HCAL EXAM 4 PRACTICE QUESTIONS
WITH COMPLETE SOLUTIONS GRADED
A+
plan of care on which likely cause of symptoms?
Asthma
infection
COPD exacerbation
,Give this one a try later!
ANS: C
Teach the patient about administration of insulin.
the glucose levels indicate that the patient has developed CF-related diabetes,
and insulin therapy is required
ANS: A
Begin pre-op checklist → because surgical decompression is necessary due to
removal of cast did not improve condition
ANS: B, E
Eat smaller, more frequent meals
Choose favorite foods to eat at meal time
ANS: B
Viral infection
Viral pneumonia presents with flu-like symptoms with worsening
respiratory symptoms over 2-3 days
Don't know?
2 of 143
Term
The nurse in the emergency department receives arterial blood gas
results for four recently admitted patients with obstructive
pulmonary disease. The results for which patient will require the most
rapid action by the nurse?
,a. pH 7.28, PaCO2 50 mm Hg, and PaO2 58 mm Hg
b. pH 7.48, PaCO2 30 mm Hg, and PaO2 65 mm Hg
c. pH 7.34, PaCO2 33 mm Hg, and PaO2 80 mm Hg
d. pH 7.31, PaCO2 58 mm Hg, and PaO2 64 mm Hg
Give this one a try later!
ANS: B, E, F
O2 is 98%
nail beds are pink with good capillary refill
there is presence of quiet, effortless breath sounds at lung base bilaterally
these are normal
ANS: A
pH 7.28, PaCO2 50 mm Hg, and PaO2 58 mm Hg
the pH, PaCO2, and PaO2 indicate that the patient has severe
uncompensated respiratory acidosis and hypoxemia
ANS: A
disorientation and tremors
the patient is experiencing respiratory acidosis which is manifested by
disorientation, tremors, possible seizures, and decreased LOC.
ANS: A
peripheral arterial disease of the lower extremities
perfusion relates to the ability of the blood to deliver oxygen to the cellular level
and return the CO2 to the lung for removal
Don't know?
, 3 of 143
Term
Which action will the nurse include in the plan of care for a patient
who has thalassemia major?
a. Teach the patient to use iron supplements.
b. Avoid the use of intramuscular injections.
c. Administer iron chelation therapy as needed.
d. Notify health care provider of hemoglobin 11 g/dL.
Give this one a try later!
ANS: B
for at least 3 weeks.
bone healing occurs immediately after the injury, but ossification does not begin
until 3 weeks after injury
ANS: C
Administer iron chelation therapy as needed.
the frequent transfusions to treat thalassemia major lead to iron toxicity in
patients unless iron chelation is consistently used
ANS: A
Meconium ileus
the earliest clinical manifestation of CF is a meconium ileus
ANS: A
disorientation and tremors
WITH COMPLETE SOLUTIONS GRADED
A+
plan of care on which likely cause of symptoms?
Asthma
infection
COPD exacerbation
,Give this one a try later!
ANS: C
Teach the patient about administration of insulin.
the glucose levels indicate that the patient has developed CF-related diabetes,
and insulin therapy is required
ANS: A
Begin pre-op checklist → because surgical decompression is necessary due to
removal of cast did not improve condition
ANS: B, E
Eat smaller, more frequent meals
Choose favorite foods to eat at meal time
ANS: B
Viral infection
Viral pneumonia presents with flu-like symptoms with worsening
respiratory symptoms over 2-3 days
Don't know?
2 of 143
Term
The nurse in the emergency department receives arterial blood gas
results for four recently admitted patients with obstructive
pulmonary disease. The results for which patient will require the most
rapid action by the nurse?
,a. pH 7.28, PaCO2 50 mm Hg, and PaO2 58 mm Hg
b. pH 7.48, PaCO2 30 mm Hg, and PaO2 65 mm Hg
c. pH 7.34, PaCO2 33 mm Hg, and PaO2 80 mm Hg
d. pH 7.31, PaCO2 58 mm Hg, and PaO2 64 mm Hg
Give this one a try later!
ANS: B, E, F
O2 is 98%
nail beds are pink with good capillary refill
there is presence of quiet, effortless breath sounds at lung base bilaterally
these are normal
ANS: A
pH 7.28, PaCO2 50 mm Hg, and PaO2 58 mm Hg
the pH, PaCO2, and PaO2 indicate that the patient has severe
uncompensated respiratory acidosis and hypoxemia
ANS: A
disorientation and tremors
the patient is experiencing respiratory acidosis which is manifested by
disorientation, tremors, possible seizures, and decreased LOC.
ANS: A
peripheral arterial disease of the lower extremities
perfusion relates to the ability of the blood to deliver oxygen to the cellular level
and return the CO2 to the lung for removal
Don't know?
, 3 of 143
Term
Which action will the nurse include in the plan of care for a patient
who has thalassemia major?
a. Teach the patient to use iron supplements.
b. Avoid the use of intramuscular injections.
c. Administer iron chelation therapy as needed.
d. Notify health care provider of hemoglobin 11 g/dL.
Give this one a try later!
ANS: B
for at least 3 weeks.
bone healing occurs immediately after the injury, but ossification does not begin
until 3 weeks after injury
ANS: C
Administer iron chelation therapy as needed.
the frequent transfusions to treat thalassemia major lead to iron toxicity in
patients unless iron chelation is consistently used
ANS: A
Meconium ileus
the earliest clinical manifestation of CF is a meconium ileus
ANS: A
disorientation and tremors
