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NUR 2571 Final Exam Professional
Nursing II / PN2 Final Exam 100
Questions and Answers (Latest 2025)
Question I A client who has completely eliminated fats from the diet should be assessed for a deficiency of: l. bile.
minerals. salt. vitamins A, D, E, and K. Question 2 The nurse is planning care for a client diagnosed with Graves' disease. Which of the following nursing interventions would be appropriate for this client's care? Provide frequent meals. Question 3 A pregnant client is receiving treatment for hyperthyroidism. Which of the following medications would the Nurse expect to see? Propylthiouracil Question 4
Which statement made by the older adult client alerts the nurse needs for further assessment specifically for fluid and electrolyte imbalances? "l don't drink liquids after 5 PM so I dont have to get up at night." A client has hypokalemia. Which question by the nurse obtains the most information on a possible cause? b; "Do you usc diuretics or laxatives?" A client has metabolic alkalosis. Which laboratory results is the nurse most likely to assess as I consistent with this condition? Hyponatremia, hypokalemia, hypochloremia A client presented in the ED with an injury to the right ankle after a fall. On assessment, the nurse notes that it is red and inflamed but skin intact. The nurse adds interventions to the care plan that address which factor? Inflammation and pain The nurse is working with a client who will be taking 20 mg of prednisone daily for rheumatoid arthritis. Which precautions does the nurse give the client about taking this medication? "Take this medication at bedtime because it \ull make you sleepy " b.Take calcium and vitamin D supplements daily." c. "Eat a high-fiber diet ith lots of lean meats." d. "Wash your face twice a day with an antlbacterial soap."
Question 11 Which action by the nurse is most effective to prevent becoming exposed to the Human Immunodeficiency Virus? Always use standard precautions with all clients in the workplace Question 12 The nurse is caring for a client with AIDS who has just been diagnosed with cryptococcal meningitis. Which is the best nursing intervention for this client? Initiate seizure precautions with padded siderails Question 13 A client with AIDS has been admitted with fever, night sweats, and weight loss of 6 pounds in 2 weeks. The client's purified protein derivative test, placed 3 days ago in the clinic, is negative. Which action by the nurse is most appropriate? Place the client in Airborne precautions Question 14 A client who is receiving Highly Active Antiretroviral Therapy tells the nurse, "The doctor said that my viral load is reduced. What does this mean?" What is the nurse's best response? The HAART medications are working well right now Question 15 I out of I points
What intervention does the nurse implement to provide for client safety during intradermal allergy testing? a Stay with the client and ensure that emergency equipment is in the room.
The nurse is caring for four clients with asthma. Which client does the nurse assess first? a. Client with a barrel chest and clubbed fingernails
b. Client with an Sa02 level of 92% at rest c. Client whose expiratory phase is longer than the inspiratory phase d. The client whose heart rate is 120 beats/min Question 21 Which statement indicates that a client understands teaching about the correct use of a corticosteroid medication? "This drug is effective in decreasing the frequency of my asthma attacks." Question 22 The nurse assesses a client with asthma and finds wheezing throughout the lung fields and decreased pulse oxygen saturation. In addition, the nurse notes suprasternal retraction on inhalation. Upon further assessment what intervention is expected by the nurse's? a. Perform peak expiratory flow readings. b. Assess for a midline trachea. c. Administer oxygen and a rescue inhaler. d. Call a code. Question 23 O out of I points A client with chronic obstructive pulmonary disease reports social isolation.
I out Of I points
The nurse assesses a client with pneumonia and notes no audible lung sounds on the left side and decreased lung expansion. What is the nurse's best action? Further assess lung sounds, Vitals, Notify Healthcare Provider Question 25 I out of I points Which is the highest priority goal to set for a client with pneumonia? a. Absence of cyanosis b Maintenance of Sa02 of 95% c. Walking 20 feet three times daily d. Absence of confusion ANS: B Question 26 I out of I points A client with systolic dysfunction has an ejection fraction of 38%. The nurse assesses for which physiologic change? Decrease In tissue perfusion Question 27 The nurse is assessing a client in an outpatient clinic. Which client statement alerts the nurse to possible left-sided heart failure? c• I have to stop halfway up the stairs to catch my breath."
b My shoes fit really tight lately." Question 29 A client with heart failure is experiencing acute shortness of breath. What is the nurse's priority action? a Place the client in a high Fowler's position. Question 30 0 OF 1 The client with heart failure has been prescribed intravenous nitroglycerin and furosemide for pulmonary edema. Which is the priority nursing intervention? b Monitor the client's blood pressure. Question 31 A client is taking triamterene-hydrochlorothiazide and furosemide. What assessment finding requires action by the nurse? Potassium of 2. mEq/L ANS: D Question 32 I out or I A client with high cholesterol is beginning treatment with simvastatin. What priority instruction does the nurse give this client? Report any muscle tenderness to your health care provider." Question 33 I out Of I The nurse is assessing a client who reports claudication after walking a
distance of one block. The nurse notes a painful ulcer on the fourth toe of the client's right foot. What condition do these findings correlate with? Peripheral arterial disease Question 34 I of I
The nurse assesses that a client has a smooth, beefy red tongue. Which intervention does the nurse implement for this client? Provide a diet high In green leafy vegetables Question 39
O out of I B"ints Which risk factor does the nurse assess for to determine a client's cause of anemia? Chronic alcoholism Question 40 A client is newly diagnosed with sickle cell anemia. Which clinical manifestation does the nurse expect to see in this client? fatigue weakness general malaise skin pallor, tachycardia, SOB Dyspnea with activity Question 41 I out or I points A client is newly diagnosed with sickle cell anemia. Which information does the nurse included in the client's discharge instructions? Be aware of symptoms crisis Question 42 I out of I points A client who is receiving a unit of red blood cells begins to report chest and lower back pain. Which action does the nurse take first? Stop the transfusion, Question 43 The nurse is preparing to transfuse a third unit of red blood cells to a client. Which laboratory result is the nurse most concerned about?
Tonic-clonic seizure
Question 45 0 out of I points The nurse is caring for a client with Parkinson's disease. Which intervention does the nurse implement to prevent respiratory complications in the client? Elevation of the back rest will help with aspirations Maintaining the back rest elevation at greater than 30 degrees Question 46 I out of I B)ints The nurse is providing health education at a community center. Which instruction does the nurse include as part of client education for the prevention of low back pain? a Participate in an exercise program to strengthen muscles. " Question 47 I out of I points Emergency medical services arrive to the emergency department with a client who has a cervical spinal cord injury. Which priority assessment does the emergency department nurse perform at this time? Respiratory pattern and airway Question 48 (J or I r»ints The nurse assesses a client who has Guillain-Barré syndrome. Which clinical manifestation does the nurse expect to find in this client?
