Nurs 320 - Exam #2 questions and solutions
Which statements are true regarding Acid Base Compensation? Select all that apply.
mn mn mn mn mn mn mn mn mn mn mn
a) The pH is normal is a fully compensation ABG
mn mn mn mn mn mn mn mn mn
b) When the CO2 levels rise in the blood this produces less acid in the body
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
c) When the CO2 value is opposite the pH this reflects a respiratory imbalance
mn mn mn mn mn mn mn mn mn mn mn mn mn
d) When all values are abnormal in an ABG this reflects a partially compensated condition - Correct Answer ✔✔ - a,c,d
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Associated acid base imbalance with renal failure - Correct Answer ✔✔ - metabolic acidosis
mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Associated acid base imbalance with with excessive mechanical ventilation - Correct Answer ✔✔ - respiratory
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
alkalosis
mn
Associated acid base imbalance with with opioid overdose - Correct Answer ✔✔ - respiratory acidosis
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Associated acid base imbalance with prolonged vomiting - Correct Answer ✔✔ - metabolic alkalosis
mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Which patient is most likely to have respiratory alkalosis?
mn mn mn mn mn mn mn mn
a) hypoxic patient
mn mn
b) patient with a body cast
mn mn mn mn mn
c) patient with a panic attack
mn mn mn mn mn
d) a smoker who is obese and with chronic lung disease - Correct Answer ✔✔ - c
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
A nurse is caring for a client diagnosed with respiratory acidosis. Which arterial blood gas findings should indicate to th
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
nurse that the client's kidneys have compensated for the imbalance?
mn mn mn mn mn mn mn mn mn mn
a) pH = 7.45; CO2=60; HCO3 = 35
mn mn mn mn mn mn mn
b) pH = 7.35; CO2 = 50, HCO3 = 30
mn mn mn mn mn mn mn mn mn
c) pH = 7.50; CO2 = 35, HCO3 = 30
mn mn mn mn mn mn mn mn mn
d) pH = 7.44; CO2 = 45, HCO3 = 24 - Correct Answer ✔✔ - b
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Which lab value is most important for the nurse to assess in a patient who is experiencing metabolic acidosis?
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
a) sodium mn
b) magnesium
mn
c) phosphorus
mn
d) potassium - Correct Answer ✔✔ - d
mn mn mn mn mn mn mn mn
A recent GN is getting ready to take the NCLEX. She is nervous and slightly diaphoretic. Which ABG result is most likel
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
a) pH 7.41, CO2 42, HCO3- 23
mn mn mn mn mn mn
b) pH 7.30, CO2 38, HCO3- 20
mn mn mn mn mn mn
c) pH 7.48, CO2 31, HCO3- 23
mn mn mn mn mn mn
d) pH 7.37, CO2 55, HCO3- 30 - Correct Answer ✔✔ - c
mn mn mn mn mn mn mn mn mn mn mn mn mn
Which assessment findings can the nurse expect to find in patient with hyperparathyroidism? Select all that apply.
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
a) bradycardia
mn
b) leg cramping
mn mn
c) hyperactive bowel sounds
mn mn mn
d) ineffective respiratory movements
mn mn mn
e) muscular weakness - Correct Answer ✔✔ - a,d,e
mn mn mn mn mn mn mn mn mn
,Which patient in the medical-surgical unit is most likely to have increased aldosterone secretion? A patient who ...
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
a) Has excessive salt ingestion
mn mn mn mn
b) Drinks a lot of water
mn mn mn mn mn
c) Loses a lot of fluid and sodium
mn mn mn mn mn mn mn
d) Loses potassium and water - Correct Answer ✔✔ - c
mn mn mn mn mn mn mn mn mn mn mn
The patient returns from surgery after a thyroidectomy. Which electrolyte is essential that the nurse monitors?
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
a) sodium mn
b) potassium mn
c) chloride mn
d) calcium - Correct Answer ✔✔ - d
mn mn mn mn mn mn mn mn
Which statement accurately demonstrates a direct influence on the release of a hormone by an endocrine gland?
