NR 325 EXAM 2
A nurse is educating a group of women about routine screening mammography. Which statement by a
participant indicates understanding of the teaching?
A. "I should schedule a mammogram every year starting at age 50."
B. "I will skip my mammogram this year since I don't have any breast lumps."
C. "I will continue to get regular mammograms even after menopause."
D. "I only need to get a mammogram if breast cancer runs in my family." - ANS C. "I will continue to get
regular mammograms even after menopause."
A nurse is caring for a client experiencing an exacerbation of genital herpes. Which action should the
nurse prioritize?
A. Administering antiviral medication as prescribed
B. Applying cool compresses to the affected area
C. Educating the client on transmission prevention
D. Assessing the client's pain level - ANS A. Administering antiviral medication as prescribed
What are some precautions the nurse will need to take when caring for a client with increased
intracranial pressure (ICP)? (Select all that apply)
Maintain neck midline
Avoid hip flexion
Avoid straining when having a bowel movement
Monitor neurological status, HOB elevated 30 degrees , avoid activities that increase ICP, administer
prescribed medications, ensure a quiet and calm environment. - ANS All of them
,A nurse is caring for a healthcare worker who sustains a needlestick injury from a patient with known
Hepatitis B. The healthcare worker is not immunized against Hepatitis B. Which action should the nurse
prioritize?
A. Initiating hepatitis B vaccination series
B. Administering hepatitis B immune globulin (HBIG)
C. Monitoring liver function tests
D. Initiating antiviral therapy - ANS B. Administering hepatitis B immune globulin (HBIG)
A nurse is assessing a client with suspected acute pancreatitis. Which finding should the nurse prioritize?
A. Severe epigastric pain radiating to the back
B. Elevated serum lipase levels
C. Abdominal distention
D. Hypotension - ANS D. Hypotension
Which of the following clinical manifestations are commonly associated with gallbladder disease? Select
all that apply.
A. Steatorrhea
B. Melena (tarry stools)
C. Dark colored urine
D. Constipation - ANS Steatorrhea and Dark colored urine
A nurse is assessing a client with late-stage cirrhosis of the liver. Which manifestations should the nurse
expect to find? Select all that apply.
A. Ascites
, B. Hematemesis
C. Hepatomegaly
D. Jaundice
E. Hyperkalemia - ANS Ascites, Hematemesis, Jaundice
A nurse is caring for a client who underwent an Endoscopic Retrograde Cholangiopancreatography
(ERCP) procedure earlier in the day. The nurse should prioritize assessment for which potential
complication?
A. Hypotension
B. Hyperkalemia
C. Urinary retention
D. Perforation - ANS D. Perforation
A nurse is providing education to a client diagnosed with chlamydia. Which statement by the client
indicates understanding of the teaching?
A. "I should avoid sexual contact until my symptoms completely resolve."
B. "I can stop taking antibiotics as soon as my symptoms improve."
C. "I will need to get tested for HIV and syphilis as well."
D. "I should use condoms consistently and correctly to prevent re-infection." - ANS D. "I should use
condoms consistently and correctly to prevent re-infection."
Identify causes of pancreatitis (select all that apply):
A. Alcohol use
B. Trauma
C. Measles
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