NURS 3632 EXAM 3- COMPLETE SET
WITH CORRECT ANSWERS
A patient on a clear liquid diet is asking for something more. Of the
available options, which is appropriate? Select all that apply.
a. Chicken broth
b. Chicken noodle soup
c. Popsicles
d. Jello
e. Coffee with cream
f. Grape juice - CORRECT ANSWER- a. Chicken broth
c. Popsicles
d. Jello
A patient is NPO after midnight for a surgical procedure. Which
statement if made by the patient, indicates further teaching for
instruction?
a. I can only have sips of water after midnight
b. I can take nothing at all by mouth after midnight
c. If the doctor orders it, I can take my oral meds with just a sip of water
after midnight
d. My stomach and bowels will actually be affected by the anesthesia,
just like my consciousness will - CORRECT ANSWER- a. I can only
have sips of water after midnight
A client who is recovering from surgery has been advanced from a clear
liquid diet to a full liquid diet. The client is looking forward to the diet
change because he has been "bored" with the clear liquid diet. The
nurse would offer which full liquid item to the client?
1. Tea
,2. Gelatin
3. Custard
4. Popsicle - CORRECT ANSWER- 3. Custard
The nurse is making initial rounds on the nursing unit ti assess the
condition of an assigned client. The nurse notes that a client's IV site is
cool, pale, and swollen, and the solution is not infusing. The nurse
concludes that which of the following complications has occurred?
1. Infection
2. Phlebitis
3. Infiltration
4. Thrombosis - CORRECT ANSWER- 3. Infiltration
The patient has 20 mg furosemide ordered IV. Before giving it, the nurse
checks on the latest K+ values, knowing that furosemide is a loop
diuretic and will decrease potassium significantly. What is the minimum
value that the nurse will give medication without notifying the physician
of hypokalemia? (mEq/L)
A. 3.4
B. 4.1
C. 4.5
D. 5.2 - CORRECT ANSWER- B. 4.1 mEq/L
A patient has been admitted with dehydration secondary to N/V/D after
salmonella infection. The nurse expects an isotonic IV solution to be
ordered. Which of the following are isotonic? SATA (table 40-7)
a. NS
b. D5W
c. D5RL
d. Lactated Ringer
e. D5NS - CORRECT ANSWER- a. NS
b. D5W
d. Lactated Ringer
,A patient is in the ICU and has the following blood gases. ABGs: pH
7.32, PCo2 46, HCO3 25. How should this be categorized?
a. Metabolic Acidosis
b. Metabolic Alkalosis
c. Respiratory Acidosis
d. Respiratory Alkalosis - CORRECT ANSWER- c. Respiratory
Acidosis
What are the causes of respiratory acidosis?
a. decreased respiratory rate
b. increased respiratory rate
c. diarrhea for several days
d. vomiting or gastric suction - CORRECT ANSWER- a. decreased
respiratory rate
A patient with vomiting from early pregnancy has been admitted. She is
quite dehydrated. Her electrolytes and ABGs were drawn to determine
her status and fluid needs. The values are listed below. Which
electrolytes are out of normal range, and what is the acid-base status?
Na 129; K+ 3.4, Mg 1.6
ABGs: pH 7.47; pCO2 46; HCO3 27
List the abnormal values
a. metabolic alkalosis
b. metabolic acidosis
c. respiratory acidosis
d. respiratory alkalosis - CORRECT ANSWER- Abnormal values: Na
129, K+ 3.4, all ABGs (all except Mg)
a. metabolic alkalosis
A patient with vomiting from early pregnancy has been admitted. She is
quite dehydrated. Her electrolytes and ABGs were drawn to determine
her status and fluid needs. The values are listed below. What IV fluids
might be anticipated?
, Na 129; K+ 3.4, Mg 1.6
ABGs: pH 7.47; pCO2 46; HCO3 27
a. 1/2 NS at 100 ml/hr
b. D5W at 100 ml/hr
c. D5RL at 100 ml/hr
d. NS with 20 mEq KCL at 100 ml/hr - CORRECT ANSWER- D. NS
with 20 mEc KCL at 100 ml/hr
A patient has the following ABGs:
pH: 7.51
pCO2: 48
HCO3: 32
What is going on here?
A. metabolic acidosis
B. metabolic alkalosis
C. respiratory acidosis
D. respiratory alkalosis - CORRECT ANSWER- B. metabolic
alkalosis
A patient has the following ABGs:
pH: 7.51
pCO2: 48
HCO3: 32
The respiratory is starting to compensate because the pCO2, which is
an acid, is also high. When metabolic alkalosis is fully compensated,
which values might we see in this patient?
a. pH 7.45; pCO2 49; HCO3 32
b. pH 7.35; pCO2 45; HCO3 26
c. pH 7.34; pCO2 47; HCO3 21
d. pH 7.46; pCO2 47; HCO3 27 - CORRECT ANSWER- a. pH 7.45;
pCO2 49; HCO3 32
Arterial blood gases on a client with pneumonia indicate the client is in
respiratory acidosis. In order to best improve this acid-base imbalance,
WITH CORRECT ANSWERS
A patient on a clear liquid diet is asking for something more. Of the
available options, which is appropriate? Select all that apply.
