NUR 221 EXAM 2 NEWEST 2024 WITH COMPLETE
QUESTIONS AND CORRECT VERIFIED ANSWERS
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Which client is at risk for developing acute respiratory failure?
a. A middle-aged male diagnosed with amyotrophic lateral sclerosis (ALS) who
has pneumonia with low O2 saturation
b. An older adult female living in senior housing who has been exposed to a
"cold" while her grandchildren visited
c. A teenager in a high school who has had an increase in student absences due
to an outbreak of strep throat
d. A toddler in daycare who has been sharing toys with peers before the staff
could sanitize properly - ANSWER-a. A middle-aged male diagnosed with
amyotrophic lateral sclerosis (ALS) who has pneumonia with low O2 saturation
A client with a history of chronic kidney disease (CKD) is experiencing
increasing fatigue, lethargy, and activity intolerance. The care team has
established that the client's glomerular filtration rate (GFR) remains at a low,
but stable, level. Which laboratory assessments will most likely be prescribed
to help determine the cause of these new symptoms?
,a. Blood work for white cells and differential
b. Cystoscopy and ureteroscopy
c. Assessment of pancreatic exocrine and endocrine function
d. Blood work for hemoglobin, red blood cells, and hematocrit - ANSWER-d.
Blood work for hemoglobin, red blood cells, and hematocrit
Following several weeks of increasing fatigue and a subsequent diagnostic
workup, a client has been diagnosed with mitral valve regurgitation. Failure of
this heart valve would have which hemodynamic consequences?
a. Backup of blood from the right atrium into the superior vena cava
b. Backflow from the right ventricle to the right atrium during systole
c. Inhibition of the SA node's normal action potential
d. Backflow from the left ventricle to left atrium - ANSWER-d. Backflow from
the left ventricle to left atrium
Stable angina - ANSWER-predictable and consistent pain that occurs on
exertion and is relieved by rest and/or nitroglycerin
The nurse is monitoring hourly urine output of a client diagnosed with
hypovolemic shock. The nurse is most concerned if the client's output is:
a. 20 mL/hour
b. 40 mL/hour
c. 60 mL/hour
d. 80 mL/hour - ANSWER-a. 20 mL/hour
,A client recovered from influenza 2 days ago and informs the nurse that she is
feeling better but now has a fever, chills, pain when breathing, and a
productive cough. What complication does the nurse anticipate the client will
be treated for?
a. A secondary bacterial pneumonia
b. A relapse of the flu
c. Reye syndrome
d. Tuberculosis - ANSWER-a. A secondary bacterial pneumonia; people usually
start to feel better and then symptoms return
A client with a suspected MI is brought to the emergency department by
ambulance. The nurse caring for this client would expect to receive an order for
which laboratory test to confirm a diagnosis of MI?
a. Creatine kinase marker
b. Complete blood components
c. Calcium level
d. Troponin level - ANSWER-d. Troponin level
A client has been diagnosed with aortic stenosis and asks the nurse what this
means. The most appropriate response would be:
a. The valve opening is narrowed and produces increased resistance to blood
flow out of the left ventricle and into the aorta.
b. The valve opening is incompetent, thereby allowing blood to flow back from
the pulmonary artery and into the left atrium.
, c. The valve opening permits backward flow to occur when the valve should be
closed.
d. The valve opens backward, permitting blood to flow from the right ventricle
into the right atrium. - ANSWER-a. The valve opening is narrowed and produces
increased resistance to blood flow out of the left ventricle and into the aorta.
A client has just been told that he has an infection of the inner surface of the
heart. He is also told that the bacteria has invaded his heart valves. What term
is used for this disease process?
a. Pericarditis
b. Myocardial infarction
c. Infective endocarditis
d. Cardiomyopathy - ANSWER-c. Infective endocarditis
The nurse is reviewing the laboratory work of several medical clients. Which
laboratory result is most suggestive of abnormalities in kidney function?
a. An absolute absence of protein in a urine sample
b. Increased creatinine and blood urea nitrogen (BUN) levels
c. Urine gravity of 1.030 and normal serum creatinine levels
d. Normal creatinine levels and elevated blood urea nitrogen (BUN) - ANSWER-
b. Increased creatinine and blood urea nitrogen (BUN) levels
A nurse is performing client health education with a 68-year-old man who has
recently been diagnosed with heart failure. Which statement demonstrates an
accurate understanding of his new diagnosis?
a. "I'll be sure to take my beta-blocker whenever I feel short of breath."
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