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PN2 Medical Management Assessment Exam 3 Combined Questions with Correct Answers Graded A+, Exams of Nursing

PN2 Medical Management Assessment Exam 3 Combined Questions with Correct Answers Graded A+. 1. A client is experiencing bilateral cloudy vision and difficulty seeing at night. Suspecting cataracts, the nurse would also expect which of the following findings as well? (Select all that apply.) - Answers-*a. color distortion 2. A client is diagnosed with glaucoma and is prescribed medication to treat it. The nurse knows that which of the following best explains the purpose of the medication? - Answers-*d. This medication lowers intraocular pressure. 3. A client has been diagnosed with cataracts. The patient fears permanent loss of vision. The nurse responds to the patient verbalizing which of the following treatments for cataracts? a. Medical management with eye drops - Answers-*d. Surgical removal of the lens 4. A client

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PN2 Medical Management Assessment Exam 3 Combined
Questions with Correct Answers Graded A+.
1. A client is experiencing bilateral cloudy vision and difficulty seeing at night.
Suspecting cataracts, the nurse would also expect which of the following findings as
well? (Select all that apply.) - Answers-*a. color distortion
2. A client is diagnosed with glaucoma and is prescribed medication to treat it. The
nurse knows that which of the following best explains the purpose of the medication? -
Answers-*d. This medication lowers intraocular pressure.
3. A client has been diagnosed with cataracts. The patient fears permanent loss of
vision. The nurse responds to the patient verbalizing which of the following treatments
for cataracts?
a. Medical management with eye drops - Answers-*d. Surgical removal of the lens
4. A client is experiencing a loss of central vision but not a loss of peripheral vision.
Upon further assessment of the suspected cause, the nurse would also expect which of
the following findings as well? (Select all that apply.) - Answers-*a. mid-visual field blind
spots
*b. blurred vision
*e. gradual painless loss of vision
5. A 70-year-old client is taking timolol (Timoptic) for glaucoma. Which of the following
statements made by the client indicates an understanding of how to safely use this
medication? - Answers-*d. "I will put pressure on the corner of my eye near my nose
right after I put in my eye drops."
6. A client complains of a shadow or curtain moving down into the visual field and
complains of floaters. The nurse suspects the patient is experiencing a detached retina,
the nurse would further assess for which of the following correlated findings? (Select all
that apply.) - Answers-*c. loss of side vision
*d. bursts of spots
7. A client is being discharged after surgery to correct a retinal detachment. Which
symptoms will the nurse teach the client to immediately report to the health care
provider? (Select all that apply.) - Answers-*a. Purulent discharge in the affected eye.
*b. Fever of 102 F.
*e. Pain in the eye.
8. A client is diagnosed with a sensorineural hearing loss. The nurse realizes this type
of hearing loss is associated with which of the following? - Answers-*b. Brain damage
9. A client is complaining of dizziness, unilateral ringing in the ear, feeling of pressure or
fullness in the ear, and unilateral hearing loss. Suspecting that the condition is
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PN2 Medical Management Assessment Exam 3 Combined

Questions with Correct Answers Graded A+.

  1. A client is experiencing bilateral cloudy vision and difficulty seeing at night. Suspecting cataracts, the nurse would also expect which of the following findings as well? (Select all that apply.) - Answers-*a. color distortion
  2. A client is diagnosed with glaucoma and is prescribed medication to treat it. The nurse knows that which of the following best explains the purpose of the medication? - Answers-*d. This medication lowers intraocular pressure.
  3. A client has been diagnosed with cataracts. The patient fears permanent loss of vision. The nurse responds to the patient verbalizing which of the following treatments for cataracts? a. Medical management with eye drops - Answers-*d. Surgical removal of the lens
  4. A client is experiencing a loss of central vision but not a loss of peripheral vision. Upon further assessment of the suspected cause, the nurse would also expect which of the following findings as well? (Select all that apply.) - Answers-*a. mid-visual field blind spots *b. blurred vision *e. gradual painless loss of vision
  5. A 70-year-old client is taking timolol (Timoptic) for glaucoma. Which of the following statements made by the client indicates an understanding of how to safely use this medication? - Answers-*d. "I will put pressure on the corner of my eye near my nose right after I put in my eye drops."
  6. A client complains of a shadow or curtain moving down into the visual field and complains of floaters. The nurse suspects the patient is experiencing a detached retina, the nurse would further assess for which of the following correlated findings? (Select all that apply.) - Answers-*c. loss of side vision *d. bursts of spots
  7. A client is being discharged after surgery to correct a retinal detachment. Which symptoms will the nurse teach the client to immediately report to the health care provider? (Select all that apply.) - Answers-*a. Purulent discharge in the affected eye. *b. Fever of 102 F. *e. Pain in the eye.
  8. A client is diagnosed with a sensorineural hearing loss. The nurse realizes this type of hearing loss is associated with which of the following? - Answers-*b. Brain damage
  9. A client is complaining of dizziness, unilateral ringing in the ear, feeling of pressure or fullness in the ear, and unilateral hearing loss. Suspecting that the condition is

