NURS 3632 EXAM 3 QUESTIONS AND
ANSWERS
A6client6who6is6recovering6from6surgery6has6been6advanced6from6a6clear6liquid6diet6to6a6f
ull6liquid6diet.6The6client6is6looking6forward6to6the6diet6change6because6he6has6been6"bor
ed"6with6the6clear6liquid6diet.6The6nurse6would6offer6which6full6liquid6item6to6the6client?
1.6Tea
2.6Gelatin
3.6Custard
4.6Popsicle6-6ans-✔✔3.6Custard
A6patient6on6a6clear6liquid6diet6is6asking6for6something6more.6Of6the6available6options,6w
hich6is6appropriate?6Select6all6that6apply.
a.6Chicken6broth
b.6Chicken6noodle6soup
c.6Popsicles
d.6Jello
e.6Coffee6with6cream
f.6Grape6juice6-6ans-✔✔a.6Chicken6broth
c.6Popsicles
d.6Jello
A6patient6is6NPO6after6midnight6for6a6surgical6procedure.6Which6statement6if6made6by6th
e6patient,6indicates6further6teaching6for6instruction?
a.6I6can6only6have6sips6of6water6after6midnight
b.6I6can6take6nothing6at6all6by6mouth6after6midnight
c.6If6the6doctor6orders6it,6I6can6take6my6oral6meds6with6just6a6sip6of6water6after6midnight
d.6My6stomach6and6bowels6will6actually6be6affected6by6the6anesthesia,6just6like6my6consc
iousness6will6-6ans-✔✔a.6I6can6only6have6sips6of6water6after6midnight
The6nurse6is6making6initial6rounds6on6the6nursing6unit6ti6assess6the6condition6of6an6assig
ned6client.6The6nurse6notes6that6a6client's6IV6site6is6cool,6pale,6and6swollen,6and6the6solut
ion6is6not6infusing.6The6nurse6concludes6that6which6of6the6following6complications6has6oc
curred?
,1.6Infection
2.6Phlebitis
3.6Infiltration
4.6Thrombosis6-6ans-✔✔3.6Infiltration
The6patient6has6206mg6furosemide6ordered6IV.6Before6giving6it,6the6nurse6checks6on6the6
latest6K+6values,6knowing6that6furosemide6is6a6loop6diuretic6and6will6decrease6potassium
6significantly.6What6is6the6minimum6value6that6the6nurse6will6give6medication6without6notif
ying6the6physician6of6hypokalemia?6(mEq/L)
A.63.4
B.64.1
C.64.5
D.65.26-6ans-✔✔B.64.16mEq/L
A6patient6has6been6admitted6with6dehydration6secondary6to6N/
V/
D6after6salmonella6infection.6The6nurse6expects6an6isotonic6IV6solution6to6be6ordered.6W
hich6of6the6following6are6isotonic?6SATA6(table640-7)
a.6NS
b.6D5W
c.6D5RL
d.6Lactated6Ringer
e.6D5NS6-6ans-✔✔a.6NS
b.6D5W
d.6Lactated6Ringer
A6patient6is6in6the6ICU6and6has6the6following6blood6gases.6ABGs:6pH67.32,6PCo2646,6HC
O3625.6How6should6this6be6categorized?
a.6Metabolic6Acidosis
b.6Metabolic6Alkalosis
c.6Respiratory6Acidosis
d.6Respiratory6Alkalosis6-6ans-✔✔c.6Respiratory6Acidosis
What6are6the6causes6of6respiratory6acidosis?
a.6decreased6respiratory6rate
b.6increased6respiratory6rate
c.6diarrhea6for6several6days
d.6vomiting6or6gastric6suction6-6ans-✔✔a.6decreased6respiratory6rate
A6patient6with6vomiting6from6early6pregnancy6has6been6admitted.6She6is6quite6dehydrate
d.6Her6electrolytes6and6ABGs6were6drawn6to6determine6her6status6and6fluid6needs.6The6v
,alues6are6listed6below.6Which6electrolytes6are6out6of6normal6range,6and6what6is6the6acid-
base6status?
