NURS 640 Exam 2 Latest Update 2024-2025 Exam 225 Questions and 100% Verified Correct Answers Guaranteed A+
. The nurse is listening to the breath sounds of a patient with severe asthma. Air passing through narrowed bronchioles would produce which of these adventitious
sounds? - CORRECT ANSWER: Wheezes
.A client complains of acute gastrointestinal distress. While obtaining a health history, the nurse asks about the family history. Which disorder has a familial basis? -
CORRECT ANSWER: Ulcerative Colitis
.A client diagnosed with heart failure is prescribed furosemide (Lasix). Which of the following should this client be monitored for because of this medication? (Select all that
apply.) - CORRECT ANSWER: dehydration, hyponatremia, and hypokalemia
.A client experiencing abdominal pain and diarrhea tells the nurse that he used to smoke. Which of the following gastrointestinal disturbances is this client most likely
experiencing - CORRECT ANSWER: Crohns Disease
.A client is diagnosed with burning mouth syndrome. Which of the following
interventions should be included in this clients plan of care - CORRECT ANSWER:
assessing the condition of the teeth
.A client is diagnosed with disseminated low-grade non-Hodgkins lymphoma. Which of
the following treatments would be indicated for this client? - CORRECT ANSWER:
Watch and wait
.The nurse is assessing a client diagnosed with irritable bowel syndrome (IBS). Which of the following characteristics are associated with this disorder? - CORRECT ANSWER: recurrent abdominal pain that improves with defecation. The pain will also appear with a change in stool frequency. The pain is also associated with a change in stool appearance.
.The nurse notes that on a clients electrocardiogram tracing, there is one P wave for every QRS complex and a delay in the impulse transmission at the AV node. This regular rhythm is identified as: - CORRECT ANSWER: First-degree atrioventricular (AV) block
.When instructing a client on ways to lower his cholesterol levels, which of the following
should the nurse include? - CORRECT ANSWER: Cholesterol is located in animal
sources, so decreasing meat and eggs will lower cholesterol levels.
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.Which of the following diagnostic tests is useful to diagnose mitral valve prolapse? -
CORRECT ANSWER: Transesophageal echocardiography is useful in the assessment
of cardiac murmurs, stenosis, and regurgitation of all four cardiac valves
1.A client with a heart rate of 40 who is experiencing shortness of breath and nausea is diagnosed with second-degree AV block type II. Which of the following will be included
in this clients treatment? - CORRECT ANSWER: Atropine, External Pacer
1.The nurse is instructing a client about symptoms associated with peptic ulcer disease.Which of the following should be included in these instructions? - CORRECT ANSWER: abdominal pain, pain in the middle of the night; weight loss; poor appetite; and bloating
2.A client diagnosed with sickle-cell anemia is experiencing vaso-occlusive crisis. Which of the following interventions would be appropriate for this client? - CORRECT
ANSWER: adequate hydration, oxygenation, adequate nutrition, rest, medications,
management of fever and complications, and use of transfusions.
3.The nurse assesses no bowel sounds with occasional splashing sounds over the large intestines. Which of the following do these assessment findings suggest to the
nurse - CORRECT ANSWER: Obstruction can be detected with absent bowel sounds
and borborygmi or a splashing sound heard over the large intestine
5.The nurse is reading an ECG rhythm strip and notes that there are nine QRS complexes in a 6- second strip. The heart rate is: - CORRECT ANSWER: multiplying the QRS complexes in a 6-second strip by 10
6.The nurse is instructing a client diagnosed with mild heart failure on dietary modifications. Which of the following client statements indicates that the instruction has
been effective? - CORRECT ANSWER: Low Salt Diet
A client diagnosed with acute myeloid leukemia is recovering from a bone marrow transplant. Which of the following nursing interventions would not be appropriate for this
client? - CORRECT ANSWER: no anesthesia
A client diagnosed with arteriosclerosis is prescribed an anticoagulant. For which of the following should the nurse assess in this client - CORRECT ANSWER: greater risk of bleeding and bruising.
A client diagnosed with chronic disseminated intravascular coagulation is prescribed heparin. The nurse realizes that this medication is used to: - CORRECT ANSWER: interference with the clotting processes and the chance of preventing further overuse of clotting factors
A client diagnosed with mitral valve prolapse is experiencing palpitations. Which of the following should the nurse instruct this client? - CORRECT ANSWER: avoid caffeine, alcohol, and tobacco 2 / 3
A client has a history of being treated for ulcerative colitis. The nurse realizes that a lifethreatening complication of this disorder is - CORRECT ANSWER: toxic megacolon
A client has been prescribed Zantac for gastroesophageal reflux disease. The nurse realizes this medication is classified as a: - CORRECT ANSWER: histamine H2- receptor antagonist
A client is admitted with abdominal aortic aneurysm. For which of the following
complications should the nurse be concerned? - CORRECT ANSWER: rupture
A client is being evaluated for symptoms associated with diverticular disease. The nurse realizes that the best diagnostic test to be used to aid in this diagnosis would be: -
CORRECT ANSWER: A CT scan is the best method of detecting abscesses and
complications evidenced in diverticulitis
A client is diagnosed with a swallowing disorder. The nurse realizes that which type of
diet would be indicated for this client - CORRECT ANSWER: mechanical soft
A client is diagnosed with a venous stasis ulcer on the foot. Which of the following will be included in this clients plan of care - CORRECT ANSWER: oral antibiotics if infection is present, cover the wound with hydrocolloidal dressing if indicated to promote the formation of granulation tissue, provide pain medication with debridement
A client is diagnosed with acute peripheral arterial occlusion. The nurse should prepare to provide which of the following interventions for this client? - CORRECT ANSWER: intravenous heparin therapy is usually the first intervention
A client is diagnosed with alpha- and beta- defect thalassemia. The nurse realizes that this disease is common within which of the following cultural groups? - CORRECT
ANSWER: African Americans
A client is diagnosed with anemia. The nurse realizes that which of the following could be the treatment for this clients disorder? - CORRECT ANSWER: Erythropoietin therapy
A client is diagnosed with appendicitis. One of the laboratory tests the nurse would
expect to monitor would be - CORRECT ANSWER: elevated WBC count
A client is diagnosed with Buergers disease. Which of the following should the nurse instruct the client regarding this disorder? - CORRECT ANSWER: Smoking exacerbates the disease
More common in men>women
More common in Asians
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