Galen Nur 170 Exam 1
Comprehensive Questions
(Frequently Tested) and
Complete Solutions Graded
A+
1. While the nurse is washing the face of a patient in renal
failure, the patient demonstrates a spasm of the lips and face.
The nurse examines the recent electrolyte levels to assess the
level of:
a. potassium
b. calcium.
c. sodium
d. magnesium
2. Prior to hanging an IV containing potassium, the nurse will
confirm that there is a:
a. blood pressure of at least 60 mm Hg diastolic
b. urine output of at least 30 mL/hr
c. filter on the IV line.
d. pulse of at least 50 beats/min
3. The patient with long-term obstructive pulmonary disease has
a pH of 7, HCO3 of 18 mEq/L, and a PaCO2 of 40 mm Hg.
From this laboratory information, the nurse assesses the patient
is in:
a. respiratory alkalosis
b. metabolic alkalosis
c. respiratory acidosis
d. metabolic acidosis.
4. To help prevent respiratory acidosis in a young person with
asthma, the nurse would encourage:
a. deep-breathing exercises every 2 hours.
b. drinking 8 ounces of fluid every 4 hours
c. ambulating for 15 minutes twice a day
d. sleeping with the head of the bed elevated 45 degrees
5. The patient who has had diarrhea for the last 3 days has blood
gases of pH of 7.1, HCO3 of 20 mEq/L, and PCO2 of 36 mm
, Hg. The nurse recognizes these values indicate: a. respiratory
alkalosis
b. metabolic alkalosis
c. respiratory acidosis
d. metabolic acidosis.
6. The nurse is assessing a patient with renal failure and notes
fatigue, muscle cramps, confusion, and headache. The nurse
will monitor the patients _____ level.
a. potassium.
b. sodium
c. calcium
d. chloride
7. The patient has a potassium level of 5.0. The nurse
closely monitors the patient for: (Select all that apply.) a.
muscle weakness.
b. cardiac dysrhythmias.
c. decreased reflexes
d. urinary retention
e. hypotension.
8. The patient received a preoperative dose of lorazepam
(Ativan) 20 minutes ago. The safety precaution the nurse
should take in regard to this drug is to: a. monitor respiratory
status.
b. raise bed rails
c. elevate the head of the bed 30 degrees
d. take seizure precautions
9. The nurse explains that the National Patient Safety Goals
protocol requires that:
a. a licensed caregiver accompany the patient to the operating
room
b. side rails should be raised and head of bed elevated 30
degrees
c. surgical site be verified and marked.
d. all prosthetic devices be identified
10. During the course of surgery, a patient exhibits tachycardia,
diaphoresis, and rising body temperature. The priority
intervention by the circulating nurse is to:
a. continue to monitor the patient for any further changes in
condition
Comprehensive Questions
(Frequently Tested) and
Complete Solutions Graded
A+
1. While the nurse is washing the face of a patient in renal
failure, the patient demonstrates a spasm of the lips and face.
The nurse examines the recent electrolyte levels to assess the
level of:
a. potassium
b. calcium.
c. sodium
d. magnesium
2. Prior to hanging an IV containing potassium, the nurse will
confirm that there is a:
a. blood pressure of at least 60 mm Hg diastolic
b. urine output of at least 30 mL/hr
c. filter on the IV line.
d. pulse of at least 50 beats/min
3. The patient with long-term obstructive pulmonary disease has
a pH of 7, HCO3 of 18 mEq/L, and a PaCO2 of 40 mm Hg.
From this laboratory information, the nurse assesses the patient
is in:
a. respiratory alkalosis
b. metabolic alkalosis
c. respiratory acidosis
d. metabolic acidosis.
4. To help prevent respiratory acidosis in a young person with
asthma, the nurse would encourage:
a. deep-breathing exercises every 2 hours.
b. drinking 8 ounces of fluid every 4 hours
c. ambulating for 15 minutes twice a day
d. sleeping with the head of the bed elevated 45 degrees
5. The patient who has had diarrhea for the last 3 days has blood
gases of pH of 7.1, HCO3 of 20 mEq/L, and PCO2 of 36 mm
, Hg. The nurse recognizes these values indicate: a. respiratory
alkalosis
b. metabolic alkalosis
c. respiratory acidosis
d. metabolic acidosis.
6. The nurse is assessing a patient with renal failure and notes
fatigue, muscle cramps, confusion, and headache. The nurse
will monitor the patients _____ level.
a. potassium.
b. sodium
c. calcium
d. chloride
7. The patient has a potassium level of 5.0. The nurse
closely monitors the patient for: (Select all that apply.) a.
muscle weakness.
b. cardiac dysrhythmias.
c. decreased reflexes
d. urinary retention
e. hypotension.
8. The patient received a preoperative dose of lorazepam
(Ativan) 20 minutes ago. The safety precaution the nurse
should take in regard to this drug is to: a. monitor respiratory
status.
b. raise bed rails
c. elevate the head of the bed 30 degrees
d. take seizure precautions
9. The nurse explains that the National Patient Safety Goals
protocol requires that:
a. a licensed caregiver accompany the patient to the operating
room
b. side rails should be raised and head of bed elevated 30
degrees
c. surgical site be verified and marked.
d. all prosthetic devices be identified
10. During the course of surgery, a patient exhibits tachycardia,
diaphoresis, and rising body temperature. The priority
intervention by the circulating nurse is to:
a. continue to monitor the patient for any further changes in
condition
