NUR 139 - Exam 2 Practice Questions and Correct Answers
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Course
NUR 139
Institution
NUR 139
An older nursing home resident has refused to eat or drink for several days and is admitted to the hospital. The nurse should expect which assessment finding? -increased blood pressure -weak, rapid pulse -moist mucous membranes -jugular vein distention weak, rapid pulse
A man brings his elderly wi...
NUR 139 - Exam 2 Practice Questions
and Correct Answers
An older nursing home resident has refused to eat or drink for several days and is
admitted to the hospital. The nurse should expect which assessment finding?
-increased blood pressure
-weak, rapid pulse
-moist mucous membranes
-jugular vein distention ✅weak, rapid pulse
A man brings his elderly wife to the emergency department. He states that she has
been vomiting and has had diarrhea for the past 2 days. She appears lethargic and is
complaining of leg cramps. What should the nurse do first?
-start an iv
-review the results of serum electrolytes
-offer the woman foods that are high in sodium and potassium content
-administer an antiemetic ✅review the results of serum electrolytes
The nurse administers an iv solution of d5 1/2ns to a postoperative client. This is
classified as what type of intravenous solution? _________ ✅hypertonic
An older client comes to the emergency department experiencing chest pain and
shortness of breath. An arterial blood gas is ordered. Which of the following abg results
indicates respiratory acidosis?
-ph 7.54; paco2 28 mmhg; hco3 22 meq/l
-ph 7.32; paco2 46 mmhg; hco3 24 meq/l
-ph 7.31; paco2 35 mmhg; hco3 20 meq/l
-ph 7.50; paco2 37 mmhg; hco3 28 meq/l ✅ph 7.32; paco2 46 mmhg; hco3 24 meq/l
The intake and output (i&o) record of a client with a nasogastric tube who has been
attached to a suction for 2 days shows greater output then input. Which nursing
diagnosis are most applicable? Select all that apply
-deficient fluid volume
-risk for deficient fluid volume
-impaired oral mucous membranes
-impaired gas exchange
-decreased cardiac output ✅-deficient fluid volume
-impaired oral mucous membranes
-decreased cardiac output
Which client statement indicates a need for further teaching regarding treatment for
hypokalemia?
-"i will use avocado in my salads"
,-"i will be sure to check my heart rate before i take my digoxin"
-"i will take my potassium in the morning after eating breakfast"
-"i will stop using my salt substitute" ✅"i will stop using my salt substitute"
(contains a lot of potassium)
An older man is admitted to the medical unit with a diagnosis of dehydration. Which sign
or symptom is most representative of a sodium imbalance?
-hyperreflexia
-mental confusion
-irregular pulse
-muscle weakness ✅mental confusion
The client's arterial blood gas results are ph 7.32; paco2 58; hco3 32. The nurse knows
that the client is experiencing which acid-base imbalance?
-metabolic acidosis
-respiratory acidosis
-metabolic alkalosis
-respiratory alkalosis ✅respiratory acidosis
A client is admitted to the hospital for hypocalcemia. Nursing interventions relating to
which system would have the highest priority?
-renal
-cardiac
-gastrointestinal
-neuromuscular ✅neuromuscular
The nurse would assess for signs of hypomagnesemia in which of the following clients?
Select all that apply
-a client with renal failure
-a client with pancreatitis
-a client taking magnesium-containing antacids
-a client with excessive nasogastric drainage
-a client with chronic alcoholism ✅-a client with pancreatitis
-a client with excessive nasogastric drainage
-a client with chronic alcoholism
Which learning activity reflects bloom's affective domain?
-administering an injection
-accepting the loss of a limb
-inserting a catheter
-learning how to read ✅accepting the loss of a limb
Which is the best method of helping a client newly diagnosed with diabetes to learn the
dietary requirements associated with the disease?
-provide a videotape that addresses the dietary requirements associated with the
disease
, -ask a nutritionist to visit the client to present information and handouts about the
diabetic diet
-ask the client to make a list of her favorite foods and how to work them into her diet
-have the client attend a group meeting for clients with diabetes to discuss their
adaptation to this chronic health condition ✅ask the client to make a list of her favorite
foods and how to work them into her diet
A nurse is scheduling a teaching situation. Which client is most ready to learn?
-a 45 year old man whose health care provider has just informed him that he has cancer
-a 3 year old child whose parents are reading a storybook about going to the hospital
-a 60 year old female who received medications 5 mins ago for relief of abdominal pain
-a 70 year old man recovering from a stroke who has returned from physical therapy
✅a 3 year old child whose parents are reading a storybook about going to the hospital
How can the nurse best asses a client's style of learning?
-ask the client how he or she learns best
-use a variety of teaching strategies
-observe the client's interactions with others
-ask family members ✅ask the client how he or she learns best
A 74 year old client who takes multiple meds tells the nurse, "i have no idea what the
little yellow pill is for." what is the best nursing diagnosis for this client?
-deficient knowledge
-health seeking behavior
-deficient knowledge (med information)
-noncompliance ✅deficient knowledge (med information)
A client is scheduled to have a diagnostic procedure. Which questions by the nurse will
most likely produce a "teachable moment"? Select all that apply
-"have you ever had this procedure before?"
-"what are your concerns about this procedure?"
-"what would you like to know about the procedure?"
-"are you prepared for this procedure?"
-"what have you heard or read about the procedure?" ✅-"what are your concerns
about this procedure?"
-"what would you like to know about the procedure?"
-"what have you heard or read about the procedure?"
A client needs to learn to self-administer insulin injections. Which statements reflect
possible low literacy skills? Select all that apply.
-"i will read the information later-i'm too tired right now."
-"i've watched my brother give his own shots. I know how to do it"
-"just show my wife"
-"do you have a video showing how i should give myself the shot?"
-"i don't understand this one section in the handout" ✅-"i will read the information later-
i'm too tired right now."
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