MDC 2 EXAM 1 Study Guide Questions with 100%
Verified Correct Answers
1. You are caring for a 68-year-old male client who was admitted to your unit with fever
and cough for the last couple of days. He has a history of COPD and diabetes.
Assessment findings are HR: 128 BPM, BP: 80/50, and his mucous membranes are dry
and patient only voided 100cc all day. Which of the following conditions is the patient
exhibiting?
A. Hypervolemia
B. Sepsis
C. Hypovolemia
D. Acute renal failure - C. Hypovolemia
2. 36 y/o female presents to the ED w/ complained of abdominal pain and diarrhea for
the past 3 days. She has a history of IBS. Her lab values revealed a magnesium level of
1.4. Your patient has been diagnosed with hypomagnesemia. Which assessment
finding would you expect to observe?
A. hypotension
B. bradycardia
C. Trousseau's sign
D. bone pain - C. Trousseau's sign
3. A client has CHF and renal failure. Which of these statements by the client requires
further education of the client to assist the client in avoiding hypervolemia episodes?
A. I will eat foods low in salt
B. I will monitor my weight daily
C. I will eat ham instead of chicken
D. I will go to the ER if I have difficulty breathing - C. I will eat ham instead of chicken
4. A client has a sodium of 131 mEq/L. What does the nurse anticipate the physician will
order?
A. FR
B. Sodium IV Push
C. Free water
D. banana - A. FR
5. A client has the following ABG results. How does the nurse interpret these results?
pH: 7.45
PaCO2: 50
HCO3: 30
, A. fully comp metabolic alkalosis
B. Partially Comp metabolic alkalosis
C. uncomp. Resp alkalosis
D. normal - A. fully comp metabolic alkalosis
6. A client has the following ABG results. How does the nurse interpret these results?
pH: 7.36
PaCO2: 60
HC03: 38
A. fully comp metabolic alkalosis
B. Part. Comp metabolic alkalosis
C. fully comp resp acidosis
D. part comp resp acidosis - C. fully comp resp acidosis
7. A client has the following ABG results. How does the nurse interpret these results?
pH: 7.25
PaCO2: 34
HC03: 13
A. part comp metabolic acidosis
B. uncomp resp alkalosis
C. normal
D. part comp metabolic alkalosis - A. part comp metabolic acidosis
8. A client has the following ABG results. How does the nurse interpret these results?
pH: 7.69
PaCO2: 28
HC03: 19
A. part comp meta acidosis
B. part comp resp alkalosis
C. fully comp resp alkalosis
D. fully comp metabolic alkalosis - B. part comp resp alkalosis
9. Nurse is caring for a 24-year-old that sustained a fall from the roof while at work. He
arrived to the ED via ambulance on a back board with cervical collar in place. No prior
medical history. Assessment findings include resp rate of 8 breaths per minutes, pulse
ox 88% on 50% face mask, bp: 80/50. ABGs reveal respiratory acidosis. Which of the
following can cause respiratory acidosis?
A. panic disorder
B. pregnancy
C. Severe asthma
D. high altitude - C. Severe asthma
Verified Correct Answers
1. You are caring for a 68-year-old male client who was admitted to your unit with fever
and cough for the last couple of days. He has a history of COPD and diabetes.
Assessment findings are HR: 128 BPM, BP: 80/50, and his mucous membranes are dry
and patient only voided 100cc all day. Which of the following conditions is the patient
exhibiting?
A. Hypervolemia
B. Sepsis
C. Hypovolemia
D. Acute renal failure - C. Hypovolemia
2. 36 y/o female presents to the ED w/ complained of abdominal pain and diarrhea for
the past 3 days. She has a history of IBS. Her lab values revealed a magnesium level of
1.4. Your patient has been diagnosed with hypomagnesemia. Which assessment
finding would you expect to observe?
A. hypotension
B. bradycardia
C. Trousseau's sign
D. bone pain - C. Trousseau's sign
3. A client has CHF and renal failure. Which of these statements by the client requires
further education of the client to assist the client in avoiding hypervolemia episodes?
A. I will eat foods low in salt
B. I will monitor my weight daily
C. I will eat ham instead of chicken
D. I will go to the ER if I have difficulty breathing - C. I will eat ham instead of chicken
4. A client has a sodium of 131 mEq/L. What does the nurse anticipate the physician will
order?
A. FR
B. Sodium IV Push
C. Free water
D. banana - A. FR
5. A client has the following ABG results. How does the nurse interpret these results?
pH: 7.45
PaCO2: 50
HCO3: 30
, A. fully comp metabolic alkalosis
B. Partially Comp metabolic alkalosis
C. uncomp. Resp alkalosis
D. normal - A. fully comp metabolic alkalosis
6. A client has the following ABG results. How does the nurse interpret these results?
pH: 7.36
PaCO2: 60
HC03: 38
A. fully comp metabolic alkalosis
B. Part. Comp metabolic alkalosis
C. fully comp resp acidosis
D. part comp resp acidosis - C. fully comp resp acidosis
7. A client has the following ABG results. How does the nurse interpret these results?
pH: 7.25
PaCO2: 34
HC03: 13
A. part comp metabolic acidosis
B. uncomp resp alkalosis
C. normal
D. part comp metabolic alkalosis - A. part comp metabolic acidosis
8. A client has the following ABG results. How does the nurse interpret these results?
pH: 7.69
PaCO2: 28
HC03: 19
A. part comp meta acidosis
B. part comp resp alkalosis
C. fully comp resp alkalosis
D. fully comp metabolic alkalosis - B. part comp resp alkalosis
9. Nurse is caring for a 24-year-old that sustained a fall from the roof while at work. He
arrived to the ED via ambulance on a back board with cervical collar in place. No prior
medical history. Assessment findings include resp rate of 8 breaths per minutes, pulse
ox 88% on 50% face mask, bp: 80/50. ABGs reveal respiratory acidosis. Which of the
following can cause respiratory acidosis?
A. panic disorder
B. pregnancy
C. Severe asthma
D. high altitude - C. Severe asthma
