UPDATE 2026
the nurse who is caring for a client with kidney failure notes that the client is to
dyspneic and crackles are heard when listening to the breath sounds in the lungs.
Which additional signs and symptoms should the nurse expect to note in this client? -
Answers an increase in blood pressure
a nurse is reviewing the health records of an assigned client. The nurse should plan
care knowing that which client is a risk for potassium deficiency? - Answers the
client receiving nasogastric suction
the nurse reviews a client's electrolyte results and those of potassium level of 5.5
mEq/L. the nurse understands that potassium values at this level would be noted with
which condition? - Answers traumatic burn
the nurse reviews a client's electrolyte results and knows that the potassium level is
5.4 mEq/L. what should the nurse look for on the cardiac monitor as a result of this
laboratory value? - Answers narrow, peaked t-waves
the nurse is reading the primary health care providers progress notes in the clients
records and sees that the primary health care provider has documented insensible fluid
loss approximately 800 ml daily. Which client is at risk for this loss? - Answers the
client with a fast respiratory rate
the nurse is reviewing the health records of assigned clients. The nurse should plan
care knowing that which client is at risk for fluid volume deficit? - Answers the client
with an ileostomy
the nurse is caring for a client who has been taking diuretics on a long-term basis.
Which finding should the nurse expect to note as a result of this long-term use? -
Answers increase Pacific gravity of urine
the nurse reviews electrolyte values and knows the sodium level of 130 mEq/L. the
nurse expects that the sodium level would be noted in a client with which condition? -
Answers a client with the syndrome of inappropriate secretion of antidiuretic
hormones
the nurse is caring for a client with leukaemia and notes that the client has poor skin
turgor and a flat neck and hand veins. The nurse expects hyponatremia. Which
, additional signs and symptoms should the nurse expect to know in this client is
hyponatremia is present? - Answers posterior blood pressure changes
The nurse is admitting a client who has abdominal pain, nausea, and vomiting. A
bowel obstruction is suspected. The nurse assesses this client for which of the
following anticipated primary acid-base imbalances if the obstruction is high in the
intestine? - Answers Metabolic alkalosis
The nurse is caring for a client admitted with an exacerbation of asthma. After several
treatments, the ABG results are pH 7.40, PaCO2 40 mm Hg, HCO3 24 mmol/L, PaO2
92 mm Hg, and O2 saturation 99%. Which of the following interpretations would the
nurse document? - Answers Within normal limits
The nurse is caring for a client admitted with a diagnosis of COPD who has the
following arterial blood gas results: pH 7.33, PaO2 47 mm Hg, PaCO2 60 mm Hg,
HCO3 32 mmol/L, and O2 saturation of 92%. Which of the following is the correct
interpretation of these results? - Answers Partially compensated respiratory acidosis
The nurse is caring for a client admitted with heart failure. The morning laboratory
results reveal a serum potassium level of 2.9 mmol/L. Which of the following
classifications of medications should the nurse withhold until consulting with the
health care provider? - Answers Loop diuretics
The nurse is caring for an older-adult client who is receiving IV fluids
postoperatively. During the 0800 hour assessment of this client, the nurse notes that
the IV solution, which was ordered to infuse at 125 mL/hour, has infused 950 mL
since it was hung at 0400. Which of the following actions is the priority nursing
intervention? - Answers Listen to the client's lung sounds and assess respiratory
status.
The nurse is assessing a client admitted with nausea and vomiting. Which of the
following findings supports the nursing diagnosis of deficient fluid volume? -
Answers General restlessness
The nurse is caring for a client with dehydration. Which of the following actions
should the nurse implement? - Answers Monitor daily weight, intake and output
The nurse is planning care for a client with dehydration related to nausea and
vomiting. Which of the following fluid shifts would the nurse anticipate in this client?
- Answers Fluid movement from the interstitial spaces into the blood vessels