Nursing 2 Final
Nursing 2 Final Exam Review
Test your knowledge and prepare for your final exam with our comprehensive nursing quiz! Covering critical topics in patient care, pharmacology, and disease processes, this quiz will help reinforce your learning and identify areas for improvement.
- 44 engaging questions
- Multiple choice and select all that apply formats
- Focus on real-life nursing scenarios
In which of the following should the nurse NOT Intervene.
The LPN Changes the blood bag.
The UAP is seen ambulating a patient same day post op knee replacement.
The UAP obtains vitals
The LPN starts feeding via TPN line.
When should the nurse assess a patient immediately after starting a blood transfusion?
15 minutes after starting the infusion
30 minutes after starting the infusion
1hr after starting the infusion
2hrs after starting the infusion
A client reports bruising easily and having dark, tarry stools. Which condition might the nurse suspect the client has?
CHF
Neutropenia
Thrombocytopenia
Megaloblastic Anemia
Which of the following indicates the client has a good understanding of the pernicious anemia disease process?
Client states "I must consume more meats and dairy"
Client states "This disease will be cured once I get enough B12"
The client states "I will get my B12 shots every month."
Client states "I will get my B12 shot once yearly."
(SATA) Which medications might the nurse expect to see prescribed to a patient diagnosed with Congestive Heart Failure (CHF).
Atenolol
Digoxin
Perindropril
Prednisone
Ferosamide
Sucrafate
Lactulose
The client is suspected of having an air embolism. What position should the nurse position them in?
High fowler
Sims position
Left side, Reverse Trendelenburg
Left side, Trendelenburg
The client presents with increased BP, Headache, dizziness, and a red, flushed face. Complains of dyspnea on exertion. What disease process might the nurse suspect the client is experiencing?
Fluid overload
Polycythemia Vera
Chronic HTN
CAD
The nurse is aware that whic
(SATA) The nurse understands that which of the following are complications of IV therapy?
Fluid overload
Air embolism
CHF
Sepsis
Neuropathy
The nurse understands that to treat phlebitis, they should do:
Restart and move IV and start a cool moist compress
Restart and move IV and start a warm compress
Massage the area
Ice the affected area
The client complains that he cannot feel his toes and has a BG level of 201 upon admission. Which complication of diebetes might the client be experiencing?
Diabetic shock
Fluid imbalance
Diabetic neuropathy
Hypoglycemia
What is the scientific reasoning behind diabetic neuropathy?
The sugar dulls the nerves, causing a loss of sensation.
High levels of glucose within the blood damages the blood vessels, resulting in poor circulation.
The sugar releases endorphins that cause the client to lose sense of feeling in limbs.
Excessive levels of glucose builds up on the blood vessel walls, restricting blood flow.
The nurse is teaching a client about their insulin pump. Which statement indicates the client understands insulin pumps?
Overall, I will use more insulin.
The insulin pump mimics the normal function of my pancreas.
Now I don't need to monitor my blood glucose at all!
The insulin pump will use a combination of long and rapid insulin to keep my blood glucose in check.
The patient presents with bruising around the umbilicus, an elevated WBC, serum amylase and lipase. Which condition should the nurse suspect the client is experiencing?
Hepatitis
Acute pancreatitis
Acute renal failure
Addisonian Crisis
The nurse understands that a client diagnosed with chronic pancreatitis is also at risk for which of the following?
Opioid dependancy
Alcoholism
Fluid overload
Mineral imbalance
The Nurse sees the UAP performing some of these actions. Which would require immediate intervention?
Feeding a client diagnosed with acute pancreatitis.
Ambulating a patient 3 days Postop knee replacement
Obtaining a stable patient's I/Os
Putting on calming music for a client diagnosed with addison's disease.
Which labs would the nurse recognize as signs of Addison's disease?
Elevated cortisol and aldosterone levels
Elevated creatinine/BUN
Lowered Serum K and Elevated Serum Na
Decreased cortisol and aldosterone levels
The nurse recognizes bruising around the flank area as which sign?
Grey turner's sign
Cullen's Sign
Murphey's sign
Chvostek's Sign
The nurse recognizes that Grey Turner's Sign and Cullen's Sign are indicative of which disease process?
Renal Failure
Hypocalcemia
Pancreatitis
Hepatitis
The client reports with jaundice, fever, and ecchymosis of the flank and naval. Which disease process does the nurse suspect the client has?
Cirrhosis of the liver
Liver failure
Biliary Tumor
Pancreatitis
In a client diagnosed with Addison's disease, which of the following treatments will the nurse implement?
Administering fludrocortisone as ordered
Administering hydrocortisone as ordered
Adminstering prednisone as ordered
Increasing potassium intake
Decreasing sodium intake
Monitoring the patient's blood glucose levels
Teaching the client it's OK to take medications at any time of day.