Meniere's disease, which medication would the nurse expect the provider to order? - Answers-*d. Furosemide

  1. A nurse is preparing to administer lamivudine 150 mg PO BID. Available is lamivudine 100 mg tablets. How many tablets should the nurse administer per dose? ___ Tablets (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) - Answers-a. 1.
  2. Which of the following tests can be done by the nurse to assess a client's hearing? (Select all that apply.) - Answers-*a. Voice-whisper test *c. Weber test *e. Rinne test
  3. To communicate effectively with a client who has sensorineural hearing loss caused by the natural aging process, the nurse should use which strategy to improve communication with the client? (Select all that apply.) - Answers-*a. Approach the client from the front. *d. Turn down background noise from radio or TV before speaking.
  4. The nurse is caring for a client who has Rheumatoid Arthritis and is explaining the pathophysiology of inflammation. The nurse is explaining which type of hypersensitivity reaction? - Answers-*c. Type 3
  5. The nurse is instructing a client diagnosed with otitis media on management during the acute phase. Which of the following should the nurse include in the teaching? (Select all that apply.) - Answers-*a. Take the antibiotics as ordered. *b. Take over-the-counter analgesics for mild pain as recommended. *e. If excruciating pain suddenly develops, seek medical care.
  6. A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority? - Answers-*a. CD4-T-cell count of less than 180 cells/mm
  7. A health care provider has accidentally been stuck with a used needle. The health care provider is going to be tested for human immunodeficiency virus (HIV). Which of the following would be the testing schedule for the health care provider? - Answers-*c. Tested immediately, at 3 months, and again in 6 months
  8. The nurse is planning care for a client diagnosed with human immunodeficiency virus (HIV) and realizes the most common infection that occurs in clients with this health problem would be which of the following? - Answers-*c. Pneumonia
  9. The nurse is reviewing the physician's orders for a client newly admitted with a diagnosis of Meniere's disease. Which diet will most like be prescribed? - Answers-*b. Low-sodium diet.
  1. The nurse is caring for a client who was exposed to poison ivy and has begun to experience red, itchy skin all over their body. What type of hypersensitivity reaction is she experiencing? - Answers-*d. Type 4
  2. A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations specific to hypoglycemia? (Select all that apply.) - Answers-*b. Blurred or double vision *d. Tachycardia *e. Moist, clammy skin
  3. A client is demonstrating signs of an anaphylactic reaction. Which of the following should the nurse do? (Select all that apply.) - Answers-*a. Maintain patent airway *c. Place the client in Trendelenburg position to aid in preventing shock *e. Begin administering ordered intravenous fluids
  4. A client is diagnosed with cellulitis. Which of the following will the nurse most likely assess in this client? (Select all that apply.) - Answers-*a. Heat *c. Swelling *d. Pain
  5. The nurse has just taken change-of-shift report on a group of clients on the medical- surgical unit. Which client does the nurse assess first? - Answers-*b. Client taking glyburide (Diabeta) who is dizzy and sweaty.
  6. A client has what has the appearance of a bacterial infection or warts on her fingertips. The nurse realizes this could actually be which of the following? - Answers- *d. Herpetic whitlow
  7. The nurse knows that a patient in diabetic ketoacidosis will have which of the following labs associated with the condition? - Answers-*c. pH 7.31, HCO3 19, Blood sugar 400
  8. A client is being treated for Pediculosis Pubis. Which of the following medications would the nurse expect to see prescribed for this client? - Answers-*d. Permethrin
  9. A client is demonstrating patches of thick, red skin with silvery scales on the elbows and knees. The nurse suspects that this client is experiencing which of the following? - Answers-*a. Psoriasis
  10. The nurse is assessing a client diagnosed with type 1 diabetes mellitus for symptoms associated with diabetic ketoacidosis. Which of the following will the nurse most likely assess in this client? (Select all that apply.) - Answers-*b. Fruity breath odor *e. Kussmaul breathing *f. Abdominal discomfort
  1. A client is diagnosed with a type of diabetes associated with an autoimmune destruction of plasma beta cells. Which type of diabetes is this client experiencing? - Answers-*c. Type 1 Diabetes
  2. The nurse is preparing short-acting and long-acting insulin for administration to a client. The nurse recognizes the purpose for the client taking these types of insulin is which of the following? - Answers-*b. To mimic the body's own insulin patterns
  3. Your patient's blood glucose level is 215 mg/dL. The patient is about to eat lunch. Per sliding scale, you administer 4 units of Insulin Lispro (Humalog) subcutaneously at
  4. As the nurse, you know the patient is most at risk for hypoglycemia at what time?
  • Answers-*b. 1230
  1. The nurse is instructing a client diagnosed with type 2 diabetes mellitus on diagnostic tests used to evaluate how well the disorder is being managed. The nurse should instruct the client on which of the following diagnostic tests that will provide the best information? - Answers-*b. Glycosylated hemoglobin (HGB A1C)
  2. Metformin has been prescribed for a client newly diagnosed with type 2 diabetes mellitus. Which client statement about this medication validates to the nurse that the client has understood the teaching? - Answers-*d. Decreases production of glucose by the liver.
  3. A client is admitted with a diagnosis of Diabetic Ketoacidosis (DKA). Which arterial blood gas (ABG) lab value would the nurse expect to see with this client? - Answers-*a. pH 7.32; PaCO2 34; HCO3 18
  4. A client presented to ER with decrease LOC, polydipsia, hyperthermia, dry mucous, positive Babinski sign. Blood glucose result was critical high of 600 mg/dl and serum Na= 155, K= 6, and no serum ketones. The nurse determines the physician will diagnosis this client with which of the following conditions? - Answers-*c. Hyperglycemic Hyperosmolar Nonketotic Syndrome
  5. The nurse would expect which of the following medications to appear on the medication list for a client who has type 2 diabetes mellitus? - Answers-*c. Glimepiride (Amaryl)
  6. The laboratory values of a client who has diabetes mellitus include a fasting blood glucose level of 85 mg/dL and hemoglobin A1C of 6.9%. What is the nurse's interpretations of these findings? - Answers-*a. The client's glucose control for the past 24 hours has been good, but the overall control if poor
  7. A client is being discharged after surgery to correct a retinal detachment. Which symptoms will the nurse teach the client to immediately report to the eye care provider? (Select all that apply.) - Answers-*a. Purulent discharge in the affected eye *b. Fever of 102° F (38.9° C)

