
Answers for Exam 2
The nurse is assessing a client newly diagnosed with mild hypertension. Which
assessment finding should the nurse expect?
A) Auscultating lung sounds
B) monitoring for hepatomegaly
C) palpating for peripheral edema
D) Assessing for jugular vein distention ✅A) Auscultating lung sounds
You are assessing a patient suspected of having right-sided heart failure. What
assessment finding may indicate right-sided heart failure?
A) pulmonary edema
B) distended neck veins
C) Dry cough
D) Orthopnea ✅B) distended neck veins
The nurse is working in the heart failure clinic will know that teaching for a 74-year-old,
with newly diagnosed heart failure has been effective when the patient...
A) weighs himself twice a week
B) tells the home care nurse that Hydrodiuril (hydrochlorothiazide) is taken daily at
bedtime
C) calls the clinic when the weight increases from 124 to 130 pounds in a week
D) says the nitro-bed (nitroglycerine ointment) will be used for any chest pain that
develops ✅C) calls the clinic when the weight increases from 124 to 130 pounds in a
week
The nurse is providing instructions to a client with a diagnosis of hypertension regarding
high-sodium items to be avoided. The nurse instructs the client to avoid consuming
which item?
A) bananas
B) antacids
C) brocolli
d) cantaloupe ✅B) antacids
A client with a cardiac history is taking a potassium-wasting diuretic (furomeside) and is
seen in the emergency department for complaints of weakness. You expect to evaluate
which laboratory values?
A) Albumin and protein
B) sodium and chloride
C) hemoglobin and hematocrit
D) potassium and blood glucose ✅D) potassium and blood glucose
,IV potassium chloride (KCl) 60mEq is prescribed for treatment of a patient with severe
hypokalemia. Which action should the nurse take?
A) Administer KCl as a rapid IV Bolus
B) Infuse the KCl at a rate of 10mEq/hour
C) only give the KCl through a central venous line
D) discontinue cardiac monitoring during the infusion ✅B) Infuse the KCl at a rate of
10mEq/hour
The nurse is caring for a patient with a medical diagnosis of hypernatremia. The
following orders were written in the clients electronic health record. Which one should
the nurse question?
A) administer an IV of D5W at 125mL/hr
B) Strict I&O monitoring
C) Restrict oral intake to 900mL every 24 hours
D) monitor serum electrolytes every 4 hr ✅C) Restrict oral intake to 900mL every 24
hours
A client complains of calf tenderness, and thrombophlebitis is suspected. The nurse
should next assess the client for which finding?
a) Bilateral edema
b) Increased calf circumference
c) Diminished distal peripheral pulses
d) Coolness and pallor of the affected limb ✅b) Increased calf circumference
The HCP prescribes limited activity (bed rest and bathroom only) for a client who
developed deep vein thrombosis (DVT) after surgery. What interventions should the
nurse plan to include in the client's plan of care? Select all that apply.
a) instruct the patient how to cough
b) place in high Fowler's position for eating
c) encourage increased oral intake of water daily
d) place thigh- length elastic stockings on the client
e) place sequential compression boots on the clients unaffected leg
f) encourage the intake of dark green leafy vegetables ✅a) instruct the patient how to
cough
d) place thigh- length elastic stockings on the client
e) place sequential compression boots on the clients unaffected leg
A home care nurse is visiting a client to provide following up evaluation and care of a
leg ulcer. On removing the dressing from the leg ulcer, the nurse notes that the ulcer is
pale and deep and that the surrounding tissue is cool to the touch. The nurse should
document that these findings identify which type of ulcer?
a) stage 1 ulcer
b) vascular ulcer
c) arterial ulcer
d) venous stasis ulcer ✅c) arterial ulcer
, The nurse is planning to teach a client with peripheral arterial disease about measures
to limit disease progression. Which items should the nurse include on a list of
suggestions for the client? Select all that apply.
a) Soak the feet in hot water daily
b) Be careful not to injure the legs or geet
c) Use a heating pad on the legs to aid vasodilation
d) Walk each day to increase leg circulation
e) Cut down on the amount of fats consumed in the diet ✅b) Be careful not to injure
the legs or geet
d) Walk each day to increase leg circulation
e) Cut down on the amount of fats consumed in the diet
The nurse is assessing a client newly diagnosed with mild hypertension. Which
assessment finding should the nurse expect?
a) Asymptomatic
b) SOB
c) Visual disturbance
d) Frequent nosebleeds ✅a) Asymptomatic
In a patient with prolonged vomiting, the nurse monitors for fluid volume deficit because
vomiting results in
a) fluid movement from the cells into the interstitial space and blood vessels
b) excretion of large amounts of interstitial fluid and depletion of extracellular fluids
c) overload of extracellular fluid with a significant increase in intracellular fluid volume
d) fluid movement from the vascular system into the cells, causing cellular swelling and
rupture ✅a) fluid movement from the cells into the interstitial space and blood vessels
Clinical assessment of dehydration would be confirmed if you identified:
a) a-1 pound weight loss
b) encouraged neck veins
c) dry mucous membranes
d) full bounding pulse ✅c) dry mucous membranes
the nurse is planning the care of a client diagnosed with pneumonia and writes a
problem of "impaired gas exchange". Which is an expected outcome for this problem?
A) performs chest physiotherapy three times a day
B) Able to complete activities of daily living
C) ambulates in the hall several times during each shift
D) Alert and oriented to person, place, time and events ✅D) Alert and oriented to
person, place, time and events
A patient has a serum calcium level of 7.0 mEq/L. Which assessment finding is most
important for the nurse to report to the health care provider?
a. The patient is experiencing stridor.
b. The patient complains of generalized fatigue.
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