4003 Variations Final Review
Study online at https://quizlet.com/_g47v22
1. The nurse knows to take extra care to check for signs of bruising or bleeding
with which electrolyte imbalance? Hypocalcemia
hypocalcemia can attest clotting
2. The emergency department (ED) nurse is caring for a client with a possible
acid-base imbalance. The physician has prescribed an arterial blood gas (ABG).
What is one of the most important indications of an acid-base imbalance that
is shown in an ABG?
a) PaO2
b) PO2
c)Carbonic acid d)
Bicarbonate: D
3. The nursing instructor is talking with the nursing class about fluid and Elec-
tyrolite balance. What would the instructor tell the students that the average
daily fluid intake for an adult is? 2500ml
4. The nurse is instructing on the body's negative feedback loop to ensure
homeostasis to a group of students. Which action by bases keeps the blood
pH nearly neutral?
A. Bases cast off acids.
B. Bases bind with hydrogen.
C. Bases hold acidic properties.
D. Bases have no contact with acids.: B
5. The nurse is correct to state that a client's body needs to have adequate
nutrition to maintain energy. Which type of transport of dissolved substances
requires adenosine triphosphate (ATP)?
A. Osmosis
B. Passive diffusion
C. Facilitated diffusion
D. Active transport: D- active transport requires use of body’s energy molecule ATP to meet body needs for
, 4003 Variations Final Review
Study online at https://quizlet.com/_g47v22
fluid and particle transport
6. Which laboratory result does the nurse identify as a direct result of the client's
hypovolemic status with hemoconcentration?
, 4003 Variations Final Review
Study online at https://quizlet.com/_g47v22
A. Abnormal potassium level
B. Elevated hematocrit level
C. Low white blood count
D. Low urine specific gravity: B
7. The nurse is caring for a client in heart failure with signs of hypervolemia.
Which vital sign is indicative of the disease process?
A. Low heart rate
B. Elevated blood pressure
C. Rapid respiration
D. Subnormal temperature: B
8. A nurse is providing an afternoon shift report and relates morning assess-
mint findings to the oncoming nurse. Which daily assessment data is nieces-
sari to determine changes in the client's hypervolemia status?
A. vital signs
B. edema
C. intake and output
D. weight: D
9. The nurse is reviewing client lab work for a critical lab value. Which value is
called to the health care provider for additional prescriptions?
A. Potassium: 5.8 me/L
B. Sodium: 138 me/L
C. Magnesium:2 me/L
D. Calcium: 10 mg/dL: A
10. The nurse is assigned a client with calcium level of 4.0 mg/dL. Which system
assessment would the nurse ask detailed questions?
A. Endocrine system
B. Gastrointestinal system
C. Neurological system
D. Musculoskeletal system: C- this pt has hypocalcemia. Nurse will monitor for neurological manifesto-
tons such as spasms and seizures
11. The nurse is caring for a client with multiple organ failure and in metabolic
acidosis. Which pair of organs is responsible for regulatory processes and
, 4003 Variations Final Review
Study online at https://quizlet.com/_g47v22
compensation?
A. Kidney and liver
B. Heart and lungs
C. Lungs and kidney
D. Pancreas and stomach: C
12. The nurse receives report that a client's pH level is 7.4. Which nursing action
would be most appropriate?
A. Call the health care provider with the report.
B. Encourage the client to practice deep breathing.
C. Finish the head-to-toe assessment.
D. Obtain an ECG.: C
13. The nurse is caring for a client who has been diagnosed with chronic ob.-
strictive pulmonary disease (COPD) and is experiencing respiratory acidosis.
The client asks what is making the acidotic state. What does the nurse identify
as the result of the disease process that causes the fall in pH?
A. The lungs are unable to breathe in sufficient oxygen.
B. The lungs are unable to exchange oxygen and carbon dioxide.
C. The lungs have ineffective cilia from years of smoking.
D. The lungs are not able to regulate carbonic acid levels.: D
14. The nurse is caring for a client with frequent dizziness. The nurse is eval-
eating the client for postural hypotension. Which of the following symptoms
would indicate a potential diagnosis?
A. A blood pressure elevation upon activity
B. A drop in systolic blood pressure (15 mm Hg) upon rising
C. A pulsating headache
D. A drop in diastolic blood pressure (25 mmHg) upon rising: B
15. A nurse is assessing a client's reflexes. Which condition does the nurse need
to confirm when tapping the facial nerve of a client who has dysphagia?
