Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

PNII Ex. 1 Questions with correct Answers 2024, Exams of Nursing

PNII Ex. 1 Questions with correct Answers 2024

Typology: Exams

2024/2025

Available from 10/12/2024

james-kim-5
james-kim-5 🇬🇧

3

(2)

308 documents

1 / 15

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
PNII Ex. 1 Questions with correct Answers
2024
a client has the following arterial blood gas results pH 7.30, HCO3 17 mEq/L,
PaCO2 25 mm Hg. which intervention by the nurse is most important?
a. prepare to administer the ordered albuterol nebulizer
treatment b. place the client on 2L oxygen via nasal
cannula
c. assess the client and notify the physician using SBAR
d. these are normal finding, document and continue to assess - ANSWER-c.
assess the client and notify the physician using SBAR
the nurse is to administer ampicillin 500 mg orally to a client with ruptured
appendix the nurse checks the capsule in the client medication box located
inside the clients room. the medication dosage is not labeled but the nurse
recognizes the color and shape of the capsule. which of the following should
the nurse do next?
a. administer the medication to maintain blood levels of the drug
b. ask another registered nurse (RN) to verify the capsule is
ampicillin c. notify the unit manager to report the problem
d. contact the pharmacy to bring a properly labeled medication - ANSWER-d.
contact the pharmacy to bring a properly labeled medication
a client with a serum sodium level of 113 mEq/L has been receiving 3%
sodium chloride IV infusion at 50 mL/hr for 16 hours. the client feels tired
and short of breath. which of the following is the priority?
a. notify the physician
b. obtain order to decrease
infusion c. assess for signs of
fluid overload
d. check the latest sodium level - ANSWER-c. assess for signs of fluid overload
a nurse is providing teaching for a client who has experienced an acute
episode of gastritis. which of the following instructions should the nurse
include in the teaching?
a. limit drinking milk
b. limit strenuous
exercise c. avoid
drinking alcohol
d. take nonsteroidal anti-inflammatory drugs (NSAIDs) for pain - ANSWER-c.
avoid drinking alcohol
which client being managed for dehydration does the nurse consider at
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff

Partial preview of the text

Download PNII Ex. 1 Questions with correct Answers 2024 and more Exams Nursing in PDF only on Docsity!

PNII Ex. 1 Questions with correct Answers

a client has the following arterial blood gas results pH 7.30, HCO3 17 mEq/L, PaCO2 25 mm Hg. which intervention by the nurse is most important? a. prepare to administer the ordered albuterol nebulizer treatment b. place the client on 2L oxygen via nasal cannula c. assess the client and notify the physician using SBAR d. these are normal finding, document and continue to assess - ANSWER-c. assess the client and notify the physician using SBAR the nurse is to administer ampicillin 500 mg orally to a client with ruptured appendix the nurse checks the capsule in the client medication box located inside the clients room. the medication dosage is not labeled but the nurse recognizes the color and shape of the capsule. which of the following should the nurse do next? a. administer the medication to maintain blood levels of the drug b. ask another registered nurse (RN) to verify the capsule is ampicillin c. notify the unit manager to report the problem d. contact the pharmacy to bring a properly labeled medication - ANSWER-d. contact the pharmacy to bring a properly labeled medication a client with a serum sodium level of 113 mEq/L has been receiving 3% sodium chloride IV infusion at 50 mL/hr for 16 hours. the client feels tired and short of breath. which of the following is the priority? a. notify the physician b. obtain order to decrease infusion c. assess for signs of fluid overload d. check the latest sodium level - ANSWER-c. assess for signs of fluid overload a nurse is providing teaching for a client who has experienced an acute episode of gastritis. which of the following instructions should the nurse include in the teaching? a. limit drinking milk b. limit strenuous exercise c. avoid drinking alcohol d. take nonsteroidal anti-inflammatory drugs (NSAIDs) for pain - ANSWER-c. avoid drinking alcohol which client being managed for dehydration does the nurse consider at

greatest risk for possible reduced kidney function?

the nurse is planning to teach a client with gastroesophageal reflux disease (GERD) about substances to avoid. which item should the nurse include on the list? a. non-fat milk b. scrambled eggs c. chocolate d. baked chicken - ANSWER-c. chocolate the nurse is evaluating the fluid volume status of a client after ileostomy surgery which finding indicates that adequate fluid replacement has been achieved in the client? a. an increase in body weight b. fluid intake less than urinary output c. urine output greater than 30 mL/hr d. blood pressure of 90/40 mm Hg - ANSWER-c. urine output greater than 30 mL/hr a client has the following arterial blood gas (ABG) results: pH 7.30, HCO3 - mEq/L, PaCO2 67 mm Hg, Pa02 66 mm Hg. which intervention by the nurse takes priority? a. assess the client's airway b. administer a bronchodilator c. administer mucolytic d. provide oxygen via nasal cannula - ANSWER-a. assess the client's airway a client with a calcium level of 14 mg/dL is being cared for on the medical unit. nursing actions included in the care plan will include which of the following? a. monitoring for a bounding pulse b. encouraged increased fluid intake daily c. auscultating lung sounds every 4 hrs d. maintaining the client on bed rest - ANSWER-b. encouraging increased fluid intake daily a client is admitted to the emergency room with a respiratory rate of 6 bpm, ABG's have been drawn and revealed the following values of pH 7.22, PaCO 68 mmHg, HCO3-25 mEq/L. which of the following is an appropriate analysis of these ABG's? a. uncompensated respiratory acidosis b. partially compensated metabolic alkalosis c. uncompensated metabolic

