PN2 final exam 2023 Complete 100

PN2 final exam 2023 Complete 100% Correct Graded A+ A client was admitted to the ICU with hyponatremia. Which of the following assessment findings would cause this?

• Coma
• A&O x4
• Lethargy
• Increased appetite
• increased grip strength
• Seizures - Correct Answer A. Coma
• Lethargy
• Seizures

Which of the following should the nurse include in the discharge instructions for a client who had gastric bypass surgery?

• Notify provider of fever of 100.9
• Monitor surgical site for redness and drainage
• Resume full activity once at home
• Advance diet to pureed as tolerated
• Avoid carbonated beverages - Correct Answer A. Notify provider of a fever over

100.9 F

• Monitor surgical site for redness or drainage
• Avoid carbonated beverages

A nurse is reviewing the labs for a newly admitted heart failure patient and notes a K+ level of 6.7, upon reviewing the patient's medications which contributed to this electrolyte imbalance?

• Furosemide
• Hydrochlorothiazide
• Spironolactone
• Bumetanide - Correct Answer C. Spironolactone (potassium sparing)

Which of the following symptoms would the nurse anticipate in a client with right sided heart failure?

• Crackles in the lungs
• Shortness of breath
• Neck vein distention
• Enlarged abdominal girth
• Productive cough - Correct Answer C. Neck vein distention
• Enlarged abdominal girth

The nurse notes that the Hgb A1C level of a client dropped from a 8.4 to 6.7%. What statement best explains this change?

• The Client has been less complaint with the prescribed treatment regimen. 1 / 2

• The Client is experiencing a reduction in insulin sensitivity.
• The Client has less need for insulin
• The client is demonstrating improved control of hyperglycemia over the last several

months. - Correct Answer D. The Client is demonstrating improved control of hyperglycemia over the last several months.Which clinical manifestations should the nurse expect to find in the client with Guillian- Barre syndrome?

• Ophthalmoplegia and diplopia
• Weakness of face, jaw, and sternocleidomastoid muscles
• Progressive weakness without sensory involvement
• Progressive ascending weakness and paresthesia - Correct Answer D. Progressive

ascending weakness and paesthesia The nurse is caring for a client with COPD and is reviewing the new ABG's. Which of following ABG values is Respiratory acidosis?

• pH. 7.28, HCO3. 12, PCO2. 45, O2 96
• pH. 7.36, HCO3. 22, PCO2. 35, O2 98
• pH. 7.37, HCO3. 36, PCO2. 65, O2 78
• pH. 7.48, HCO3. 24, PCO2. 42, O2 85 - Correct Answer A. pH=7.28, Hco3=12,

Pco2=45, O2=96 A client is with systolic dysfunction has an ejection fraction of 38%. The nurse assesses for which physical change?

• increased stroke volume
• decreased tissue perfusion
• increase in O2 saturation
• A decrease in arterial vasoconstriction. - Correct Answer D. A Decrease in arterial

vasocontriction A client has the following ABGs: pH 7.30, HCO3 25, PCO2 55. Which intervention by the nurse?

• Prepare to give rapid intravenous of sodium bicarb
• Document findings
• Assess client and notify the physician
• Admin O2 at 2 L nasal cannula - Correct Answer C. Assess client and notify the

physician Which statement indicates that a client understands teaching about the correct use of long-acting beta 2 agonists medication for asthma?

• This drug can reverse my symptoms during an asthma attack
• This drug is effective in decreasing the frequency of my asthma attacks C. This drug

can be used always as effective as a rescue agent

• This drug can be used safely on a long term basis for multiple applications daily -

Correct Answer D. This drug can be used safely on a long term basis for multiple applications daily

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