Na6129;6K+63.4,6Mg61.6
ABGs:6pH67.47;6pCO2646;6HCO3627
List6the6abnormal6values
a.6metabolic6alkalosis
b.6metabolic6acidosis
c.6respiratory6acidosis
d.6respiratory6alkalosis6-6ans-
✔✔Abnormal6values:6Na6129,6K+63.4,6all6ABGs6(all6except6Mg)
a.6metabolic6alkalosis
A6patient6with6vomiting6from6early6pregnancy6has6been6admitted.6She6is6quite6dehydrate
d.6Her6electrolytes6and6ABGs6were6drawn6to6determine6her6status6and6fluid6needs.6The6v
alues6are6listed6below.6What6IV6fluids6might6be6anticipated?
Na6129;6K+63.4,6Mg61.6
ABGs:6pH67.47;6pCO2646;6HCO3627
a.61/26NS6at61006ml/hr
b.6D5W6at61006ml/hr
c.6D5RL6at61006ml/hr
d.6NS6with6206mEq6KCL6at61006ml/hr6-6ans-✔✔D.6NS6with6206mEc6KCL6at61006ml/hr
A6patient6has6the6following6ABGs:
pH:67.51
pCO2:648
HCO3:632
What6is6going6on6here?
A.6metabolic6acidosis
B.6metabolic6alkalosis
C.6respiratory6acidosis
D.6respiratory6alkalosis6-6ans-✔✔B.6metabolic6alkalosis
A6patient6has6the6following6ABGs:
pH:67.51
pCO2:648
HCO3:632
The6respiratory6is6starting6to6compensate6because6the6pCO2,6which6is6an6acid,6is6also6hi
gh.6When6metabolic6alkalosis6is6fully6compensated,6which6values6might6we6see6in6this6p
atient?
a.6pH67.45;6pCO2649;6HCO3632
, b.6pH67.35;6pCO2645;6HCO3626
c.6pH67.34;6pCO2647;6HCO3621
d.6pH67.46;6pCO2647;6HCO36276-6ans-✔✔a.6pH67.45;6pCO2649;6HCO3632
Arterial6blood6gases6on6a6client6with6pneumonia6indicate6the6client6is6in6respiratory6acido
sis.6In6order6to6best6improve6this6acid-
base6imbalance,6the6nurse6implements6which6of6the6following6interventions?
6Select6all6that6apply.
1.6Restrict6oral6fluid6intake6to6water6only
2.6Ambulate6client6in6hallways6twice6a6shift
3.6Encourage6frequent6cough6and6deep6breathing6exercises
4.6Medicate6with6nonopiate6pain6medication6frequently6for6intercostal6muscle6pain
5.6Give6magnesium6-6ans-
✔✔3.6Encourage6frequent6cough6and6deep6breathing6exercises
4.6Medicate6with6nonopiate6pain6medications6frequently6for6intercostal6muscle6pain
Which6of6the6following6arterial6blood6gases6(ABGs)6would6the6nurse6expect6to6see6when6
a6client6has6apnea6and6develops6acidosis?
1.6pH67.43;6pCO2648;6HCO3625
2.6pH67.29;6pCO2662;6HCO3623
3.6pH67.36;6pCO2642;6HCO3626
4.6pH67.49;6pCO2630;6HCO36356-6ans-✔✔2.6pH67.29;6pCO2662;6HCO3623
Which6of6the6following6pH6values6would6the6nurse6expect6to6see6in6an6anxious6client?
1.67.45
2.67.38
3.67.50
4.67.206-6ans-✔✔3.67.50
A6client6admitted6to6the6emergency6department6with6chest6injuries6following6a6motor6vehi
cle6accident6complains6that6it6hurts6to6breathe.6The6client's6respiratory6rate6is6126and6ver
y6shallow.6The6nurse6would6anticipate6which6of6the6following6results6on6the6ABGs?
1.6pH67.42,6PaCO2641,6HCO3623,6SaO2696%
2.6pH67.31,6PaCO2649,6HCO3624,6SaO2687%
3.6pH67.49,6PaCO2634,6HCO3630,6SaO2689%
4.6pH67.38,6PaCO2638,6HCO3622,6SaO2690%6-6ans-
✔✔2.6pH67.31,6PaCO2649,6HCO3624,6SaO2687%
A6client6with6COPD6is6admitted6to6the6hospital6with6an6exacerbation6of6the6disease.6Arter
ial6blood6gas6(ABG)6results6are6pH67.30,6PaCO2651,6and6HCO3625.6How6would6the6nurs
e6interpret6these?
