PN2 Final Exam Review
- What intervention is most important to teach the client about identifying the onset of
dehydration?
a. Converting ounces to milliliters
b. Obtaining and charting daily weight *
c. Measuring abdominal girth
d. 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?
a. “Do you use sugar substitutes?”
b. “Have your bowel habits changed recently?”
c. “Do you use diuretics or laxatives?” *
d. “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?
a. Having a bowel movement daily*
b. Gaining 2 lb during the past week
c. Fasting blood glucose level of 106 mg/dL
d. Electrocardiogram (ECG) showing inverted T-waves
0.2 points
Question 4
- Which client statement indicates the need for more teaching regarding identification of
the early manifestations of hypokalemia?
a. “When I am constipated, I drink more fluids.”*
b. “I check my pulse each morning and each night.”
c. “When my muscles feel weak, I eat a banana.”
d. “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?
a. Assessing radial pulse for a full minute twice a day*
b. Weighing self daily at the same time of day
c. Ensuring an oral intake of a least 3 L of fluids per day
d. 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?
a. P-wave preceding the QRS complex
b. Heart rate decreased to 62 beats/min
c. Small U-waves present after each complex
d. T-waves present, normal height *
0.2 points
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?
a. Chronic obstructive pulmonary disease
b. Anxiety-induced hyperventilation*
c. Diarrhea and vomiting for 36 hours
d. 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?
a. “Now that my hip doesn’t hurt, I can cross my legs like a lady again.” *
b. “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
c. every day.”
d. “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?
a. Hemoglobin (Hg), 10.6 g/dL
b. Blood urea nitrogen (BUN), 16 mg/dL
c. Creatinine, 3.2 mg/dL *
d. White blood cell count (WBC), 3800/mm3
0.2 points