The client has just been administered Aspart. 15 minutes later, they complain of feeling lightheaded and shaky. Which is the priority intervention?
Give the client some juice
Check the clients BG levels
Give the client a candy bar.
Administer another dose of Aspart.
The client is planned to have lunch at 12:00pm, at which time should the nurse plan to administer Novolin?
10:00am
9:30am
10:45am
11:30am
If the nurse administers Glargine to the patient at 1pm, when should the nurse expect to administer another dose?
9pm the same day
1pm the next day
2pm day
5pm the same day
The nurse is aware that which of the following side effects can occur when administering Gentamicin?
Nephrotoxicity
Hepatotoxicity
Optotoxicity
The nurse understands that which labs are pertinent to nephrotoxicity?
Amylase and lipase
Creatinine and BUN
BNP
INR and ESR
The nurse understands that which labs are pertinent to hepatic damage?
ALT, AST and GGT
ESR levels
BNP
Creatinine and BUN
The nurse understands that which labs are pertinent to cardiac status? (SATA)
BNP
Sodium levels
Blood Glucose levels
Creatinine
Potassium levels
Amylase
Calcium levels
The nurse understands that which of the following is priority for managing diabetes?
Consistently making healthy lifestyle choices and taking medications.
Exercising daily
Reducing the amount of sugar in the diet
Getting support from family
The nurse is training a new hire. Which of the following statements demonstrates an understanding of TPN?
Anyone can start a TPN line.
You cannot abruptly stop TPN
The UAP may feed through a TPN line
Everyone gets the same TPN formula
The nurse understands which labs are pertinent to thyroid disorders?
TSH
BNP
Creatinine
PTH
Which of the following complications is a client with hyperthyroidism at risk for?
Constipation
Thyroid storm
Hypoglycemia
Shock
The nurse understands that exophtalmos is a sign of which disease process?
Hyperthyroidism
Fluid overload
Hypothyroidism
CHF
The client presents with decreased TSH levels, clubbed fingers, and an increased BP. Which disease process does the nurse suspect the client has?
Hyperthyroidism
Pancreatitis
Hypothyroidism
Hepatic encephalopathy
Which client would the nurse identify as being most at risk for experiencing a cerebrovascular attack?
A 65 year old African American male
An 84 year old Japanese female
A 57 year old white male
A 25 year old pregnant hispanic female
The client has been diagnosed with a stroke. The client's wife is concerened about her husband's generalized weakness. Which home modification should the nurse suggest to the wife before discharge?
Obtain a rubber mat to place under the dinner plate
Purchase a long-handled bath sponge for showering
Purchase clothes with velcro closure devices
Obtain a raised toilet seat for the client's bathroom
The 85 year old client diagnosed with a stroke is reporting a severe headache. Which intervention should the nurse implement first?
Admin. A nonnarcotic analgesic
Prepare for STAT magnetic resonance imaging (MRI)
Start an intravenous infusion with D5W at 100 mL/hr
Complete a neurological assessment
The client is diagnosed with expressive aphasia. Which psychosocial client problem would the nurse include in the plan of care?
Potential for injury
Powerlessness
Disturbed thought processes
Sexual dysfunction
A 78-year-old client is admitted to the ED with numbness and weakness of the left arm and slurred speech. Which intervention is a priority?
Prepare to administer recombinant tissue plasminogen activator (rtPA)
Discuss the precipating factors that caused the symptoms
Schedule for a STAT computed tomography (CT) scan of the head
Notify the speech pathologist for an emergency consult
The client is diagnosed with hypothyroidism. Which clinical manifestations would the nurse expect the client to exhibit?
Reports of extreme fatigue and hair loss
Exophtalmos and reports of nervousness
Reports of profuse sweating and flushed skin
Tetany and reports of stiffness in the hands.
The nurse is assessing the client diagnosed with COPD. Which health-promotion information is most important for the nurse to obtain?
The number of years the client has smoked.
Risk factors for complications
Ability to adminster inhaled medication
Willingness to modify lifestyle
The nurse is assessing the client diagnosed with COPD. Which data requires immediate intervention by the nurse?
Large amounts of thick white sputum
Oxygen flowmeter set on 8 liters
Use of accessory muscles during inspiration
Presence of a barrel chest and dyspnea
Which outcome is appropriate for the client problem "ineffective gas exchange" for the client recently diagnosed with COPD?
The client demonstrates the correct way to perform pursed-lip breathing.
The client lists three clinical manifestations to report to the HCP
The client will drink at least 2500mL of water daily
The client will be able to ambulate 100 feet with dyspnea
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