PN 2 EXAM 1
1.The healthcare provider prescribes decompression with a nasogastric (NG) tube for a client with an intestinal obstruction. To determine the effectiveness of the NG tube, the nurse should evaluate the client to determine which of the following?A.The client’s gastric content collects in the suction canister.B.The client has had a bowel movement.C.The client urinary output is adequate.D.The client can sit up without pain.
2.Which instruction should the nurse include in the teaching plan for a client experiencing gastroesophageal reflux disease (GERD)?A.Limit caffeine intake to two cups of coffee per day.B.Do not lie down for at least 1-2 hours after eating.C.Follow a low protein diet.D.Take medication with milk to decrease irritation.
3.A nurse is assessing a newly admitted client with chronic heart failure who forgot to take prescribed medication and seems confused. The client has peripheral edema and shortness of breath. Which assessment should the nurse complete first?A.Skin turgor.B.Heart sounds.C.Mental status.D.Capillary refill.
4.The nurse is planning to teach a client with gastroesophageal reflux disease about substance to avoid. Which item should the nurse include in the list?A.Nonfat milk.B.Smoking.C.Baked chicken.D.Scrambled egg.
- When admitting a client with acute glomerulonephritis. It is important
that the nurse ask the client about which of the following?A.Recent sore throat and fever.B.History of high blood pressure.
PN2 EXAM 1 QUESTIONS AND ANSWERS 2023 1 / 2
C.Frequency of bladder infection.D.Family history of kidney stones.
6.A client has the following arterial blood gas results: Ph 7.30, HCO3
17mEq/L, PaCO2 25 mm Hg, PaO2 98 mm Hg. Which intervention by the nurse is most appropriate?A.Prepare to administer the ordered albuterol nebulizer treatment.B.Document and continue to assess as these are normal findings.C.Assess the client and notify the provider using SBAR communication.D.Place the client on oxygen 2L via nasal cannula.
7.An elderly client admitted with new onset confusion, headache, poor skin turgor, bounding pulse, and urinary incontinence has been drinking copious amount of water. Upon reviewing the lab results, the nurse discovers a sodium level of 122mEq/ L (122 mmoI/L). A report to the healthcare provider should include what recommendations? (Select all that apply).A.Fluid retention.B.Encourage fluids C.Vital signs every 4 hours instead of every shift D.Strict intake and output.E.Repeat sodium level in the morning F.Low sodium diet.
8.A nurse is caring for a postoperative client following abdominal surgery.Which of the following findings should indicate to the nurse the client’s peristalsis is returning?A.Hypoactive bowel sounds in two quadrants.B.Request for a cup of tea and some toast.C.Passage of flatus.D.Abdominal distention.
9.A man is brought to the emergency department after fainting and in state of emotional distress. He tells the nurse that he feels dizzy and does not remember what happened but scared and anxious. His vital signs are blood pressure 139/92 mm hg, heart rate 109 beats/minute, and respirations are 37 breath/minute, regular and deep. Which primary acid-base disturbance is this client at risk for developing?
- Respiratory acidosis
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