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
a) Increased cortisol stimulates the release of insulin
mn mn mn mn mn mn mn
b) Elevated thyroid calcitonin levels are released by TSH
mn mn mn mn mn mn mn mn
c) Increased testosterone level inhibit the release of estrogen
mn mn mn mn mn mn mn mn
d) High potassium levels will stimulate aldosterone release - Correct Answer ✔✔ - d
mn mn mn mn mn mn mn mn mn mn mn mn mn mn
A malfunctioning (under functioning) posterior pituitary gland can result in which patient conditions? Select all that app
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
a) hypothyroidism mn
b) dehydration mn
c) dilute urine mn mn
d) growth retardationmn mn
e) electrolyte imbalance - Correct Answer ✔✔ - b,c,e
mn mn mn mn mn mn mn mn mn
The nursing student is explaining the radioactive iodine uptake test and scan to peers in post-conference. Which
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
statement made by the student warrants intervention by the instructor?
mn mn mn mn mn mn mn mn mn mn
a) It measures how much iodine is taken up by your thyroid gland in a certain amount of time.
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
b) The patient swallows a pill that is contains radioactive iodine
mn mn mn mn mn mn mn mn mn mn
c) The patient needs to be in isolation for 4-6 hours until the radioactivity is excreted in the urine
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
d) The patient is instructed to avoid seafood while the test is being completed - Correct Answer ✔✔ - c
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
The patient is diagnosed with hyperthyroidism (condition is originating in the thyroid). In addition to the results of the
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
scan, which serum lab values support hyperthyroidism in this patient?
mn mn mn mn mn mn mn mn mn mn
a) Increased T4 and increased TSH
mn mn mn mn mn
b) Decreased T4 and decreased TSH
mn mn mn mn mn
c) Increased T4 and decreased TSH
mn mn mn mn mn
d) Decreased T4 and increased TSH - Correct Answer ✔✔ - c
mn mn mn mn mn mn mn mn mn mn mn mn
Which intervention is appropriate for the patient post-op transsphenoidal hypophysectomy? Select all that apply.
mn mn mn mn mn mn mn mn mn mn mn mn mn
a) Encourage the patient to blow nose frequently
mn mn mn mn mn mn mn
b) Observe the cranial incision for bleeding and infection
mn mn mn mn mn mn mn mn
c) Monitor the nose for drainage
mn mn mn mn mn
d) Instruct patient on avoid activities that increase intracranial pressure - Correct Answer ✔✔ - c,d
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Which findings can the nurse expect to assess in a patient admitted with DKA? Select all that apply
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
a) thirst mn
b) ketonuria mn
c) metabolic alkalosis
mn mn
Which statements are true regarding Acid Base Compensation? Select all that apply.
mn mn mn mn mn mn mn mn mn mn mn
a) The pH is normal is a fully compensation ABG
mn mn mn mn mn mn mn mn mn
b) When the CO2 levels rise in the blood this produces less acid in the body
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
c) When the CO2 value is opposite the pH this reflects a respiratory imbalance
mn mn mn mn mn mn mn mn mn mn mn mn mn
d) When all values are abnormal in an ABG this reflects a partially compensated condition - Correct Answer ✔✔ - a,c,d
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Associated acid base imbalance with renal failure - Correct Answer ✔✔ - metabolic acidosis
mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Associated acid base imbalance with with excessive mechanical ventilation - Correct Answer ✔✔ - respiratory
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
alkalosis
mn
Associated acid base imbalance with with opioid overdose - Correct Answer ✔✔ - respiratory acidosis
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Associated acid base imbalance with prolonged vomiting - Correct Answer ✔✔ - metabolic alkalosis
mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Which patient is most likely to have respiratory alkalosis?
mn mn mn mn mn mn mn mn
a) hypoxic patient
mn mn
b) patient with a body cast
mn mn mn mn mn
c) patient with a panic attack
mn mn mn mn mn
d) a smoker who is obese and with chronic lung disease - Correct Answer ✔✔ - c
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
A nurse is caring for a client diagnosed with respiratory acidosis. Which arterial blood gas findings should indicate to th
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
nurse that the client's kidneys have compensated for the imbalance?
mn mn mn mn mn mn mn mn mn mn
a) pH = 7.45; CO2=60; HCO3 = 35
mn mn mn mn mn mn mn
b) pH = 7.35; CO2 = 50, HCO3 = 30
mn mn mn mn mn mn mn mn mn
c) pH = 7.50; CO2 = 35, HCO3 = 30
mn mn mn mn mn mn mn mn mn
d) pH = 7.44; CO2 = 45, HCO3 = 24 - Correct Answer ✔✔ - b
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Which lab value is most important for the nurse to assess in a patient who is experiencing metabolic acidosis?
