Stable angina -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/...
Nurs 221 Exam 2 Study Questions and Answers with
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Stable angina -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 -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 -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 -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
Nurs 221 Exam 2
,Nurs 221 Exam 2
d. Blood work for hemoglobin, red blood cells, and hematocrit -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 -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 -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. -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 -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?
Nurs 221 Exam 2
,Nurs 221 Exam 2
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) -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." -
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
c. Potassium
d. Water -Answer- ✔a. Protein
The nurse develops a plan to prevent atelectasis in a postsurgical client. Which
intervention will be effective?
a. Supervision of hourly deep-breathing exercises
b. Teaching the client to wear an abdominal binder
c. Encouraging calf-pumping exercises
d. Administering IV antibiotics -Answer- ✔a. Supervision of hourly deep-breathing
exercises;
ambulation and changing positions also help prevent post-op atelectasis
The nurse is caring for an infant admitted to the emergency department diagnosed with
bronchiolitis. The nurse would assess the client for:
a. wheezy cough and dyspnea.
b. no history of upper respiratory infection.
c. jaundiced skin and mucous membranes.
d. dehydration and drooling. -Answer- ✔a. wheezy cough and dyspnea.
Nurs 221 Exam 2
, Nurs 221 Exam 2
If a client experiences sympathetic nervous stimulation of the heart, the nurse will
observe which changes in manifestations?
a. Increased heart rate and increased contractility
b. Increased heart rate and decreased contractility
c. Decreased contractility and decreased heart rate
d. Decreased rate and force of contraction -Answer- ✔a. Increased heart rate and
increased contractility
Acute-onset bronchial asthma causes wheezing and breathlessness as a result of which
of the following?
a. Airway inflammation
b. Alveolar collapse
c. Compression atelectasis
d. Pulmonary hypertension -Answer- ✔a. Airway inflammation
An 86-year-old female client has been admitted to the hospital for the treatment of
dehydration and hyponatremia after she curtailed her fluid intake to minimize urinary
incontinence. The client's admitting laboratory results are suggestive of prerenal failure.
The nurse should be assessing this client for which early sign of prerenal injury?
a. Sharp decrease in urine output
b. Excessive voiding of clear urine
c. Acute hypertensive crisis
d. Intermittent periods of confusion -Answer- ✔a. Sharp decrease in urine output
Cardiac tamponade and pericardial effusion can be life-threatening when the pericardial
sac _______ and ______ the heart.
a. ruptures; releases
b. thickens; stretches
c. contracts; friction rubs
d. fills rapidly; compresses -Answer- ✔d. fills rapidly; compresses
While working triage in the emergency department, which client report should alert the
nurse to imminent danger and, thus, that client should be seen first?
a. A client reporting painful urination and experiencing fever and chills.
b. A client holding the abdomen and reporting a tearing and ripping feeling inside.
c. Athletic client reporting the kneecap popping in and out of socket.
d. A client with a history of chronic obstructive pulmonary disease (COPD) experiencing
a productive cough with green sputum. -Answer- ✔b. A client holding the abdomen and
reporting a tearing and ripping feeling inside;
Nurs 221 Exam 2
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