acidosis d. partially compensated respiratory alkalosis - ANSWER-a. uncompensated respiratory acidosis the nurse is assessing the client who has started to complain of muscle cramps and paresthesia in his hands and feet. the nurse notes positive chvostek's sign upon assessment and knows this result is associated with which electrolyte disorder?

having difficulty coping with the diagnosis b. a 52-year-old with pneumonia and chronic back pain who is requesting pain medication for severe pain

c. a 35-year old admitted after motor vehicle accident whose urine output has totaled 30 mL over the last 2 hrs d. an 84-year-old with left-sided weakness who is slightly confused and has been awake most of the night - ANSWER-c. a 35-year old admitted after a motor vehicle accident whose urine output has totaled 30 mL over the last 2 hrs when teaching the client with a urinary tract infection about taking a prescribed antibiotic for 7 days, the nurse should tell the client to report which symptom to the healthcare provider (HCP)? a. fever above 100 b. cloudy urine during the first few days of treatment c. urinating evert 3-4 hrs d. rash e. new onset of blood in the urine f. mild nausea - ANSWER-a. fever above 100 d. rash e. new onset of blood in the urine a client with renal failure who has been taking aluminum hydroxide/magnesium hydroxide suspension at home for indigestion is somnolent and has decreased deep tendon reflexes. which action should the nurse take first? a. review the magnesium level on the client's chart b. administer magnesium IV replacement as ordered c. check the chart for the most recent (blood urea nitrogen) BUN and creatinine levels d. notify the client's healthcare provider - ANSWER-a. review the magesium level on the client's chart a new nurse is working with a preceptor on an inpatient medical surgical unit. the preceptor advises the student that which is the priority when working as a professional nurse? a. attending to holistic client needs b. providing client- focused care c. not making medication errors d. ensuring client safety - ANSWER-d. ensuring client safety the nurse is caring for an older adult client who experiences an exacerbation of ulcerative colitis with severe diarrhea that has lasted a week. for which complication will the nurse assess? SATA a. skin breakdown b. deep vein thrombosis c. hypokalemia

e. hyperkalemia - ANSWER-a. skin breakdown c. hypokalemia d. dehydration a nurse is admitting a client with suspected appendicitis. the nurse understands that this client will most likely identify pain at which of the following locations? a. right upper quadrant (RUQ), blarney's point b. left lower quadrant (LLQ), chvostek's point c. right lower quadrant (RLQ), mcburney's point d. left upper quadrant (LUQ), trosseau's point - ANSWER-c. right lower quadrant (RLQ), mcburney's point the nurse is caring for a client who has been diagnosed with esophageal cancer. the client appears anxious and asks the nurse "does this mean im going to die?" which nursing response is appropriate? SATA a. you can beat this disease if you just put your mind to it b. no, surgery can cure you c. let me sit with you for a while, we can discuss how you're feeling about this d. it sounds like death frightens you - ANSWER-c. let me sit with you for a while, we can discuss how you're feeling about this d. it sounds like death frightens you a nurse is reviewing the blood urea nitrogen (BUN) and creatinine levels of an older adult client admitted for acute renal failure as a result of obstructive renal calculi. the nurse should expect which of the following laboratory findings? a. BUN 12 mg/dL and creatinine 0. mg/dL b. BUN 21 mg/dL and creatinine 1.0 mg/dL c. BUN 9 mg/dL and creatinine 0.7 mg/dL d. BUN 34 mg/dL and creatinine 5.2 mg/dL - ANSWER-d. BUN 34 mg/dL and creatinine 5.2 mg/dL the client has the following arterial blood gas (ABG) results; pH 7.48, HCO3- mEq/L, PaCO2 46 mm Hg, the nurse correlates these values to which clinical situation in the client? a. shallow respirations 5/min b. anxiety induced hyperventilation c. 15 liquid stools daily for 7 days d. tracheostomy suctioning every hour for thick, copious secretions - ANSWER-b. tracheostomy suctioning every hour for thick, copious secretions which client is at greatest risk for development of hypercalcemia?