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
a) sodium mn
b) magnesium
mn
c) phosphorus
mn
d) potassium - Correct Answer ✔✔ - d
mn mn mn mn mn mn mn mn
A recent GN is getting ready to take the NCLEX. She is nervous and slightly diaphoretic. Which ABG result is most likel
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
a) pH 7.41, CO2 42, HCO3- 23
mn mn mn mn mn mn
b) pH 7.30, CO2 38, HCO3- 20
mn mn mn mn mn mn
c) pH 7.48, CO2 31, HCO3- 23
mn mn mn mn mn mn
d) pH 7.37, CO2 55, HCO3- 30 - Correct Answer ✔✔ - c
mn mn mn mn mn mn mn mn mn mn mn mn mn
Which assessment findings can the nurse expect to find in patient with hyperparathyroidism? Select all that apply.
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
a) bradycardia
mn
b) leg cramping
mn mn
c) hyperactive bowel sounds
mn mn mn
d) ineffective respiratory movements
mn mn mn
e) muscular weakness - Correct Answer ✔✔ - a,d,e
mn mn mn mn mn mn mn mn mn
,Which patient in the medical-surgical unit is most likely to have increased aldosterone secretion? A patient who ...
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
a) Has excessive salt ingestion
mn mn mn mn
b) Drinks a lot of water
mn mn mn mn mn
c) Loses a lot of fluid and sodium
mn mn mn mn mn mn mn
d) Loses potassium and water - Correct Answer ✔✔ - c
mn mn mn mn mn mn mn mn mn mn mn
The patient returns from surgery after a thyroidectomy. Which electrolyte is essential that the nurse monitors?
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
a) sodium mn
b) potassium mn
c) chloride mn
d) calcium - Correct Answer ✔✔ - d
mn mn mn mn mn mn mn mn
Which statement accurately demonstrates a direct influence on the release of a hormone by an endocrine gland?
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
a) Increased cortisol stimulates the release of insulin
mn mn mn mn mn mn mn
b) Elevated thyroid calcitonin levels are released by TSH
mn mn mn mn mn mn mn mn
c) Increased testosterone level inhibit the release of estrogen
mn mn mn mn mn mn mn mn
d) High potassium levels will stimulate aldosterone release - Correct Answer ✔✔ - d
mn mn mn mn mn mn mn mn mn mn mn mn mn mn
A malfunctioning (under functioning) posterior pituitary gland can result in which patient conditions? Select all that app
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
a) hypothyroidism mn
b) dehydration mn
c) dilute urine mn mn
d) growth retardationmn mn
e) electrolyte imbalance - Correct Answer ✔✔ - b,c,e
mn mn mn mn mn mn mn mn mn
The nursing student is explaining the radioactive iodine uptake test and scan to peers in post-conference. Which
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
statement made by the student warrants intervention by the instructor?
mn mn mn mn mn mn mn mn mn mn
a) It measures how much iodine is taken up by your thyroid gland in a certain amount of time.
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
b) The patient swallows a pill that is contains radioactive iodine
mn mn mn mn mn mn mn mn mn mn
c) The patient needs to be in isolation for 4-6 hours until the radioactivity is excreted in the urine
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
d) The patient is instructed to avoid seafood while the test is being completed - Correct Answer ✔✔ - c
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
The patient is diagnosed with hyperthyroidism (condition is originating in the thyroid). In addition to the results of the
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
scan, which serum lab values support hyperthyroidism in this patient?
mn mn mn mn mn mn mn mn mn mn
a) Increased T4 and increased TSH
mn mn mn mn mn
b) Decreased T4 and decreased TSH
mn mn mn mn mn
c) Increased T4 and decreased TSH
mn mn mn mn mn
d) Decreased T4 and increased TSH - Correct Answer ✔✔ - c
mn mn mn mn mn mn mn mn mn mn mn mn
Which intervention is appropriate for the patient post-op transsphenoidal hypophysectomy? Select all that apply.
mn mn mn mn mn mn mn mn mn mn mn mn mn
a) Encourage the patient to blow nose frequently
mn mn mn mn mn mn mn
b) Observe the cranial incision for bleeding and infection
mn mn mn mn mn mn mn mn
c) Monitor the nose for drainage
mn mn mn mn mn
d) Instruct patient on avoid activities that increase intracranial pressure - Correct Answer ✔✔ - c,d
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
Which findings can the nurse expect to assess in a patient admitted with DKA? Select all that apply
mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn mn
a) thirst mn
b) ketonuria mn
c) metabolic alkalosis
mn mn
