RNSG 2539 EXAM 2 AND RNSG 2539 EXAM 3

pg. 1

RNSG 2539 EXAM 2 AND RNSG 2539 EXAM 3

WITH 200 AND 80 EXAM QUESTIONS AND

CORRECT ANSWERS RESPECTIVELY/

LATEST RNSG 2539 EXAM PREP TEST

BANK 2025 (BRAND NEW!)

RNSG 2539 EXAM 2 (200 QS)

A nurse is providing discharge education to a patient who has recently been diagnosed with a bleeding disorder. What topic should the nurse prioritize when teaching this patient?

• Avoiding buses, subways, and other crowded, public sites
• Avoiding activities that carry a risk for injury
• Keeping immunizations current
• Avoiding foods high in vitamin K - ANSWER-B) Avoiding activities that carry

a risk for injury

The nurse is caring for a 12-year-old boy with idiopathic thrombocytopenia. The nurse is providing discharge instructions about home care and safety recommendations to the boy and his parents. Which response indicates a need for further teaching?

• "We should avoid aspirin and drugs like ibuprofen."
• "He can resume participation in football in 2 weeks."
• "Swimming would be a great activity."
• "Our son cannot take any antihistamines." - ANSWER-B) "He can resume

participation in football in 2 weeks." 1 / 4

pg. 2

A postpartum woman who developed deep vein thrombosis is being discharged on anticoagulant therapy. After teaching the woman about this treatment, the nurse determines that additional teaching is needed when the woman states which of the following?

• "I will use a soft toothbrush to brush my teeth."
• "I can take ibuprofen if I have any pain."
• "I need to avoid drinking any alcohol."
• "I will call my health care provider if my stools are black and tarry." -

ANSWER-B) "I can take ibuprofen if I have any pain."

A nurse is preparing to discharge a patient newly prescribed warfarin (Coumadin).While assessing the patient's knowledge of the drug, what would indicate that the patient needs further instruction concerning drug therapy?

• "I love to eat homegrown tomatoes in the summer."
• "I take aspirin for my arthritis."
• "I walk 2 miles a day."
• "I drink a glass of wine about once a week." - ANSWER-B) "I take aspirin for

my arthritis."

A young man has been diagnosed with hemophilia and the nurse is planning his discharge teaching and includes what teaching point?

• Using nonsteroidal anti-inflammatory drugs (NSAIDs) for mild pain
• Preventing trauma to the body
• Receiving IV factor VIII therapy at home 2 / 4

pg. 3

• Understanding the condition is an X-linked recessive disorder - ANSWER-B)

Preventing trauma to the body

A 55-year-old man has been newly diagnosed with acute pancreatitis and admitted to the acute medical unit. How should the nurse most likely explain the pathophysiology of this patient's health problem?

• Toxins have accumulated and inflamed your pancreas
• Bacteria likely migrated from your intestines and became lodged in your

pancreas

• A virus that was likely already present in your body has begun to attack your

pancreatic cells

• The enzymes that your pancreas produces have damaged the pancreas itself -

ANSWER-D) The enzymes that your pancreas produces have damaged the pancreas itself

A patient's assessment and diagnostic testing are suggestive of acute pancreatitis.When the nurse is performing the health interview, what assessment questions address likely etiologic factors? Select all that apply.

• How many alcoholic drinks do you typically consume in a week?
• Have you ever been tested for diabetes?
• Have you ever been diagnosed with gall stones?
• Would you say you eat a particularly high fat diet?
• Does anyone in your family have cystic fibrosis? - ANSWER-A) How many

alcoholic drinks do you typically consume in a week?

• Have you ever been diagnosed with gall stones?
• / 4

pg. 4 A nurse who provides care at a walk-in clinic assesses a wide range of individuals.The nurse should identify which of the following patients as having the highest risk for chronic pancreatitis?

• A 45-year-old obese woman with a high fat diet
• An 18-year-old man who is a weekend binge drinker
• A 39-year old man with chronic alcoholism
• A 51-year old-woman who smokes one- and one-half packs of cigarettes per

day - ANSWER-C) A 39-year old man with chronic alcoholism

A 37-year-old man presents to the ED complaining of N/V and severe abdominal pain. The patient's abdomen is rigid and there is bruising to the patient's flank. The patient's wife states that he was on a drinking binge for the past 2 days. The ED nurse should assist in assessing the patient for what health problem?

• Severe pancreatitis with possible peritonitis
• Acute cholecystitis
• Chronic pancreatitis
• Acute appendicitis with possible perforation - ANSWER-A) Severe pancreatitis

with possible peritonitis

A patient with chronic pancreatitis had a pancreatojejunostomy created 3 months ago for relief of pain and to restore drainage of pancreatic secretions. The patient has come to the office for a routine appointment. The patient is frustrated that the pain has not decreased. What is the most appropriate initial response by the nurse?

A)The majority of patients who have a pancreaticojejunostomy have their normal digestion restored but do not achieve pain relief."

• / 4