PN2 FINAL EXAM LATEST 2024 ACTUAL EXAM LATEST 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (ALREADY GRADED A+)

PN2 FINAL EXAM LATEST 2024 ACTUAL
EXAM LATEST 2024 WITH
UPDATED QUESTIONS AND DETAILED
CORRECT ANSWERS WITH RATIONALES
(ALREADY GRADED A+)
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?
A. The Client has been less complaint with the prescribed
treatment regimen.
B. The Client is experiencing a reduction in insulin sensitivity.
C. The Client has less need for insulin
D. The client is demonstrating improved control of hyperglycemia
over the last several months. - 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?
A. Ophthalmoplegia and diplopia
B. Weakness of face, jaw, and sternocleidomastoid muscles
C. Progressive weakness without sensory involvement
D. Progressive ascending weakness and paresthesia - ANSWERD. 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?
A. pH. 7.28, HCO3. 12, PCO2. 45, O2 96
B. pH. 7.36, HCO3. 22, PCO2. 35, O2 98
C. pH. 7.37, HCO3. 36, PCO2. 65, O2 78
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D. pH. 7.48, HCO3. 24, PCO2. 42, O2 85 - 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?
A. increased stroke volume
B. decreased tissue perfusion
C. increase in O2 saturation
D. A decrease in arterial vasoconstriction. - 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?
A. Prepare to give rapid intravenous of sodium bicarb
B. Document findings
C. Assess client and notify the physician
D. Admin O2 at 2 L nasal cannula - ANSWER-C. Assess client
and notify the physician
A client was admitted to the ICU with hyponatremia. Which of the
following assessment findings would cause this?
A. Coma
B. A&O x4
C. Lethargy
D. Increased appetite
E. increased grip strength
F. Seizures - ANSWER-A. Coma
C. Lethargy
F. Seizures
Which of the following should the nurse include in the discharge
instructions for a client who had gastric bypass surgery?
A. Notify provider of fever of 100.9
B. Monitor surgical site for redness and drainage
C. Resume full activity once at home
D. Advance diet to pureed as tolerated
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E. Avoid carbonated beverages - ANSWER-A. Notify provider of a
fever over 100.9 F
B. Monitor surgical site for redness or drainage
E. 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?
A. Furosemide
B. Hydrochlorothiazide
C. Spironolactone
D. Bumetanide - ANSWER-C. Spironolactone (potassium sparing)
Which of the following symptoms would the nurse anticipate in a
client with right sided heart failure?
A. Crackles in the lungs
B. Shortness of breath
C. Neck vein distention
D. Enlarged abdominal girth
E. Productive cough - ANSWER-C. Neck vein distention
D. Enlarged abdominal girth
Which statement indicates that a client understands teaching
about the correct use of long-acting beta 2 agonists medication
for asthma?
A. This drug can reverse my symptoms during an asthma attack
B. 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
D. This drug can be used safely on a long term basis for multiple
applications daily - ANSWER-D. This drug can be used safely on
a long term basis for multiple applications daily