A. Hypervolemia
B. Hypercalcemia
C. Hypomagnesemia
Study online at https://quizlet.com/_g47v22
1. The nurse knows to take extra care to check for signs of bruising or bleeding
with which electrolyte imbalance? Hypocalcemia
hypocalcemia can attest clotting
2. The emergency department (ED) nurse is caring for a client with a possible
acid-base imbalance. The physician has prescribed an arterial blood gas (ABG).
What is one of the most important indications of an acid-base imbalance that
is shown in an ABG?
a) PaO2
b) PO2
c)Carbonic acid d)
Bicarbonate: D
3. The nursing instructor is talking with the nursing class about fluid and Elec-
tyrolite balance. What would the instructor tell the students that the average
daily fluid intake for an adult is? 2500ml
4. The nurse is instructing on the body's negative feedback loop to ensure
homeostasis to a group of students. Which action by bases keeps the blood
pH nearly neutral?
A. Bases cast off acids.
B. Bases bind with hydrogen.
C. Bases hold acidic properties.
D. Bases have no contact with acids.: B
5. The nurse is correct to state that a client's body needs to have adequate
nutrition to maintain energy. Which type of transport of dissolved substances
requires adenosine triphosphate (ATP)?
A. Osmosis
B. Passive diffusion
C. Facilitated diffusion
D. Active transport: D- active transport requires use of body’s energy molecule ATP to meet body needs for
, 4003 Variations Final Review
Study online at https://quizlet.com/_g47v22
fluid and particle transport
6. Which laboratory result does the nurse identify as a direct result of the client's
hypovolemic status with hemoconcentration?
, 4003 Variations Final Review
Study online at https://quizlet.com/_g47v22
A. Abnormal potassium level
B. Elevated hematocrit level
C. Low white blood count
D. Low urine specific gravity: B
7. The nurse is caring for a client in heart failure with signs of hypervolemia.
Which vital sign is indicative of the disease process?
A. Low heart rate
B. Elevated blood pressure
C. Rapid respiration
D. Subnormal temperature: B
8. A nurse is providing an afternoon shift report and relates morning assess-
mint findings to the oncoming nurse. Which daily assessment data is nieces-
sari to determine changes in the client's hypervolemia status?
A. vital signs
B. edema
C. intake and output
D. weight: D
9. The nurse is reviewing client lab work for a critical lab value. Which value is
called to the health care provider for additional prescriptions?
A. Potassium: 5.8 me/L
B. Sodium: 138 me/L
C. Magnesium:2 me/L
D. Calcium: 10 mg/dL: A
10. The nurse is assigned a client with calcium level of 4.0 mg/dL. Which system
assessment would the nurse ask detailed questions?
A. Endocrine system
B. Gastrointestinal system
C. Neurological system
D. Musculoskeletal system: C- this pt has hypocalcemia. Nurse will monitor for neurological manifesto-
tons such as spasms and seizures
11. The nurse is caring for a client with multiple organ failure and in metabolic
acidosis. Which pair of organs is responsible for regulatory processes and
, 4003 Variations Final Review
Study online at https://quizlet.com/_g47v22
compensation?
A. Kidney and liver
B. Heart and lungs
C. Lungs and kidney
D. Pancreas and stomach: C
12. The nurse receives report that a client's pH level is 7.4. Which nursing action
would be most appropriate?
A. Call the health care provider with the report.
B. Encourage the client to practice deep breathing.
C. Finish the head-to-toe assessment.
D. Obtain an ECG.: C
13. The nurse is caring for a client who has been diagnosed with chronic ob.-
strictive pulmonary disease (COPD) and is experiencing respiratory acidosis.
The client asks what is making the acidotic state. What does the nurse identify
as the result of the disease process that causes the fall in pH?
A. The lungs are unable to breathe in sufficient oxygen.
B. The lungs are unable to exchange oxygen and carbon dioxide.
C. The lungs have ineffective cilia from years of smoking.
D. The lungs are not able to regulate carbonic acid levels.: D
14. The nurse is caring for a client with frequent dizziness. The nurse is eval-
eating the client for postural hypotension. Which of the following symptoms
would indicate a potential diagnosis?
A. A blood pressure elevation upon activity
B. A drop in systolic blood pressure (15 mm Hg) upon rising
C. A pulsating headache
D. A drop in diastolic blood pressure (25 mmHg) upon rising: B
15. A nurse is assessing a client's reflexes. Which condition does the nurse need
to confirm when tapping the facial nerve of a client who has dysphagia?
A. Hypervolemia
B. Hypercalcemia
C. Hypomagnesemia