does the nurse expect to observe during the client's physical assessment? - Answers- Purulent fluid is present in the ear canal. A client with a ruptured tympanic membrane asks the nurse whether hearing will be affected permanently. Which is the nurse's best response? - Answers-"Possibly. The eardrum usually heals in 1 to 2 weeks. Any persistent hearing problem should be evaluated." The nurse is caring for a client with Ménière's disease. The client asks the nurse how to prevent another acute episode from occurring. Which is the nurse's best response? - Answers-stop or reduce cigarette smoking restrict sodium, sugar, fluid, alcohol and caffeine a client is demonstrating signs of an anaphylactic reaction. which of the following should nurse do? - Answers-place client in supine position. maintain airway, begin an IV line A middle-aged male is experiencing itching, erythema, and circular red scaly lesions on his face. the lesions have a honey-colored crust the nurse realizes that the child is most likely experiencing? - Answers-impetigo the nurse is instructing a client diagnosed with type 2 diabetes Mellitus on diagnostic tests used to evaluate the control of the disorder. the nurse should instruct the client on which of the following diagnostic tests that will provide this information - Answers- glycosylated hemoglobin a client with acute-angle glaucoma has several medications ordered. which medications does the nurse question? - Answers-Atropine (Isopto Atropine) Epinephrine A 24-year-old woman who uses injectable illegal drugs asks the nurse about preventing AIDS. The nurse informs the patient that the best way to reduce the risk of HIV infection from drug use is to - Answers-participate in a needle-exchange program. Prednisone (Deltasone) is prescribed for a patient with an acute exacerbation of rheumatoid arthritis. Which laboratory result will the nurse monitor to determine whether the medication has been effective? - Answers-C-reactive protein level Which information will the nurse include when teaching range-of-motion exercises to a patient with an exacerbation of rheumatoid arthritis? - Answers-Application of cold packs before exercise may decrease joint pain. The nurse obtains the following information about a patient before administration of metformin (Glucophage). Which finding indicates a need to contact the health care provider before giving the metformin? - Answers-The patient's blood urea nitrogen (BUN) level is 60 mg/dL.

