NUR 233 Exam 2 Practice Questions and Correct Answers
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Course
NUR 233
Institution
NUR 233
1. The nurse is concerned that a patient with heart failure is decompensating. Which assessment finding requires an immediate intervention?
A. Dyspnea at rest B. Dry persistent cough C. Weak peripheral pulses D. Jugular vein distention A. Dyspnea at rest
Your patient has severe peripheral venous ...
NUR 233 Exam 2 Practice Questions and
Correct Answers
1. The nurse is concerned that a patient with heart failure is decompensating. Which
assessment finding requires an immediate intervention?
A. Dyspnea at rest
B. Dry persistent cough
C. Weak peripheral pulses
D. Jugular vein distention ✅A. Dyspnea at rest
Your patient has severe peripheral venous disease. During the head-to-toe nursing
assessment, you would expect to find what skin characteristics of the lower extremities?
Select all that apply:
A. Thick, tough
B. Thin, scaly
C. Hairless
D. Brown pigmented ✅A. Thick, tough
D. Brown pigmented
The nurse has implemented a care plan for an adult patient with gastroesophageal
reflux disorder (GERD). On the next clinic visit, which statement by the patient indicates
adherence to the plan of care?
A. "I still like wearing my Spandex camisoles."
B. "I have switched from margaritas to wine."
C. "I've lost 6 pounds because I eat every 3 hours and never before bed."
D. "I lay down flat after eating to promote digestion." ✅C. "I've lost 6 pounds because I
eat every 3 hours and never before bed."
A patient is prescribed 20 mEq of potassium chloride because of excessive vomiting.
The nurse includes which information in explaining the rationale for this medication?
A. It controls and regulates water balance in the body
B. It is used in the body to synthesize ingested protein
C. It is vital in regulating muscle contraction and relaxation
D. It is needed to maintain skeletal, cardiac, and neuromuscular activity ✅D. It is
needed to maintain skeletal, cardiac, and neuromuscular activity
A patient has an arterial ulcer on the lower extremity. What risk factors for peripheral
arterial disease are in the patient's health history? Select all that apply:
A. Pregnancy
, B. Being Female
C. High Cholesterol
D. Diabetes Mellitus
E. Uncontrolled hypertension
F. Varicose veins
G. Smoking ✅C. High Cholesterol
D. Diabetes Mellitus
E. Uncontrolled hypertension
G. Smoking
A patient with a history of alcoholism is disoriented and vacillates between being calm
and disruptive and loud. Vital signs are BP 138/84 mm Hg; pulse 135 beats/min, regular
and strong; respiratory rate 22 breaths/min; temperature 37.1°C (98.1°F). What
electrolyte imbalance might the nurse suspect this patient is experiencing?
A. Hypomagnesemia
B. Hypocalcemia
C. Hyperkalemia
D. Hypernatremia ✅A. Hypomagnesemia
Your patient has a PEG tube and you are about to administer a feeding. What is not a
symptom that would cause you to hold off the required feeding?
A. Nausea
B. Increased bloating
C. Skin irritation
D. Emesis ✅C. Skin irritation
The nurse gathers the following data: BP = 150/94 mm Hg; neck veins distended; P =
104 beats/min; pulse bounding; respiratory rate = 20 breaths/min; T = 37°C (98.6°F).
What disorder should the nurse suspect?
A. Hypovolemia
B. Hypercalcemia
C. Hyperkalemia
D. Hypervolemia ✅D. Hypervolemia
The nurse is assessing a patient, who has many risk factors for the development of a
DVT. What signs and symptoms below would possibly indicate a deep vein thrombosis
is present? Select all that apply:
A. Cool extremity
B. Decreases pulses
C. Redness
D. Pain
E. Warm extremity
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