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Nurs 221 Exam 2 questions and answers certified 2024
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Nurs 221 Exam 2 questions and answers certified 2024
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Nurs 221 Exam 2Stable angina - correct answer ✔predictable and consistent pain that occurs
on exertion and is relieved by rest and/or nitroglycerin
The nurse is monitoring hourly urine output of a client diagnosed with
hypovolemic shock. The nurse is most concerned if the client's output is:
a. 20 mL/hour
b. 40 mL/hour
c. 60 mL/hour
d. 80 mL/hour - correct answer ✔a. 20 mL/hour
A client recovered from influenza 2 days ago and informs the nurse that she is
feeling better but now has a fever, chills, pain when breathing, and a
productive cough. What complication does the nurse anticipate the client will
be treated for?
a. A secondary bacterial pneumonia
b. A relapse of the flu
c. Reye syndrome
d. Tuberculosis - correct answer ✔a. A secondary bacterial pneumonia;
people usually start to feel better and then symptoms return
Which client is at risk for developing acute respiratory failure?
a. A middle-aged male diagnosed with amyotrophic lateral sclerosis (ALS)
who has pneumonia with low O2 saturation
,b. An older adult female living in senior housing who has been exposed to a
"cold" while her grandchildren visited
c. A teenager in a high school who has had an increase in student absences
due to an outbreak of strep throat
d. A toddler in daycare who has been sharing toys with peers before the staff
could sanitize properly - correct answer ✔a. A middle-aged male diagnosed
with amyotrophic lateral sclerosis (ALS) who has pneumonia with low O2
saturation
A client with a history of chronic kidney disease (CKD) is experiencing
increasing fatigue, lethargy, and activity intolerance. The care team has
established that the client's glomerular filtration rate (GFR) remains at a low,
but stable, level. Which laboratory assessments will most likely be prescribed
to help determine the cause of these new symptoms?
a. Blood work for white cells and differential
b. Cystoscopy and ureteroscopy
c. Assessment of pancreatic exocrine and endocrine function
d. Blood work for hemoglobin, red blood cells, and hematocrit - correct
answer ✔d. Blood work for hemoglobin, red blood cells, and hematocrit
Following several weeks of increasing fatigue and a subsequent diagnostic
workup, a client has been diagnosed with mitral valve regurgitation. Failure of
this heart valve would have which hemodynamic consequences?
a. Backup of blood from the right atrium into the superior vena cava
b. Backflow from the right ventricle to the right atrium during systole
c. Inhibition of the SA node's normal action potential
d. Backflow from the left ventricle to left atrium - correct answer ✔d.
Backflow from the left ventricle to left atrium
,A client with a suspected MI is brought to the emergency department by
ambulance. The nurse caring for this client would expect to receive an order
for which laboratory test to confirm a diagnosis of MI?
a. Creatine kinase marker
b. Complete blood components
c. Calcium level
d. Troponin level - correct answer ✔d. Troponin level
A client has been diagnosed with aortic stenosis and asks the nurse what this
means. The most appropriate response would be:
a. The valve opening is narrowed and produces increased resistance to blood
flow out of the left ventricle and into the aorta.
b. The valve opening is incompetent, thereby allowing blood to flow back from
the pulmonary artery and into the left atrium.
c. The valve opening permits backward flow to occur when the valve should
be closed.
d. The valve opens backward, permitting blood to flow from the right ventricle
into the right atrium. - correct answer ✔a. The valve opening is narrowed and
produces increased resistance to blood flow out of the left ventricle and into
the aorta.
A client has just been told that he has an infection of the inner surface of the
heart. He is also told that the bacteria has invaded his heart valves. What term
is used for this disease process?
a. Pericarditis
b. Myocardial infarction
, c. Infective endocarditis
d. Cardiomyopathy - correct answer ✔c. Infective endocarditis
The nurse is reviewing the laboratory work of several medical clients. Which
laboratory result is most suggestive of abnormalities in kidney function?
a. An absolute absence of protein in a urine sample
b. Increased creatinine and blood urea nitrogen (BUN) levels
c. Urine gravity of 1.030 and normal serum creatinine levels
d. Normal creatinine levels and elevated blood urea nitrogen (BUN) - correct
answer ✔b. Increased creatinine and blood urea nitrogen (BUN) levels
A nurse is performing client health education with a 68-year-old man who has
recently been diagnosed with heart failure. Which statement demonstrates an
accurate understanding of his new diagnosis?
a. "I'll be sure to take my beta-blocker whenever I feel short of breath."
b. "I'm going to avoid as much physical activity as I can so that I preserve my
strength."
c. "I know it's healthy to drink a lot of water, and I'm going to make sure I do
this from now on."
d. "I'm trying to think of ways that I can cut down the amount of salt that I
usually eat." - correct answer ✔d. "I'm trying to think of ways that I can cut
down the amount of salt that I usually eat."
The nurse would be most concerned when the glomerular filtrate contains:
a. Protein
b. Sodium
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