ANSWERS
A6client6who6is6recovering6from6surgery6has6been6advanced6from6a6clear6liquid6diet6to6a6f
ull6liquid6diet.6The6client6is6looking6forward6to6the6diet6change6because6he6has6been6"bor
ed"6with6the6clear6liquid6diet.6The6nurse6would6offer6which6full6liquid6item6to6the6client?
1.6Tea
2.6Gelatin
3.6Custard
4.6Popsicle6-6ans-✔✔3.6Custard
A6patient6on6a6clear6liquid6diet6is6asking6for6something6more.6Of6the6available6options,6w
hich6is6appropriate?6Select6all6that6apply.
a.6Chicken6broth
b.6Chicken6noodle6soup
c.6Popsicles
d.6Jello
e.6Coffee6with6cream
f.6Grape6juice6-6ans-✔✔a.6Chicken6broth
c.6Popsicles
d.6Jello
A6patient6is6NPO6after6midnight6for6a6surgical6procedure.6Which6statement6if6made6by6th
e6patient,6indicates6further6teaching6for6instruction?
a.6I6can6only6have6sips6of6water6after6midnight
b.6I6can6take6nothing6at6all6by6mouth6after6midnight
c.6If6the6doctor6orders6it,6I6can6take6my6oral6meds6with6just6a6sip6of6water6after6midnight
d.6My6stomach6and6bowels6will6actually6be6affected6by6the6anesthesia,6just6like6my6consc
iousness6will6-6ans-✔✔a.6I6can6only6have6sips6of6water6after6midnight
The6nurse6is6making6initial6rounds6on6the6nursing6unit6ti6assess6the6condition6of6an6assig
ned6client.6The6nurse6notes6that6a6client's6IV6site6is6cool,6pale,6and6swollen,6and6the6solut
ion6is6not6infusing.6The6nurse6concludes6that6which6of6the6following6complications6has6oc
curred?
,1.6Infection
2.6Phlebitis
3.6Infiltration
4.6Thrombosis6-6ans-✔✔3.6Infiltration
The6patient6has6206mg6furosemide6ordered6IV.6Before6giving6it,6the6nurse6checks6on6the6
latest6K+6values,6knowing6that6furosemide6is6a6loop6diuretic6and6will6decrease6potassium
6significantly.6What6is6the6minimum6value6that6the6nurse6will6give6medication6without6notif
ying6the6physician6of6hypokalemia?6(mEq/L)
A.63.4
B.64.1
C.64.5
D.65.26-6ans-✔✔B.64.16mEq/L
A6patient6has6been6admitted6with6dehydration6secondary6to6N/
V/
D6after6salmonella6infection.6The6nurse6expects6an6isotonic6IV6solution6to6be6ordered.6W
hich6of6the6following6are6isotonic?6SATA6(table640-7)
a.6NS
b.6D5W
c.6D5RL
d.6Lactated6Ringer
e.6D5NS6-6ans-✔✔a.6NS
b.6D5W
d.6Lactated6Ringer
A6patient6is6in6the6ICU6and6has6the6following6blood6gases.6ABGs:6pH67.32,6PCo2646,6HC
O3625.6How6should6this6be6categorized?
a.6Metabolic6Acidosis
b.6Metabolic6Alkalosis
c.6Respiratory6Acidosis
d.6Respiratory6Alkalosis6-6ans-✔✔c.6Respiratory6Acidosis
What6are6the6causes6of6respiratory6acidosis?
a.6decreased6respiratory6rate
b.6increased6respiratory6rate
c.6diarrhea6for6several6days
d.6vomiting6or6gastric6suction6-6ans-✔✔a.6decreased6respiratory6rate
A6patient6with6vomiting6from6early6pregnancy6has6been6admitted.6She6is6quite6dehydrate
d.6Her6electrolytes6and6ABGs6were6drawn6to6determine6her6status6and6fluid6needs.6The6v
,alues6are6listed6below.6Which6electrolytes6are6out6of6normal6range,6and6what6is6the6acid-
base6status?
