NUR 206 EXAM 2 LATEST 2024 - PRACTICE

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NUR 206 EXAM 2 LATEST 2024 -2025/ 250+ PRACTICE

QUESTIONS WITH CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) GRADED A+

The nurse teaches a patient about pursed lip breathing. Which action by the patient would indicate to the nurse that further teaching is needed?

• The patient practices by blowing through a straw.

2. The patient's ratio of inhalation to exhalation is 1:3.

• The patient inhales slowly through the nose.
• The patient puffs up the cheeks while exhaling. - Correct Answer - 4

A patient experiences a chest wall contusion as a result of being struck in the chest with a baseball bat. The emergency department nurse would be most concerned if which finding is observed during the initial assessment?

• Heart rate of 110 beats/minute
• Large bruised area on the chest
• Paradoxic chest movement
• Complaint of chest wall pain - Correct Answer - 3

A nurse plans care for a client who is experiencing dyspnea and must stop multiple times when climbing a flight of stairs. Which intervention should the nurse include in this client's plan of care?

• Oxygen therapy at 2 liters per nasal cannula
• Complete bedrest with frequent repositioning
• Assistance with activities of daily living
• Physical therapy activities every day - Correct Answer - 3 1 / 4

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A patient with idiopathic pulmonary arterial hypertension (IPAH) is receiving nifedipine (Procardia). Which assessment would best indicate to the nurse that the patient's condition is improving?

• Heart rate is between 60 and 100 beats/minute.
• Patient's chest x-ray indicates clear lung fields.
• Blood pressure (BP) is less than 140/90 mm Hg.
• Patient reports decreased exertional dyspnea. - Correct Answer - 4

A patient newly diagnosed with asthma is being discharged. The nurse anticipates including which topic in the discharge teaching?

• Self-administration of inhaled corticosteroids
• Complications associated with oxygen therapy
• Use of long-acting b-adrenergic medications
• Side effects of sustained-release theophylline - Correct Answer - 1

A patient with severe chronic obstructive pulmonary disease (COPD) tells the nurse, "I wish I were dead! I'm just a burden on everybody." Based on this information, which nursing diagnosis is most appropriate?

• Deficient knowledge related to lack of education about COPD
• Chronic low self-esteem related to increased physical dependence
• Complicated grieving related to expectation of death
• Ineffective coping related to unknown outcome of illness - Correct Answer - 2

An hour after a thoracotomy, a patient complains of incisional pain at a level 7 (based on 0 to 10 scale) and has decreased left-sided breath sounds. The pleural drainage system has 100 mL of bloody drainage and a large air leak. Which action is best for the nurse to take next?

• Assist the patient to deep breathe, cough, and use the incentive spirometer.
• Set up the patient controlled analgesia (PCA) and administer the loading dose of

morphine. 2 / 4

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• Milk the chest tube gently to remove any clots.
• Clamp the chest tube momentarily to check for the origin of the air leak. - Correct

Answer - ANS: 2

The patient is unlikely to take deep breaths or cough until the pain level is lower. A chest tube output of 100 mL is not unusual in the first hour after thoracotomy and would not require milking of the chest tube. An air leak is expected in the initial postoperative period after thoracotomy.

The nurse is caring for a patient with a descending aortic dissection. Which assessment finding is most important to report to the health care provider?

• Blood pressure 137/88 mm Hg
• 25 mL urine output over last hour
• Weak pedal pulses
• Absent bowel sounds - Correct Answer - 1

A patient with a venous thromboembolism (VTE) is started on enoxaparin (Lovenox) and warfarin (Coumadin). The patient asks the nurse why two medications are necessary. Which response by the nurse is most appropriate?

• "Lovenox will work right away, but Coumadin takes several days to have an effect

on preventing clots."

• "Because of the risk for a blood clot in the lungs, it is important for you to take

more than one blood thinner."

• "Taking two blood thinners reduces the risk for another clot to form."
• "Lovenox will start to dissolve the clot, and Coumadin will prevent any more clots

from forming." - Correct Answer - 1

A new RN is preparing discharge instructions for a patient with a new implantable cardiac defibrillator/dual chamber pacemaker. Which instructions must the nurse include in this client's teaching? (Select all that apply.)

• "Have your pacemaker turned off before having magnetic resonance imaging

(MRI)."

• "If you feel weak, apply pressure over your generator." 3 / 4

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• "Do not lift your left arm above the level of your shoulder for 8 weeks."
• "Until your incision is healed, do not submerge your pacemaker. Only take

showers."

• "Report any pulse rates lower than your pacemaker settings."
• "Do not remove the bandage until you follow up with the doctor in 2 weeks." -

Correct Answer - 3, 4, 5

The client being discharged with an ICD is instructed to avoid strong sources of electromagnetic fields. Clients should avoid tight clothing, which could cause irritation over the ICD generator. The client should be encouraged to exercise but should not engage in strenuous activities that cause the heart rate to meet or exceed the ICD cutoff point because the ICD can discharge inappropriately. The client should continue all prescribed medications.

• When evaluating the discharge teaching for a patient with chronic peripheral

artery disease (PAD), the nurse determines a need for further instruction when the patient says, "I will

• change my position every hour and avoid long periods of sitting with my legs

crossed."

• walk to the point of pain, rest, and walk again until the pain returns for at least 30

minutes 3 times a week."

• have to buy some loose clothes that do not bind across my legs or waist."
• use a heating pad on my feet at night to increase the circulation and warmth in

my feet." - Correct Answer - 4

A 67-year-old patient is admitted to the hospital with a diagnosis of venous insufficiency.Which patient statement is most supportive of the diagnosis?

• "I have burning leg pains after I walk two blocks."
• "I wake up during the night because my legs hurt."
• "I can't get my shoes on at the end of the day."
• "I can't seem to ever get my feet warm enough." - Correct Answer - 3

The nurse needs to quickly estimate the heart rate for a patient with a regular heart rhythm. Which method will be best to use?

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