NCLEX RN||NCLEX RN practice
quiz/answer (latest update) graded A+
2024/2025
A client with a bowel obstruction has been treated with gastric
suctioning for 4 days. The nurse notices an increase in nasogastric
drainage. Which acid-base imbalance does the nurse correctly identify.
Click the exhibit button for more information. Exhibit:
pH: 7.50
PaCO2: 45 mm Hg
PaO2 90 mm Hg
HCO3: 32 mEq/L
- Metabolic alkalosis, compensated
- Metabolic alkalosis, uncompensated
- Respiratory alkalosis, compensated
- Respiratory alkalosis, uncompensated (CORRECT ANSWERS)
Metabolic alkalosis, uncompensated
- The most likely cause of this alkalosis is the loss of acidic gastric
contents from prolonged gastric suctioning.
- Metabolic imbalances affect the bicarbonate level
The nurse cares for a client who just had surgical excision and biopsy of
a tumor. The biopsy results show that the tumor is malignant, but the
client has not yet been informed by the health care provider. The client
, asks the nurse, "Am I going to die?" Which statement by the nurse is
appropriate?
- "I know how anxious you must be. Watching some television might
hlep you relax."
- "Tell me more about your thoughts and feelings regarding the
situation."
- "The biopsy result shows that you have cancer, but many cancers are
treatable."
- "Waiting for test results can be stressful. I am sorry I cannot tell you
more." (CORRECT ANSWERS) "Tell me more about your thoughts and
feelings regarding the situation."
The clinic nurse provides teaching for a client scheduled for a barium
enema the next day. Which statement by the client shows a need for
further instruction?
- "I can expect chalky white stool after the procedure."
- "I cannot eat or drink 8 hours before the procedure."
- "I may have abdominal cramping during the procedure."
- "I will avoid laxatives after the procedure." (CORRECT ANSWERS)
"I will avoid laxatives after the procedure."
- laxatives should be taken to assist in expelling the barium - retained
barium can lead to fecal impaction
The nurse is completing chemotherapy education with an adolescent
client. The client states, "I would rather continue to have cancer than
lose all of my hair." How should the nurse respond?
quiz/answer (latest update) graded A+
2024/2025
A client with a bowel obstruction has been treated with gastric
suctioning for 4 days. The nurse notices an increase in nasogastric
drainage. Which acid-base imbalance does the nurse correctly identify.
Click the exhibit button for more information. Exhibit:
pH: 7.50
PaCO2: 45 mm Hg
PaO2 90 mm Hg
HCO3: 32 mEq/L
- Metabolic alkalosis, compensated
- Metabolic alkalosis, uncompensated
- Respiratory alkalosis, compensated
- Respiratory alkalosis, uncompensated (CORRECT ANSWERS)
Metabolic alkalosis, uncompensated
- The most likely cause of this alkalosis is the loss of acidic gastric
contents from prolonged gastric suctioning.
- Metabolic imbalances affect the bicarbonate level
The nurse cares for a client who just had surgical excision and biopsy of
a tumor. The biopsy results show that the tumor is malignant, but the
client has not yet been informed by the health care provider. The client
, asks the nurse, "Am I going to die?" Which statement by the nurse is
appropriate?
- "I know how anxious you must be. Watching some television might
hlep you relax."
- "Tell me more about your thoughts and feelings regarding the
situation."
- "The biopsy result shows that you have cancer, but many cancers are
treatable."
- "Waiting for test results can be stressful. I am sorry I cannot tell you
more." (CORRECT ANSWERS) "Tell me more about your thoughts and
feelings regarding the situation."
The clinic nurse provides teaching for a client scheduled for a barium
enema the next day. Which statement by the client shows a need for
further instruction?
- "I can expect chalky white stool after the procedure."
- "I cannot eat or drink 8 hours before the procedure."
- "I may have abdominal cramping during the procedure."
- "I will avoid laxatives after the procedure." (CORRECT ANSWERS)
"I will avoid laxatives after the procedure."
- laxatives should be taken to assist in expelling the barium - retained
barium can lead to fecal impaction
The nurse is completing chemotherapy education with an adolescent
client. The client states, "I would rather continue to have cancer than
lose all of my hair." How should the nurse respond?