BSNC 2000 COMPREHENSIVE EXAM QUESTIONS AND
SOLUTIONS GRADED A+
✔✔Which IV fluid is appropriate for a client who has exercised strenuously on a hot day
without drinking sufficient fluids and now appears confused?
A. Isotonic
B. Hypotonic
C. Hypertonic - ✔✔B
they have hypertonic dehydration (hypernatiermic)
hypnotic fluid will push water into cells
✔✔Which IV fluid is appropriate for a client who has been in a car accident and has lost
blood through an open leg wound. Due to a relatively small amount of blood loss this
client does not require blood transfusion.
A. Isotonic
B. Hypotonic
C. Hypertonic - ✔✔A
Loss of blood volume (plasma and RBC lost at same time)
✔✔Which IV fluid is appropriate for a client presenting with altered level of
consciousness and confusion. The client has been diagnosed with cerebral edema.
A. Isotonic
B. Hypotonic
C. Hypertonic - ✔✔C
Helps to draw out extra fluid from cells to ECF.
Salty solution, water pulled out of cells to ECF, excess fluid lost in urine
✔✔A client has a tumour that is compressing a lymphatic vessel. Which filtration
pressure is affected causing the edema.
A. capillary hyrdostatic pressure
B. blood colloid osmotic pressure
C. interstitial hydrostatic pressure
D. interstitial colloid osmotic pressure - ✔✔C
✔✔Inflammation increases vascular permeability, causing the leak of plasma proteins
into the interstitial space. Which filtration pressure is affected causing the edema?
A. capillary hyrdostatic pressure
, B. blood colloid osmotic pressure
C. interstitial hydrostatic pressure
D. interstitial colloid osmotic pressure - ✔✔D
✔✔The nurse is preparing information about hormone imbalances associated with
obesity. Which hormone should the nurse include in this presentation? (Select all that
apply.)
A. Thyroid hormone
B. Epinephrine
C. Norepinephrine
D. Leptin
E. Insulin - ✔✔A,D,E
✔✔The nurse is preparing instructions for a client newly diagnosed with a metabolic
disorder. Which information should the nurse include during the teaching session with
this client? (Select all that apply.)
A. Potential for acupuncture to disrupt optimal body functioning
B. Proper nutrition and exercise
C. Complications that can result from the condition
D. Use of monitoring devices, such as a glucometer
E. Use and potential side effects of prescribed medications - ✔✔B,C,D,E
✔✔The nurse is caring for a client with diabetes mellitus (DM). For which assessment
finding will the nurse monitor the client?
A. Sleeplessness
B. Weight loss
C. Hyperglycemia
D. Low blood pressure - ✔✔C
✔✔A client with type 2 diabetes mellitus states, "I am so frustrated. I cannot stick to the
diet that I am supposed to." Which intervention should the nurse consider most helpful
in supporting the client?
A. Scheduling the client to revisit the dietician
B. Instructing the client to maintain a food log for 24 hours
C. Instructing the client to engage in more exercise
D. Obtaining a consult for behavioral therapy - ✔✔D
✔✔The nurse is admitting a patient diagnosed with type 2 diabetes mellitus. The nurse
should expect the following symptoms during an assessment, except:
A. Hypoglycemia
SOLUTIONS GRADED A+
✔✔Which IV fluid is appropriate for a client who has exercised strenuously on a hot day
without drinking sufficient fluids and now appears confused?
A. Isotonic
B. Hypotonic
C. Hypertonic - ✔✔B
they have hypertonic dehydration (hypernatiermic)
hypnotic fluid will push water into cells
✔✔Which IV fluid is appropriate for a client who has been in a car accident and has lost
blood through an open leg wound. Due to a relatively small amount of blood loss this
client does not require blood transfusion.
A. Isotonic
B. Hypotonic
C. Hypertonic - ✔✔A
Loss of blood volume (plasma and RBC lost at same time)
✔✔Which IV fluid is appropriate for a client presenting with altered level of
consciousness and confusion. The client has been diagnosed with cerebral edema.
A. Isotonic
B. Hypotonic
C. Hypertonic - ✔✔C
Helps to draw out extra fluid from cells to ECF.
Salty solution, water pulled out of cells to ECF, excess fluid lost in urine
✔✔A client has a tumour that is compressing a lymphatic vessel. Which filtration
pressure is affected causing the edema.
A. capillary hyrdostatic pressure
B. blood colloid osmotic pressure
C. interstitial hydrostatic pressure
D. interstitial colloid osmotic pressure - ✔✔C
✔✔Inflammation increases vascular permeability, causing the leak of plasma proteins
into the interstitial space. Which filtration pressure is affected causing the edema?
A. capillary hyrdostatic pressure
, B. blood colloid osmotic pressure
C. interstitial hydrostatic pressure
D. interstitial colloid osmotic pressure - ✔✔D
✔✔The nurse is preparing information about hormone imbalances associated with
obesity. Which hormone should the nurse include in this presentation? (Select all that
apply.)
A. Thyroid hormone
B. Epinephrine
C. Norepinephrine
D. Leptin
E. Insulin - ✔✔A,D,E
✔✔The nurse is preparing instructions for a client newly diagnosed with a metabolic
disorder. Which information should the nurse include during the teaching session with
this client? (Select all that apply.)
A. Potential for acupuncture to disrupt optimal body functioning
B. Proper nutrition and exercise
C. Complications that can result from the condition
D. Use of monitoring devices, such as a glucometer
E. Use and potential side effects of prescribed medications - ✔✔B,C,D,E
✔✔The nurse is caring for a client with diabetes mellitus (DM). For which assessment
finding will the nurse monitor the client?
A. Sleeplessness
B. Weight loss
C. Hyperglycemia
D. Low blood pressure - ✔✔C
✔✔A client with type 2 diabetes mellitus states, "I am so frustrated. I cannot stick to the
diet that I am supposed to." Which intervention should the nurse consider most helpful
in supporting the client?
A. Scheduling the client to revisit the dietician
B. Instructing the client to maintain a food log for 24 hours
C. Instructing the client to engage in more exercise
D. Obtaining a consult for behavioral therapy - ✔✔D
✔✔The nurse is admitting a patient diagnosed with type 2 diabetes mellitus. The nurse
should expect the following symptoms during an assessment, except:
A. Hypoglycemia
