SYnthesis first exam UPDATED ACTUAL
Exam Questions and CORRECT Answers
Which finding suggests that fluid resuscitation has been effective for a 23-year-old client
admitted in hypovolemic shock?
Urine output of 15 ml/hour
Urine output of 20 ml/hour
Urine output of 25 ml/hour
Urine output of 30 ml/hour - CORRECT ANSWER -4
A client's arterial blood gas (ABG) analysis reveals: pH 7.18, PaCO2 of 73 mm Hg, PaO2 of 77
mm Hg, and HCO3 of 24 mEq/L. What do these values indicate?
Metabolic acidosis
Respiratory alkalosis
Metabolic alkalosis
Respiratory acidosis - CORRECT ANSWER -4
After experiencing an anxiety attack, a client comes to the emergency department
complaining of dizziness and light-headedness. Arterial blood gas (ABG) analysis reveals a pH
of 7.62, PaCO2, of 22 mm Hg, PaO2, of 96 mm Hg, and HC03- of 24 mEq/L. Which action
should the nurse take?
Do nothing; these ABG values are normal.
Encourage the client to breathe into a paper bag.
Notify the physician and prepare to give sodium bicarbonate.
Notify the physician and prepare to give supplemental oxygen. - CORRECT ANSWER -2
Respiratory alkalosis- hyperventilating and blowing off CO2
,want io increase CO2=> reuptake CO2
A 31-year-old client is admitted to the hospital with respiratory failure. He's intubated
in the emergency department, placed on 100 FiO2 and is coughing up copious secretions.
Which intervention should be done first?
Get an X-ray.
Suction the client.
Restrain the client.
Obtain an arterial blood gas (ABG) analysis. - CORRECT ANSWER -2
A client who had a thoracotomy is using oxygen and having an arterial blood gas (ABG)
analysis. Which statement is correct to tell the client?
''The nurse will shave the puncture site before the test."
"You need to keep the oxygen mask on for the entire test."
"You'll be suctioned immediately before the blood is drawn."
"You won't be allowed to drink anything for 2 hours before the blood is drawn." - CORRECT
ANSWER -2
Which arterial blood gas (ABG) results should a nurse expect to see in a client with
emphysema?
pH, 7.52; PaCO2, 18 mm Hg; HC03-, 22 mEq/L
pH, 7.50; PaCO2, 38 mm Hg; HC03-,38mEq/L
pH, 7.30; PaCO2, 52 mm Hg; HC03-, 30mEq/L
pH, 7.30; PaCO2, 40 mm Hg; HC03-, 18mEq/L - CORRECT ANSWER -3
CO2 is trapped in alveoli.So want high Co2
,A client with bulimia and a history of purging by vomiting is hospitalized for further observation
because she's at risk for which of the following?
Diabetes mellitus
Electrolyte imbalance
GI obstruction
Septicemia - CORRECT ANSWER -2
8. An older female adult who lives alone had not answered her phone for several days. She was
found unconscious on the bathroom floor by her family and was admitted to the hospital the
diagnoses of a fractured hip and renal failure due to dehydration. In the 24 hours since she has
been hospitalized, she has received 1500 mL of intravenous fluid. Her next serum electrolyte
series reflects hyponatremia. The nurse recognizes that this may result from an increase in:
A. Salt intake
B. Fluid intake
C. Sodium absorption
D. Glomerular filtration - CORRECT ANSWER -B
During an eight-hour shift a client drinks two 6-ounce cups of tea and vomits 125 mL of fluid.
Intravenous fluids absorbed equaled the urinary output. During this eight-hour period the client's
fluid balance would be: Answer: - CORRECT ANSWER - 235 ml intake more
1 ounce=30mL
2 6-oz =360 mL
360-125= 235
10. A client weighed 210 pounds on admission to the hospital. After two days of diuretic therapy
the client weighs 205.5 pounds. The nurse could estimate that the amount of fluid the client has
lost is:
A. 0.5 L
, B. 1.0 L
C. 2.0 L
D. 3.5 L - CORRECT ANSWER -c
1L= 2 lbs
4.5/2~ 2
A male client with a history of heart failure and atrial fibrillation comes to the clinic for his
regular two-week visit. The client is nine pounds heavier than his usual weight. The nurse
interprets that the most likely cause of this sudden weight gain would be:
Fluid retention
Urinary retention
Renal insufficiency
Abdominal distention - CORRECT ANSWER -1
The dietary practice that will help a client reduce the dietary intake of sodium would be:
Increasing the use of dairy products
Using steak sauce for flavoring foods
Restricting the use of artificial sweeteners
Avoiding the use of carbonated beverages - CORRECT ANSWER -4
The physician has ordered 1000 mL TPN in 12 hours to be infused via a subclavian
catheter. When preparing the equipment it would be most important for the nurse to
obtain:
A. A steady IV pole
B. An infusion pump
C. An infusion set delivering 60 gtt/mL
Exam Questions and CORRECT Answers
Which finding suggests that fluid resuscitation has been effective for a 23-year-old client
admitted in hypovolemic shock?
