NUR 210 NURSING COMPREHENSIVE
REVIEW QUESTIONS & ANSWERS
(CHAMBERLAIN) 100% GUARANTEE
PASS
1. A patient presents with a pH of 7.28, PaCO2 of 52 mmHg, and HCO3 of 25 mEq/L. Which
acid-base imbalance is the patient experiencing?
A. Respiratory Acidosis
B. Metabolic Acidosis
C. Metabolic Alkalosis
D. Respiratory Alkalosis
Answer: A
Conceptual Explanation: The pH is low (acidosis), and the PaCO2 is high (respiratory
component), while the HCO3 is within the normal range, indicating an uncompensated
respiratory acidosis.
2. When administering Digoxin to a patient with heart failure, which electrolyte imbalance
most significantly increases the risk of digoxin toxicity?
A. Hyperkalemia
B. Hyponatremia
,C. Hypercalcemia
D. Hypokalemia
Answer: D
Conceptual Explanation: Hypokalemia sensitizes the myocardium to digoxin, significantly
increasing the risk of toxicity even if digoxin levels are within the therapeutic range.
3. A patient with a spinal cord injury at T6 reports a sudden, severe headache and has a blood
pressure of 200/110 mmHg. What is the priority nursing action?
A. Assess for bladder distention or fecal impaction
B. Notify the healthcare provider
C. Administer prescribed antihypertensives
D. Place the patient in a flat, supine position
Answer: A
Conceptual Explanation: These are signs of autonomic dysreflexia. The priority is to
identify and remove the stimulus (usually bladder or bowel) while sitting the patient
upright.
4. Which clinical manifestation is a hallmark sign of a tension pneumothorax?
A. Increased breath sounds on the affected side
B. Tracheal deviation to the unaffected side
C. Resonant percussion over the lung fields
, D. Bradycardia and hypertension
Answer: B
Conceptual Explanation: Tension pneumothorax causes a mediastinal shift, leading to
tracheal deviation toward the healthy side, which is a late and life-threatening sign.
5. A nurse is caring for a patient in the oliguric phase of Acute Kidney Injury (AKI). Which
laboratory finding is most expected?
A. Hyperkalemia
B. Hypophosphatemia
C. Hypercalcemia
D. Hypokalemia
Answer: A
Conceptual Explanation: During the oliguric phase of AKI, the kidneys fail to excrete
potassium, leading to hyperkalemia, which poses a risk for cardiac dysrhythmias.
6. A patient is diagnosed with Syndrome of Inappropriate Antidiuretic Hormone (SIADH).
What is the primary pathophysiology involved?
A. Excessive water excretion
B. Deficiency of ADH
C. Excessive water retention
D. Hypernatremia
REVIEW QUESTIONS & ANSWERS
(CHAMBERLAIN) 100% GUARANTEE
PASS
1. A patient presents with a pH of 7.28, PaCO2 of 52 mmHg, and HCO3 of 25 mEq/L. Which
acid-base imbalance is the patient experiencing?
A. Respiratory Acidosis
B. Metabolic Acidosis
C. Metabolic Alkalosis
D. Respiratory Alkalosis
Answer: A
Conceptual Explanation: The pH is low (acidosis), and the PaCO2 is high (respiratory
component), while the HCO3 is within the normal range, indicating an uncompensated
respiratory acidosis.
2. When administering Digoxin to a patient with heart failure, which electrolyte imbalance
most significantly increases the risk of digoxin toxicity?
A. Hyperkalemia
B. Hyponatremia
,C. Hypercalcemia
D. Hypokalemia
Answer: D
Conceptual Explanation: Hypokalemia sensitizes the myocardium to digoxin, significantly
increasing the risk of toxicity even if digoxin levels are within the therapeutic range.
3. A patient with a spinal cord injury at T6 reports a sudden, severe headache and has a blood
pressure of 200/110 mmHg. What is the priority nursing action?
A. Assess for bladder distention or fecal impaction
B. Notify the healthcare provider
C. Administer prescribed antihypertensives
D. Place the patient in a flat, supine position
Answer: A
Conceptual Explanation: These are signs of autonomic dysreflexia. The priority is to
identify and remove the stimulus (usually bladder or bowel) while sitting the patient
upright.
4. Which clinical manifestation is a hallmark sign of a tension pneumothorax?
A. Increased breath sounds on the affected side
B. Tracheal deviation to the unaffected side
C. Resonant percussion over the lung fields
, D. Bradycardia and hypertension
Answer: B
Conceptual Explanation: Tension pneumothorax causes a mediastinal shift, leading to
tracheal deviation toward the healthy side, which is a late and life-threatening sign.
5. A nurse is caring for a patient in the oliguric phase of Acute Kidney Injury (AKI). Which
laboratory finding is most expected?
A. Hyperkalemia
B. Hypophosphatemia
C. Hypercalcemia
D. Hypokalemia
Answer: A
Conceptual Explanation: During the oliguric phase of AKI, the kidneys fail to excrete
potassium, leading to hyperkalemia, which poses a risk for cardiac dysrhythmias.
6. A patient is diagnosed with Syndrome of Inappropriate Antidiuretic Hormone (SIADH).
What is the primary pathophysiology involved?
A. Excessive water excretion
B. Deficiency of ADH
C. Excessive water retention
D. Hypernatremia
