1. The nurse is caring for a client with hypovolemic shock. The family member asks why the fluids are being warmed. What is the
Best response by the nurse?
“to prevent complications from hypothermia”
2. The nurse is caring for a newly admitted client diagnosed with acute kidney injury. The n...
NR 341 (EXAM 2) 2023 LATEST QUESTIONS WITH
COMPLETE SOLUTIONS GRADED A+
1. The nurse is caring for a client with hypovolemic shock. The familymember asks why the fluids
are being warmed. What is the
Best response by the nurse?
“to prevent complications from hypothermia”
2. The nurse is caring for a newly admitted client diagnosed with acutekidney injury. The nurse
understands that the acute kidney injury is Most likely related to a history of which condition?
Sepsis
3. The nurse is caring for a client being monitored by arterial pressuremonitoring. The nurse notes
a systolic pressure of 164 mmHg. What action should the nurse take first ?
Assess the client.
4. The nurse is caring for a client with an arteriovenous (AV) fistula.Upon assessment, the
nurse is unable to auscultate a bruit. What action should the nurse take first?
Notify the provider
5. The nurse is assessing jugular venous pressure. In what order should the nurse proceed
with the steps in the process? [place thesteps in the correct order beginning with the first step
3.place head of bed between 30-45 degrees.
2. Have client turn head slightly to the left.
6. Shine a pen light across the neck, assess for jugular venousdistension at end of
exhalation.
5.observe the highest point of pulsation in the internal jugular vein atend exhalation.
4. Measure the vertical distance between the pulsation and the angle of louis.
1. Add 5 cm to the measurement.
, NR 341 (EXAM 2) 2023 LATEST QUESTIONS WITH
COMPLETE SOLUTIONS GRADED A+
6. The nurse is caring for a client with acute kidney injury. The nurseshould anticipate which
abnormal assessment finding? BUN/creatinine ratio 25:1
7. The nurse is caring for a client whose vital signs are monitored using invasive hemodynamic
monitoring. Which action is most important for the nurse to implement to decrease the risk of
infection?Strict hand washing
8. The nurse is preparing a client for placement of a catheter for arterial pressure monitoring.
What is the best way for the nurse toassess ulnar circulation prior to catheter insertion?
Occlude the radial artery.
9. The nurse is monitoring a client on hemodialysis. The nurse understands that which lab
value has the highest potential to be abnormal and cause complications as a result of fluid
imbalance?Electrolytes
10. The nurse is evaluating a client who is being treated for shock.When evaluating a client
being treated for shock, what finding indicated an improvement in the client’s condition?
Bun of 12 mg/DL
FOR THE EXAM answer was: Creatinine 2.6mg/dL that’s too high:normal level is: 0.6 to
1.6mg/dL
11. The nurse is assessing a client during hemodialysis. Which findingshould the nurse report to
the health care provider immediately ? Redness at insertion site
12. When developing the plan of care for an older adult client withacute kidney injury, the
nurse understands that it is essential to consider which factor in the client’s history?
Recent use of antibiotics
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