PN2 EXAM 2 QUESTIONS AND ANSWERS & STUDY GUIDE 2 Rasmussen College
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PN2 EXAM 2 QUESTIONS AND ANSWERS & STUDY GUIDE
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PN2 EXAM 2 QUESTIONS AND ANSWERS & STUDY GUIDE
PN2 EXAM 2 QUESTIONS AND ANSWERS & STUDY GUIDE 2
Risk factors for the development of pneumonia include which of the following?
• advanced age and immobility
Which of these presenting complaints is associated with the client who has pneumonia?
• a high fever with sudden onset
Which tes...
risk factors for the development of pneumonia include which of the following • advanced age and immobility which of these presenting complaints is
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PN2 EXAM 2 QUESTIONS AND ANSWERS & STUDY GUIDE
Risk factors for the development of pneumonia include which of the following?
• advanced age and immobility
Which of these presenting complaints is associated with the client who has pneumonia?
• a high fever with sudden onset
Which tests confirm a diagnosis of TB?
• chest X-ray and sputum culture
Pharmacological treatment of active TB consists of:
• a 6-month regime of isoniazid, rifampin, and pyrazinamide
Which of the following factors may cause an episode of extrinsic asthma?
• food additives
Which asthma patient would the nurse assess first?
• A 27-year-old patient with a heart rate of 120 beats/min
Which patient with COPD would the nurse assess first?
• A 52-year-old in a tripod position using accessory muscles to breathe
A patient has been diagnosed with tuberculosis (TB). What action by the nurse takes
highest priority?
• Educating the patient on adherence to the med regimen
What outcome demonstrates that goals for a pneumonia patient type have been met?
• Antibiotics started before admission
A pt. is being discharged on long-term therapy for (TB). What referral by the nurse is
most appropriate?
• Visiting nurses for directly observed therapy
The nurse has a positive PPD during the last testing cycle for tb Which of the following
is indicated for this nurse?
• Pharmacological treatment
A client is being treated for exacerbation of copd. Which of the following nursing
interventions should be done?
• Initiate oxygen at 1 L/min via nasal cannula
Which of the following medications should the client be instructed not to use during an
acute asthma attack?
• Serevent
The client should be aware that albuterol may cause:
• nervousness
,What is the MOST common source of chemical pneumonia?
• inhalation of irritating substances
What is the main goal for the treatment of a client with pneumonia?
• clearing of exudate from the airway and adequate oxygenation
If a client has a positive skin test for tuberculosis (TB), the nurse knows this result
indicates that the client:
• has been infected with and has formed antibodies against tuberculosis
Which of these terms describes an asthma attack that persists and does not respond to
treatment?
• status asthmaticus
The sac that surrounds and protects the heart is called the:
• Pericardium
When listening to heart sounds, the valve closures that heard at the base of the heart are:
• Aortic and pulmonic
The pacemaker:
• SA Node
Pt. getting up multiple times at night with dib. What might you ask?
• Do you have any history of problems with your heart?”
Baby sleeps right after feeding and anything strenuous. What should you ask?
• Presence of dyspnea or diaphoresis when sucking
What does a swooshing blowing sound indicate?
• Blood flow turbulence
During an assessment of a healthy adult, where would the nurse palpate the apical
impulse?
• Fifth left intercostal space at the midclavicular line
Major blood supply to arm:
• Brachial
Where to palpate dorsalis pedis.
• Lateral to the extensor tendon of the great toe
Which vein(s) is(are) responsible for most of the venous return in the arm?
• Superficial
Which of these people are highest at risk for venous disease?
• Person who has been on bed rest for 4 days
,Pain that comes when walking and stops with rest.
• Claudication
Pain that gets worse with elevation and better when dangling the legs.
• Problems related to arterial insufficiency
What kind of pulse would you assess with hyperthyroidism?
• Bounding
What skin might look like with venous stasis.
• Brownish discoloration to the skin of the lower leg
What bruits represent:
• Occur with turbulent blood flow, possible occlusion
The nurse sees that the patient has dilated, tortuous veins in her lower legs and is
pregnant:
• Varicose veins
What does a doppler sound like?
• Swishing whooshing
Fingers turn red, white and blue:
• Reynaud phenomena
What does a 2+ pulse mean?
• Normal
What is essential hypertension?
• “It is hypertension that has no cause"
Which nonpharmacologic comfort measure should the nurse implement for pericarditis?
• Provide a pillow for client to lean forward on
What to teach a heart failure patient about energy conservation:
• Gather all supplies before doing a task
Which question should the nurse ask to assess the extent of the client’s heart failure
when a pt. has a hx of HF?
• “Are you able to walk upstairs without fatigue?”
Which assessment finding should the nurse expect to find with pericarditis?
• Friction rub at the left lower sternal border
Which infection control precautions should the nurse use for infective endocarditis?
• Standard Precautions
A nurse admits a client who is experiencing an exacerbation of heart failure. Which
action should the nurse take first?
• Assess the client’s respiratory status
Which statement by the client alerts the nurse to the possibility of right-sided heart
, failure?
• My shoes fit really tight lately
Best meal for high cholesterol:
• Baked chicken breast, broccoli, tomatoes
A nursing student is caring for a pt with an abdominal aneurysm. What action by the
student requires the RN to intervene?
• Palpates the abdomen in four quadrants
A nurse is caring for a client with a (DVT). What nursing assessment indicates a priority
outcome has been met:
• Oxygen saturation of 98%
A client has a deep vein thrombosis (DVT). What comfort measure does the nurse
delegate to the UAP
• Apply a warm moist pack.
A patient has peripheral arterial disease (PAD). What statement by the patient shows
need for further teaching?
• I can use a heating pad on my legs if it’s set on low
Which finding is most concerning for a patient with Atherosclerosis?
• Triglycerides: 198 mg/dL
How can a pt get rheumatic heart disease?
• streptococcal infection
Nursing interventions for a client in the acute stage of bacterial endocarditis?
• Administration of analgesics as needed
The client with a recent diagnosis of cardiomyopathy asks the nurse, “What contributed
to my getting this illness:
• unknown cause
The nurse assesses the foot of a pt that has become suddenly cold, painful, and pulseless.
What should he/she do next? (if you’ve already assessed you not gonna assess again!)
• Call the physician
During a routine physical examination, a client reports recent occipital headaches,
blurred vision, fatigue?
• Hypertension
Name this rhythm:
• A-Fib
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