a. Chicken broth
b. Chicken noodle soup
c. Popsicles
d. Jello
e. Coffee with cream
f. Grape juice - CORRECT ANSWER- a. Chicken broth
c. Popsicles
d. Jello
A patient is NPO after midnight for a surgical procedure. Which
statement if made by the patient, indicates further teaching for
instruction?
a. I can only have sips of water after midnight
b. I can take nothing at all by mouth after midnight
c. If the doctor orders it, I can take my oral meds with just a sip of water
after midnight
d. My stomach and bowels will actually be affected by the anesthesia,
just like my consciousness will - CORRECT ANSWER- a. I can only
have sips of water after midnight
A client who is recovering from surgery has been advanced from a clear
liquid diet to a full liquid diet. The client is looking forward to the diet
change because he has been "bored" with the clear liquid diet. The
nurse would offer which full liquid item to the client?
1. Tea
,2. Gelatin
3. Custard
4. Popsicle - CORRECT ANSWER- 3. Custard
The nurse is making initial rounds on the nursing unit ti assess the
condition of an assigned client. The nurse notes that a client's IV site is
cool, pale, and swollen, and the solution is not infusing. The nurse
concludes that which of the following complications has occurred?
1. Infection
2. Phlebitis
3. Infiltration
4. Thrombosis - CORRECT ANSWER- 3. Infiltration
The patient has 20 mg furosemide ordered IV. Before giving it, the nurse
checks on the latest K+ values, knowing that furosemide is a loop
diuretic and will decrease potassium significantly. What is the minimum
value that the nurse will give medication without notifying the physician
of hypokalemia? (mEq/L)
A. 3.4
B. 4.1
C. 4.5
D. 5.2 - CORRECT ANSWER- B. 4.1 mEq/L
A patient has been admitted with dehydration secondary to N/V/D after
salmonella infection. The nurse expects an isotonic IV solution to be
ordered. Which of the following are isotonic? SATA (table 40-7)
a. NS
b. D5W
c. D5RL
d. Lactated Ringer
e. D5NS - CORRECT ANSWER- a. NS
b. D5W
d. Lactated Ringer
,A patient is in the ICU and has the following blood gases. ABGs: pH
7.32, PCo2 46, HCO3 25. How should this be categorized?
a. Metabolic Acidosis
b. Metabolic Alkalosis
c. Respiratory Acidosis
d. Respiratory Alkalosis - CORRECT ANSWER- c. Respiratory
Acidosis
What are the causes of respiratory acidosis?
a. decreased respiratory rate
b. increased respiratory rate
c. diarrhea for several days
d. vomiting or gastric suction - CORRECT ANSWER- a. decreased
respiratory rate
A patient with vomiting from early pregnancy has been admitted. She is
quite dehydrated. Her electrolytes and ABGs were drawn to determine
her status and fluid needs. The values are listed below. Which
electrolytes are out of normal range, and what is the acid-base status?
Na 129; K+ 3.4, Mg 1.6
ABGs: pH 7.47; pCO2 46; HCO3 27
List the abnormal values
a. metabolic alkalosis
b. metabolic acidosis
c. respiratory acidosis
d. respiratory alkalosis - CORRECT ANSWER- Abnormal values: Na
129, K+ 3.4, all ABGs (all except Mg)
a. metabolic alkalosis
A patient with vomiting from early pregnancy has been admitted. She is
quite dehydrated. Her electrolytes and ABGs were drawn to determine
her status and fluid needs. The values are listed below. What IV fluids
might be anticipated?
, Na 129; K+ 3.4, Mg 1.6
ABGs: pH 7.47; pCO2 46; HCO3 27
a. 1/2 NS at 100 ml/hr
b. D5W at 100 ml/hr
c. D5RL at 100 ml/hr
d. NS with 20 mEq KCL at 100 ml/hr - CORRECT ANSWER- D. NS
with 20 mEc KCL at 100 ml/hr
A patient has the following ABGs:
pH: 7.51
pCO2: 48
HCO3: 32
What is going on here?
A. metabolic acidosis
B. metabolic alkalosis
C. respiratory acidosis
D. respiratory alkalosis - CORRECT ANSWER- B. metabolic
alkalosis
A patient has the following ABGs:
pH: 7.51
pCO2: 48
HCO3: 32
The respiratory is starting to compensate because the pCO2, which is
an acid, is also high. When metabolic alkalosis is fully compensated,
which values might we see in this patient?
a. pH 7.45; pCO2 49; HCO3 32
b. pH 7.35; pCO2 45; HCO3 26
c. pH 7.34; pCO2 47; HCO3 21
d. pH 7.46; pCO2 47; HCO3 27 - CORRECT ANSWER- a. pH 7.45;
pCO2 49; HCO3 32
Arterial blood gases on a client with pneumonia indicate the client is in
respiratory acidosis. In order to best improve this acid-base imbalance,