Na6129;6K+63.4,6Mg61.6
ABGs:6pH67.47;6pCO2646;6HCO3627
List6the6abnormal6values
a.6metabolic6alkalosis
b.6metabolic6acidosis
c.6respiratory6acidosis
d.6respiratory6alkalosis6-6ans-
✔✔Abnormal6values:6Na6129,6K+63.4,6all6ABGs6(all6except6Mg)
a.6metabolic6alkalosis
A6patient6with6vomiting6from6early6pregnancy6has6been6admitted.6She6is6quite6dehydrate
d.6Her6electrolytes6and6ABGs6were6drawn6to6determine6her6status6and6fluid6needs.6The6v
alues6are6listed6below.6What6IV6fluids6might6be6anticipated?
Na6129;6K+63.4,6Mg61.6
ABGs:6pH67.47;6pCO2646;6HCO3627
a.61/26NS6at61006ml/hr
b.6D5W6at61006ml/hr
c.6D5RL6at61006ml/hr
d.6NS6with6206mEq6KCL6at61006ml/hr6-6ans-✔✔D.6NS6with6206mEc6KCL6at61006ml/hr
A6patient6has6the6following6ABGs:
pH:67.51
pCO2:648
HCO3:632
What6is6going6on6here?
A.6metabolic6acidosis
B.6metabolic6alkalosis
C.6respiratory6acidosis
D.6respiratory6alkalosis6-6ans-✔✔B.6metabolic6alkalosis
A6patient6has6the6following6ABGs:
pH:67.51
pCO2:648
HCO3:632
The6respiratory6is6starting6to6compensate6because6the6pCO2,6which6is6an6acid,6is6also6hi
gh.6When6metabolic6alkalosis6is6fully6compensated,6which6values6might6we6see6in6this6p
atient?
a.6pH67.45;6pCO2649;6HCO3632
, b.6pH67.35;6pCO2645;6HCO3626
c.6pH67.34;6pCO2647;6HCO3621
d.6pH67.46;6pCO2647;6HCO36276-6ans-✔✔a.6pH67.45;6pCO2649;6HCO3632
Arterial6blood6gases6on6a6client6with6pneumonia6indicate6the6client6is6in6respiratory6acido
sis.6In6order6to6best6improve6this6acid-
base6imbalance,6the6nurse6implements6which6of6the6following6interventions?
6Select6all6that6apply.
1.6Restrict6oral6fluid6intake6to6water6only
2.6Ambulate6client6in6hallways6twice6a6shift
3.6Encourage6frequent6cough6and6deep6breathing6exercises
4.6Medicate6with6nonopiate6pain6medication6frequently6for6intercostal6muscle6pain
5.6Give6magnesium6-6ans-
✔✔3.6Encourage6frequent6cough6and6deep6breathing6exercises
4.6Medicate6with6nonopiate6pain6medications6frequently6for6intercostal6muscle6pain
Which6of6the6following6arterial6blood6gases6(ABGs)6would6the6nurse6expect6to6see6when6
a6client6has6apnea6and6develops6acidosis?
1.6pH67.43;6pCO2648;6HCO3625
2.6pH67.29;6pCO2662;6HCO3623
3.6pH67.36;6pCO2642;6HCO3626
4.6pH67.49;6pCO2630;6HCO36356-6ans-✔✔2.6pH67.29;6pCO2662;6HCO3623
Which6of6the6following6pH6values6would6the6nurse6expect6to6see6in6an6anxious6client?
1.67.45
2.67.38
3.67.50
4.67.206-6ans-✔✔3.67.50
A6client6admitted6to6the6emergency6department6with6chest6injuries6following6a6motor6vehi
cle6accident6complains6that6it6hurts6to6breathe.6The6client's6respiratory6rate6is6126and6ver
y6shallow.6The6nurse6would6anticipate6which6of6the6following6results6on6the6ABGs?
1.6pH67.42,6PaCO2641,6HCO3623,6SaO2696%
2.6pH67.31,6PaCO2649,6HCO3624,6SaO2687%
3.6pH67.49,6PaCO2634,6HCO3630,6SaO2689%
4.6pH67.38,6PaCO2638,6HCO3622,6SaO2690%6-6ans-
✔✔2.6pH67.31,6PaCO2649,6HCO3624,6SaO2687%
A6client6with6COPD6is6admitted6to6the6hospital6with6an6exacerbation6of6the6disease.6Arter
ial6blood6gas6(ABG)6results6are6pH67.30,6PaCO2651,6and6HCO3625.6How6would6the6nurs
e6interpret6these?