a. a middle-aged adult with a thyroid disorder b. an older adult with lactose intolerance c. a middle-aged adult with chronic end stage kidney disease d. an older adult taking a non-steroidal anti-inflammatory drug - ANSWER-a. a middle aged adult with a thyroid disorder a nurse is providing teaching to a client about measures to prevent urinary tract infections (UTI) which of the following client statements indicates a need for further teaching? a. i need to drink 8 cups of liquid each day b. i will need to wipe my perineal area from back to front after urination c. i will need to drink apple cider vinegar each day d. i will need to empty my bladder regularly and completely - ANSWER-b. i will need to wipe my perineal area from back to front after urination which client is at greatest risk for the development of hyperkalemia? a. a male with type 2 diabetes taking an oral antidiabetic agent b. a female taking nonsteroidal anti-inflammatory drugs daily c. a male taking a thiazide diuretic for heart failure d. a female with hypertension using a salt substitute - ANSWER-d. a female with hypertension using a salt substitute a nurse is teaching a client who has fluid overload about recognizing symptoms associated with his condition. which of the following client statements indicates the teacher was understood? SATA a. if my legs have edema, this could mean i am retaining fluid b. if my respirations fall below 18 per minute, i need to call my doctor c. if i gained 1 pound in a week, i need to call my doctor d. increased blood pressure may indicate a worsening problem e. if my resting rate is elevated, that means the condition may be worsening - ANSWER- a. if my legs have edema, this could mean i am retaining fluid d. increased blood pressure may indicate a worsening problem the nurse obtains all of the following assessment data about a client with deficient fluid volume caused by dehydration. which of the following assessment data will be of greatest concern? a. the blood pressure is 88/40 mm Hg b. oral fluid intake is 100 mL for the last 8 hours c. there is prolonged skin tenting over the sternum d. urine output is 30 mL over the last hour - ANSWER-a. the blood pressure is 88/40 mm Hg

a nurse is caring for a client who has been admitted for an exacerbation of crohn's disease. a nasogastric (NG) tube has been placed and is to suction and the client currently receiving an infusion of total parenteral nutrition via a peripherally inserted central catheter (PICC) line which of the following actions should the nurse take? a. place the parenteral nutrition solution on a warming device during infusion b. monitor the flow rate of the parenteral nutrition carefully and increase the as needed if it falls behind c. remove unused parenteral nutrition after 12 hours of use d. monitor lab values and assess for abnormal respiratory - ANSWER-d. monitor lab values and assess for abnormal respiratory a nurse enters a client's semiprivate room and prepares to administer the chronological sequence indicating the measures to take to administer the medications safely.

  1. open the unit dosage packages 2. confirm the client's identity
  2. administer the medications
  3. check the client's medication administration record (MAR) for the 0900 medications 5. obtain the correct unit dose medications a. 5, 4, 3, 2, 1 b. 5, 1, 4, 2, 3 c. 2, 5, 1, 4, 3 d. 4, 5, 2, 1, 3 - ANSWER-d. 4, 5, 2, 1, 3 which blood laboratory value does the nurse need to evaluate to determine whether the client's acidosis has a respiratory origin or metabolic origin? a. lactic acid b. potassium c. pH d. PaCO2 - ANSWER-d. PaCO a client has renal colic due to renal lithiasis. what is the nurses priority in managing care for the client? a. encourage the client to drink at lease 500mL of water each hour b. request the central supply department to send supplies for straining urine c. do not allow the client to ingest fluids d. administer an opioid analgesic as prescribed - ANSWER-d. prescribed an opioid analgesic as prescribed before the nurse administers IV raplacement of 5% dextrose in water with potassium chloride, what action is appropriate for the nurse to take? a. adding potassium chloride to the bag at the bedside

b. evaluating laboratory results for electrolytes c. checking the rate for IV push administration d. priming tubing using sterile technique - ANSWER-b. evaluating laboratory results for electrolytes the student nurse studying stomach disorders learns that the risk factors for acute gastritis include which of the following? (SATA) a. nonsteroidal anti-inflammatory drugs (NSAIDs) b. corticosteroids c. fruit juice d. alcohol e. caffeine - ANSWER-a. nonsteroidal anti-inflammatory drugs (NSAIDs) b. corticosteroids c. alcohol d. caffeine the primary goal of nursing care for a client with stress incontinence is which of the following? a. prevent the development of urinary tract infections b. help the client adjust to the frequent episodes of incontinence c. decrease the number of incontinence episodes d. eliminate all episodes of incontinence - ANSWER-c. decrease the number of incontinence episodes the community nurse is talking with a group of individuals about colorectal cancer risk factors. which community participants is at the highest risk for development of colorectal cancer? a. a 23-year old vegetarian b. a 39-year old with no family history of cancer c. a 30-year old with crohn's disease d. a 46-year old with a genetic predisposition to cancer - ANSWER-c. a 30- year old with crohn's disease a nurse is assessing a client who states she has leakage of small amounts of urine when attempting to get out of bed. the nurse should associate these findings with which of the following type of urinary incontinence? a. stress incontinence b. urge incontinence c. functional incontinence d. reflex incontinence - ANSWER-a. stress incontinence