A patient is admitted with diabetic ketoacidosis (DKA) and has a serum potassium level of 2.9 mEq/L. Which action prescribed by the health care provider should the nurse take first? - Answers-Place the patient on a cardiac monitor. Which of these laboratory values, noted by the nurse when reviewing the chart of a hospitalized diabetic patient, indicates the need for rapid assessment of the patient? - Answers-Noon blood glucose of 52 mg/dL pericarditis - Answers-Sit up and lean forward, Friction rub in LL sternal border Not treated = right sided HF cystic fibrosis - Answers-Puffy foul stool Venturi mask - Answers-Deliver most accurate O2 concentration Best for chronic lung disease trach suctioning - Answers-No more than 15 seconds, Hyperoxgenate prior In through ET tube and twirl when coming back out If HR drops stop and oxygenate chronic bronchitis - Answers-Thick mucus secretions Due to smoke irritation inflamed bronchi- bronchioles Emphysema - Answers-Loss of lung elasticity Hyper inflated chest on X-ray (air trapped) arterial ulcers - Answers-Punch out ulcer Positive TB skin test - Answers-10mm + =positive Been exposed but does not mean active Chest X-ray for active PPD test - Answers-Read within 48-72 hours pursed lip breathing - Answers-Decreased CO2 levels Pneumonia Risk Factors - Answers-severe cough, dyspena, fever, crackles, wheeze Chest tube complications - Answers-if disloged tape down 3 sides Endocarditis teaching for home - Answers-Continue antibiotic treatment Valvue replacement teaching - Answers-No dental work, teeth cleaning

blood transfusions patient has back pain and restlessness - Answers-Stop infusion, disconnect tubing, start new line with normal saline Best position for patient with difficulty breathing - Answers-High Fowler Test for degree of heart failure - Answers-BNP Brain Natriuretic Peptide Patient on anticoagulant monitor for - Answers-Brusing and bleeding what do you use for peripheral Arterial occlusion - Answers-Heprain Risk for PVD - Answers-Standing to much polychthemia teaching - Answers-Drink lots of water Shave with electric razor No toothpicks Stop anticoagulant treatment for bleeding with heprain and coumadin - Answers-sodium sulfate Heart failure patient teaching - Answers-Check pulse before giving digoxin Do not give pulse under 60 Remove salt from table Report weight gain of more than 2 lbs rib fracture teaching - Answers-cough and deep breathing with splinting with pillow PVD - Answers-Causes PE and DVT Anticoagulants taken Brown legs PAD - Answers-Painful ulcers- on toes and feet "punch out" Intermittent claudication Walk short distance Pain stops with rest Elevate not above heart Wear compression Take antiplatelet agents Red sores risk factors for varicose veins - Answers-obesity, smoking, hypertension, standing alot Smoking and Hypertension - Answers-smoking does not thin your blood it increases the risk for bleeding

pulmonary edema - Answers-Blood and fluid lacks in lungs Left heart fails to pump Diuretic-watch for hypokalemia Albuterol (Proventil, Ventolin) - Answers-Inhaled (short-acting), few minutes for onset. Used for acute bronchospasm. side effects: nervousnes, jittery, anxiety, tachycardia allergic rhinitis - Answers-line on nose, runny nose, nasal congestion, nasal itching, allergies Anti-histimines (non-drowsy) - Answers-allegra (fexofenadine) Treatment for allergic rhinitis - Answers-wash closed in warm water, use a/c, windows closed, avoid feather pillows, pets and carpet