NURS 221/ NURS221 EXAM 2 NEWEST
ACTUAL EXAM WITH COMPLETE
QUESTIONS AND DETAILED ANSWERS
GRADED A | BRAND NEW!!!
The nurse caring for four male clients recognizes which client is
at highest risk for developing postrenal kidney failure?
a. Client with prostatic hyperplasia
b. Client with severe hypovolemia
c. Client with intratubular obstruction
d. Client with acute pyelonephritis - ✔✔✔ Correct Answer > a.
Client with prostatic hyperplasia
A patient in an MVC experienced blunt force trauma to the
chest and has since developed cardiac tamponade. The
patient's blood pressure has dropped dramatically and the
patient has other clinical signs of shock in addition to distended
neck veins and muffled heart sounds. Which type of shock is
the patient experiencing?
,a. Obstructive
b. Cardiogenic
c. Distributive
d. hypovolemic - ✔✔✔ Correct Answer > a. Obstructive
A client in renal failure has marked decrease in renal blood flow
caused by hypovolemia, the result of gastrointestinal bleeding.
The nurse is aware that this form of renal failure can be
reversed if the bleeding is under control. Which form of acute
renal injury does this client have?
a. Postrenal failure
b. Intrarenal failure
c. Prerenal failure
d. Chronic renal failure - ✔✔✔ Correct Answer > c. Prerenal
failure
A patient is admitted for an MI that involves an infarct of a
large area of the heart. While in the hospital, they develop signs
of shock. Which type of shock does this patient most likely
have?
,a. Obstructive
b. Cardiogenic
c. Distributive
d. hypovolemic - ✔✔✔ Correct Answer > b. Cardiogenic
Which of the following is a finding unique to left-sided heart
failure?
a. Peripheral dependent edema
b. Decreased urine output
c. Increased heart rate
d. Shortness of breath - ✔✔✔ Correct Answer > d. Shortness of
breath
Keeping in mind the equation of CO=SVxHR and remembering
what the components of stroke volume are, if a patient has
damage to the myocardium resulting in remodeling and causing
a decrease in contractility, which of the following might the
body do in order to maintain cardiac output?
a. Decrease afterload
b. Decrease heart rate
, c. Increase heart rate
d. Decrease preload - ✔✔✔ Correct Answer > c. Increase heart
rate
54 year old male presents to the hospital with a suspected
acute arterial occlusion. The nurse knows that the alterations in
pressure and flow from this acute occlusion are best
represented by which of the following:
a. Increased pressure upstream, increased flow downstream
b. Decreased pressure upstream, decreased flow downstream
c. Increased pressure upstream, decreased flow downstream
d. Decreased pressure upstream, increased flow downstream -
✔✔✔ Correct Answer > c. Increased pressure upstream,
decreased flow downstream
Which of the following are compensatory mechanisms
triggered by inadequate cardiac output? Select all that apply.
a. Activation of the sympathetic nervous system
b. Activation of RAAS
c. Increased myocardial oxygenation
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