NR324 EXAM 1 QUESTIONS WITH ANSWERS
LATEST UPDATE ALREADY GRADED A+
A client has some partial blockage in a blood vessel. Which
consequence is most likely due to this blockage? - correct
answer- The blood vessel will collapse
Arterial pH is an indirect measurement of - correct
answer- hydrogen ion concentration. It represents
balance between production & elimination of carbon
dioxide from the lungs and bicarbonate from the kidneys
Arterial pH is an indirect measurement of ____________
ion concentration. It represents balance b/n production and
elimination of _________________ from the lungs and
____________________ from the kidneys - correct
answer- hydrogen; carbon dioxide; bicarbonate
Describe how pitting edema is assessed - correct
answer- Apply pressure to the swollen area & check to
see if indentation is left
0+ no edema
1+ mild pitting edema - 2 mm depressions disappear
rapidly
,2+ moderate pitting edema - 4 mm depressions disappears
in 10-15 seconds
3+ moderately severe pitting edema - 6 mm depression
may last longer than 1 minute
4+ severe pitting edema - 8 mm depression may last longer
than 2 minutes
Do not administer KCl if urine output is - correct answer-
less than 0.5 mL/kg per hour
During client education, a client demonstrates how they
measure BP at home. The nurse notices that the client's
arm is not supported and hangs straight down (below the
heart) during the measurement. What would the nurse
anticipate the BP to be? - correct answer- Increased
Fluid imbalance cardiovascular interventions - correct
answer- Monitor BP, HR, & CO
Check 12-lead ECG
Check B-type natriuretic Peptide (BNP) level
Administer diuretics as rx's and monitor electrolytes before
and after administration
Administer IV fluids if blood or fluid is lost from intravascular
compartment
, Fluid imbalance genitourinary interventions - correct
answer- Monitor I&Os
Monitor BUN & creatinine
Monitor ADH level, serum or urine osmolality
Administer diuretics as RX's unless client has acute kidney
injury
Fluid imbalance GI interventions - correct answer-
Monitor intake & output
Measure abdominal girth
Check liver function (AST, ALT, & total bilirubin)
Use certain types of diuretics or anti-diarrheals
Assist with paracentesis
Fluid imbalance neuro interventions - correct answer-
Monitor LOC
Monitor vitals & labs for signs of imbalance
Take seizure precautions
Administer anti-seizure meds prn
LATEST UPDATE ALREADY GRADED A+
A client has some partial blockage in a blood vessel. Which
consequence is most likely due to this blockage? - correct
answer- The blood vessel will collapse
Arterial pH is an indirect measurement of - correct
answer- hydrogen ion concentration. It represents
balance between production & elimination of carbon
dioxide from the lungs and bicarbonate from the kidneys
Arterial pH is an indirect measurement of ____________
ion concentration. It represents balance b/n production and
elimination of _________________ from the lungs and
____________________ from the kidneys - correct
answer- hydrogen; carbon dioxide; bicarbonate
Describe how pitting edema is assessed - correct
answer- Apply pressure to the swollen area & check to
see if indentation is left
0+ no edema
1+ mild pitting edema - 2 mm depressions disappear
rapidly
,2+ moderate pitting edema - 4 mm depressions disappears
in 10-15 seconds
3+ moderately severe pitting edema - 6 mm depression
may last longer than 1 minute
4+ severe pitting edema - 8 mm depression may last longer
than 2 minutes
Do not administer KCl if urine output is - correct answer-
less than 0.5 mL/kg per hour
During client education, a client demonstrates how they
measure BP at home. The nurse notices that the client's
arm is not supported and hangs straight down (below the
heart) during the measurement. What would the nurse
anticipate the BP to be? - correct answer- Increased
Fluid imbalance cardiovascular interventions - correct
answer- Monitor BP, HR, & CO
Check 12-lead ECG
Check B-type natriuretic Peptide (BNP) level
Administer diuretics as rx's and monitor electrolytes before
and after administration
Administer IV fluids if blood or fluid is lost from intravascular
compartment
, Fluid imbalance genitourinary interventions - correct
answer- Monitor I&Os
Monitor BUN & creatinine
Monitor ADH level, serum or urine osmolality
Administer diuretics as RX's unless client has acute kidney
injury
Fluid imbalance GI interventions - correct answer-
Monitor intake & output
Measure abdominal girth
Check liver function (AST, ALT, & total bilirubin)
Use certain types of diuretics or anti-diarrheals
Assist with paracentesis
Fluid imbalance neuro interventions - correct answer-
Monitor LOC
Monitor vitals & labs for signs of imbalance
Take seizure precautions
Administer anti-seizure meds prn
