Care Exam 2 Practice Questions With Complete Solutions
b. Administering calcium gluconate
Which of the following is not an appropriate nursing
intervention for a patient with hypercalcemia?
a. Administering calcitonin
b. Administering calcium gluconate
c. Administering loop diuretics
d. Encouraging ambulation
d. Perspiration
Insensible fluid losses include:
a. Urine
b. Gastric drainage
c. Bleeding
d. Perspiration
a. Bounding pulse
When assessing a patient for signs of fluid overload, the nurse
would expect to observe:
a. Bounding pulse
b. Flat neck veins
c. Poor skin turgor
d. Weak pulse
,b. Diluted
**always dilute IV potassium since it is so irritating to the
skin/veins
A patient is receiving IV potassium supplements for his
condition. How should the supplements be administered?
a. Undiluted
b. Diluted
c. On an empty stomach
d. At bedtime
b. Increased sodium intake
**Hypotonic fluid volume excess (FVE) involves an increase in
water volume without an increase in sodium concentration.
Increased sodium intake is part of the management of this
condition
Dietary recommendations for a patient with a hypotonic fluid
excess should include:
a. Decreased sodium intake
b. Increased sodium intake
c. Increased fluid intake
d. Intake of potassium-rich foods
d. All of the above
When assessing a patient for electrolyte balance, the nurse is
aware that etiologies for hyponatremia include:
,a. Water gain
b. Diuretic therapy
c. Diaphoresis
d. All of the above
b. "It burns when I pee."
You have a patient that might have a urinary tract infection
(UTI). Which statement by the patient suggests that a UTI is
likely?
a. "I pee a lot."
b. "It burns when I pee."
c. "I go hours without the urge to pee."
d. "My pee smells sweet."
c. A 50 y.o. postmenopausal woman
**Women are more prone to UTIs after menopause due to
reduced estrogen levels
Which patient is at greatest risk for developing a urinary tract
infection (UTI)?
a. A 35 y.o. woman with a fractured wrist
b. A 20 y.o. woman with asthma
c. A 50 y.o. postmenopausal woman
d. A 28 y.o. with angina
c. Catheters
, Which of the following causes the majority of UTI's in
hospitalized patients?
a. Lack of fluid intake
b. Inadequate perineal care
c. Catheters
d. Immunosuppression
c. Stress
A patient is experiencing which type of incontinence if she
experiences leaking urine when she coughs, sneezes, or lifts
heavy objects?
a. Overflow
b. Reflex
c. Stress
d. Urge
b. The client's history of three full-term pregnancies.
**loss of pelvic muscle strength
Which of the following assessment data would most likely be
related to a client's current complaint of stress incontinence?
a. The client's intake of 2 to 3 L of fluid per day.
b. The client's history of three full-term pregnancies.
c. The client's age of 45 years.
d. The client's history of competitive swimming.
b. Administering calcium gluconate
Which of the following is not an appropriate nursing
intervention for a patient with hypercalcemia?
a. Administering calcitonin
b. Administering calcium gluconate
c. Administering loop diuretics
d. Encouraging ambulation
d. Perspiration
Insensible fluid losses include:
a. Urine
b. Gastric drainage
c. Bleeding
d. Perspiration
a. Bounding pulse
When assessing a patient for signs of fluid overload, the nurse
would expect to observe:
a. Bounding pulse
b. Flat neck veins
c. Poor skin turgor
d. Weak pulse
,b. Diluted
**always dilute IV potassium since it is so irritating to the
skin/veins
A patient is receiving IV potassium supplements for his
condition. How should the supplements be administered?
a. Undiluted
b. Diluted
c. On an empty stomach
d. At bedtime
b. Increased sodium intake
**Hypotonic fluid volume excess (FVE) involves an increase in
water volume without an increase in sodium concentration.
Increased sodium intake is part of the management of this
condition
Dietary recommendations for a patient with a hypotonic fluid
excess should include:
a. Decreased sodium intake
b. Increased sodium intake
c. Increased fluid intake
d. Intake of potassium-rich foods
d. All of the above
When assessing a patient for electrolyte balance, the nurse is
aware that etiologies for hyponatremia include:
,a. Water gain
b. Diuretic therapy
c. Diaphoresis
d. All of the above
b. "It burns when I pee."
You have a patient that might have a urinary tract infection
(UTI). Which statement by the patient suggests that a UTI is
likely?
a. "I pee a lot."
b. "It burns when I pee."
c. "I go hours without the urge to pee."
d. "My pee smells sweet."
c. A 50 y.o. postmenopausal woman
**Women are more prone to UTIs after menopause due to
reduced estrogen levels
Which patient is at greatest risk for developing a urinary tract
infection (UTI)?
a. A 35 y.o. woman with a fractured wrist
b. A 20 y.o. woman with asthma
c. A 50 y.o. postmenopausal woman
d. A 28 y.o. with angina
c. Catheters
, Which of the following causes the majority of UTI's in
hospitalized patients?
a. Lack of fluid intake
b. Inadequate perineal care
c. Catheters
d. Immunosuppression
c. Stress
A patient is experiencing which type of incontinence if she
experiences leaking urine when she coughs, sneezes, or lifts
heavy objects?
a. Overflow
b. Reflex
c. Stress
d. Urge
b. The client's history of three full-term pregnancies.
**loss of pelvic muscle strength
Which of the following assessment data would most likely be
related to a client's current complaint of stress incontinence?
a. The client's intake of 2 to 3 L of fluid per day.
b. The client's history of three full-term pregnancies.
c. The client's age of 45 years.
d. The client's history of competitive swimming.