Urine output of 15 ml/hour
Urine output of 20 ml/hour
Urine output of 25 ml/hour
Urine output of 30 ml/hour - CORRECT ANSWER -4
A client's arterial blood gas (ABG) analysis reveals: pH 7.18, PaCO2 of 73 mm Hg, PaO2 of 77
mm Hg, and HCO3 of 24 mEq/L. What do these values indicate?
Metabolic acidosis
Respiratory alkalosis
Metabolic alkalosis
Respiratory acidosis - CORRECT ANSWER -4
After experiencing an anxiety attack, a client comes to the emergency department
complaining of dizziness and light-headedness. Arterial blood gas (ABG) analysis reveals a pH
of 7.62, PaCO2, of 22 mm Hg, PaO2, of 96 mm Hg, and HC03- of 24 mEq/L. Which action
should the nurse take?
Do nothing; these ABG values are normal.
Encourage the client to breathe into a paper bag.
Notify the physician and prepare to give sodium bicarbonate.
Notify the physician and prepare to give supplemental oxygen. - CORRECT ANSWER -2
Respiratory alkalosis- hyperventilating and blowing off CO2
,want io increase CO2=> reuptake CO2
A 31-year-old client is admitted to the hospital with respiratory failure. He's intubated
in the emergency department, placed on 100 FiO2 and is coughing up copious secretions.
Which intervention should be done first?
Get an X-ray.
Suction the client.
Restrain the client.
Obtain an arterial blood gas (ABG) analysis. - CORRECT ANSWER -2
A client who had a thoracotomy is using oxygen and having an arterial blood gas (ABG)
analysis. Which statement is correct to tell the client?
''The nurse will shave the puncture site before the test."
"You need to keep the oxygen mask on for the entire test."
"You'll be suctioned immediately before the blood is drawn."
"You won't be allowed to drink anything for 2 hours before the blood is drawn." - CORRECT
ANSWER -2
Which arterial blood gas (ABG) results should a nurse expect to see in a client with
emphysema?
pH, 7.52; PaCO2, 18 mm Hg; HC03-, 22 mEq/L
pH, 7.50; PaCO2, 38 mm Hg; HC03-,38mEq/L
pH, 7.30; PaCO2, 52 mm Hg; HC03-, 30mEq/L
pH, 7.30; PaCO2, 40 mm Hg; HC03-, 18mEq/L - CORRECT ANSWER -3
CO2 is trapped in alveoli.So want high Co2
,A client with bulimia and a history of purging by vomiting is hospitalized for further observation
because she's at risk for which of the following?
Diabetes mellitus
Electrolyte imbalance
GI obstruction
Septicemia - CORRECT ANSWER -2
8. An older female adult who lives alone had not answered her phone for several days. She was
found unconscious on the bathroom floor by her family and was admitted to the hospital the
diagnoses of a fractured hip and renal failure due to dehydration. In the 24 hours since she has
been hospitalized, she has received 1500 mL of intravenous fluid. Her next serum electrolyte
series reflects hyponatremia. The nurse recognizes that this may result from an increase in:
A. Salt intake
B. Fluid intake
C. Sodium absorption
D. Glomerular filtration - CORRECT ANSWER -B
During an eight-hour shift a client drinks two 6-ounce cups of tea and vomits 125 mL of fluid.
Intravenous fluids absorbed equaled the urinary output. During this eight-hour period the client's
fluid balance would be: Answer: - CORRECT ANSWER - 235 ml intake more
1 ounce=30mL
2 6-oz =360 mL
360-125= 235
10. A client weighed 210 pounds on admission to the hospital. After two days of diuretic therapy
the client weighs 205.5 pounds. The nurse could estimate that the amount of fluid the client has
lost is:
A. 0.5 L
, B. 1.0 L
C. 2.0 L
D. 3.5 L - CORRECT ANSWER -c
1L= 2 lbs
4.5/2~ 2
A male client with a history of heart failure and atrial fibrillation comes to the clinic for his
regular two-week visit. The client is nine pounds heavier than his usual weight. The nurse
interprets that the most likely cause of this sudden weight gain would be:
Fluid retention
Urinary retention
Renal insufficiency
Abdominal distention - CORRECT ANSWER -1
The dietary practice that will help a client reduce the dietary intake of sodium would be:
Increasing the use of dairy products
Using steak sauce for flavoring foods
Restricting the use of artificial sweeteners
Avoiding the use of carbonated beverages - CORRECT ANSWER -4
The physician has ordered 1000 mL TPN in 12 hours to be infused via a subclavian
catheter. When preparing the equipment it would be most important for the nurse to
obtain:
A. A steady IV pole
B. An infusion pump
C. An infusion set delivering 60 gtt/mL
