PN2 Final Exam Review

PN2 Final Exam Review

• What intervention is most important to teach the client about identifying the onset of

dehydration?

• Converting ounces to milliliters
• Obtaining and charting daily weight *
• Measuring abdominal girth
• Selecting food items with high water content

0.2 points Question 2

• A client has hypokalemia. Which question by the nurse obtains the most information on

a possible cause?

• “Do you use sugar substitutes?”
• “Have your bowel habits changed recently?”
• “Do you use diuretics or laxatives?” *
• “Do you have any kidney disease?”

0.2 points Question 3

• A client has been treated for hypokalemia. Which clinical manifestation or condition

indicates that treatment has been effective?

• Having a bowel movement daily*
• Gaining 2 lb during the past week
• Fasting blood glucose level of 106 mg/dL
• Electrocardiogram (ECG) showing inverted T-waves

0.2 points 1 / 3

Question 4

• Which client statement indicates the need for more teaching regarding identification of

the early manifestations of hypokalemia?

• “When I am constipated, I drink more fluids.”*
• “I check my pulse each morning and each night.”
• “When my muscles feel weak, I eat a banana.”
• “I have been weighing myself every day.”

0.2 points Question 5

• A client is being discharged and needs to self-monitor for the development of

hyperkalemia. Which intervention is most important for the nurse to teach the client?

• Assessing radial pulse for a full minute twice a day*
• Weighing self daily at the same time of day
• Ensuring an oral intake of a least 3 L of fluids per day
• Restricting sodium as well as potassium intake

0.2 points Question 6

• In evaluating the electrocardiogram (ECG) in a client with acidosis, the nurse correlates

which ECG change with effectiveness of therapy?

• P-wave preceding the QRS complex
• Heart rate decreased to 62 beats/min
• Small U-waves present after each complex
• T-waves present, normal height *

0.2 points 2 / 3

Question 7

• The nurse correlates which condition with the following arterial blood gas values: pH

7.48, HCO3

– 22 mEq/L, PCO2 28 mm Hg, PO2 98 mm Hg?

• Chronic obstructive pulmonary disease
• Anxiety-induced hyperventilation*
• Diarrhea and vomiting for 36 hours
• Diabetic ketoacidosis and emphysema

0.2 points Question 8

• The home care nurse is making a follow-up visit to a client who had total hip

replacement surgery 2 weeks ago. Which client statement indicates a need for clarification regarding postoperative routine?

• “Now that my hip doesn’t hurt, I can cross my legs like a lady again.” *
• “I take 200 mg of Motrin (ibuprofen) at bedtime so that I can sleep.”

“My daughter helps me put on my elastic TED (thromboembolic deterrent) hose

• every day.”
• “Each day, I try to increase my walking time by at least 10 minutes.”

0.2 points Question 9

• A nurse is caring for a client who has had rheumatoid arthritis (RA) for 5 years. Which

laboratory value requires the most immediate intervention by the nurse?

• Hemoglobin (Hg), 10.6 g/dL
• Blood urea nitrogen (BUN), 16 mg/dL
• Creatinine, 3.2 mg/dL *
• White blood cell count (WBC), 3800/mm

3

0.2 points

• / 3