Test Bank For Nursing A Concept Based
Approach to Learning 2nd Edition Volume I,
Pearson
YOU CAN FIND MORE QUESTIONS AND ANSWERS, just go HERE
Module 1 Acid-Base Balance
The Concept of Acid-Base Balance
1) A client is brought to the Emergency Department after passing out in a local department store. The client has
been fasting and has ketones in the urine. Which acid-base imbalance would the nurse expect to assess in this
client?
A) Metabolic acidosis
B) Respiratory alkalosis
C) Metabolic alkalosis
D) Respiratory acidosis
2) Which of the following risk factors exhibited by the client presenting in the Emergency Department would
place the client at risk for metabolic acidosis?
Select all that apply.
A) Abdominal fistulas
B) Chronic obstructive pulmonary disease
C) Pneumonia
D) Acute renal failure
E) Hypovolemic shock
3) A child with acute asthma has a PaCO2 of 48 mmHg, a pH of 7.31, and a normal HCO3 blood gas value. The
nurse interprets this as which of the following?
A) Metabolic acidosis
B) Respiratory alkalosis
C) Respiratory acidosis
D) Metabolic alkalosis
4) The nurse is reviewing the latest arterial blood gas results for a client with metabolic alkalosis. Which result
indicates that the metabolic alkalosis is compensated?
A) pH 7.32
B) PaCO2 18 mmHg
C) HCO3 8 mEq/L
D) PaCO2 48 mmHg
5) A client has been admitted with chronic obstructive pulmonary disease. Diagnostic tests have been ordered.
Which of the tests will provide the most accurate indicator of the client's acid-base balance?
A) Arterial blood gases (ABGs)
B) Pulse oximetry
C) Sputum studies
D) Bronchoscopy
6) The nurse is instructing a client with a history of acidosis on the use of sodium bicarbonate. Which client
statement indicates that additional teaching is needed?
www.testbanksuccess.com
,A) "I should contact the doctor if I have any gastric discomfort with chest pain."
B) "I need to purchase antacids without salt."
C) "I should use the antacid for at least 2 months."
D) "I should call the doctor if I get short of breath or start to sweat with this medication."
7) A client who was diagnosed with diabetes mellitus 1 year ago is hospitalized in diabetic ketoacidosis after a
religious fast. The client tells the nurse, "I have fasted during this season every year since I became an adult. I am
not going to stop now." The nurse is not knowledgeable about this particular religion. Which nursing action would
be appropriate?
Select all that apply.
A) Request a consult from a diabetes educator.
B) Tell the client that things are different now because of the diabetes.
C) Ask family members of the same religion to discuss fasting with the client.
D) Assess the meaning and context of fasting in the client's religion.
E) Encourage the client to seek medical care if signs of ketoacidosis occur in the future.
8) The client is receiving sodium bicarbonate intravenously (IV) for correction of acidosis secondary to diabetic
coma. The nurse assesses the client to be lethargic, confused, and breathing rapidly. What is the nurse's priority
response to the situation?
A) Stop the infusion and notify the physician because the client is in alkalosis.
B) Decrease the rate of the infusion and continue to assess the client for symptoms of alkalosis.
C) Continue the infusion, because the client is still in acidosis, and notify the physician.
D) Increase the rate of the infusion and continue to assess the client for symptoms of acidosis.
9) The nurse is preparing to analyze a client's arterial blood gas results. List the steps in the order that the nurse
should follow when analyzing this laboratory test.
1. Look at the PaCO2.
2. Look at the pH.
3. Evaluate the relationship between pH and PaCO2.
4. Look for compensation.
5. Evaluate the pH, HCO3, and base excess for a possible metabolic problem.
6. Look at the bicarbonate.
7. Evaluate oxygenation.
Module 2 Cellular Regulation
The Concept of Cellular Regulation
1) The nurse is teaching a class to prospective parents about the roles that ribonucleic acid (RNA) and
deoxyribonucleic acid (DNA) play in the development of the human fetus. The nurse concludes that the parents
understand teaching when what is stated by the parents?
Select all that apply.
A) "RNA will determine what color eyes my baby has."
B) "DNA molecules form the genetic material."
C) "RNA is the messenger that carries DNA to the ribosomes."
D) "DNA is outside the nucleus of the cell."
E) "DNA plays a role in protein synthesis in our bodies.".
2) A nursing instructor is explaining the term hyperplasia to the class. Which statement, made by a nursing
student, indicates an understanding of why hyperplasia occurs with myocardial infarction?
A) "The cells of the muscle experience hyperplasia with the prolonged need for oxygen."
B) "The cells of the heart are metaplastic in response to muscle damage."
C) "The cells of the heart muscle have lost fluid."
D) "The cells of the heart muscle are responding to metabolic needs."
3) A nurse is caring for a client who has been diagnosed with skin cancer. Which nursing interventions will
reduce the growth of cancer cells and support normal cell function?
www.testbanksuccess.com
, Select all that apply.
A) Encouraging mobility and exercise
B) Encouraging increased rest and sleep
C) Assessing normal functioning of organ systems
D) Reducing oxygen supply to retard growth of cancer cells
E) Increasing calorie intake
4) The nurse is preparing to perform a health assessment on a 32-year-old client who has a family history of
cancer. Which questions should the nurse ask the client to assess for the early warning signs of cancer?
Select all that apply.
A) "Do you have a cough that is associated with seasonal allergies?"
B) "Have you noticed a change in your appetite?"
C) "Have you noticed any cuts that have not healed?"
D) "Have you had any changes in bowel or bladder habits?"
E) "Have you experienced any problems swallowing?"
5) The nurse is caring for a client who has been diagnosed with cancer. Which diagnostic tests may be helpful to
assist with treatment options?
Select all that apply.
A) Tumor markers
B) Urinalysis
C) Physical assessment
D) MRI
E) Stool analysis
6) The nurse instructs a group of community members about ways to reduce the development of cancer. Which
participant statements indicate that teaching has been effective?
Select all that apply.
A) "I should eat at least 2 servings of fruits or vegetables each day."
B) "Sunscreen should be applied before spending time outdoors."
C) "I need to cut down on my smoking."
D) "I need to get my home tested for radon."
E) "I need to keep my children away from smokers."
7) The nurse is caring for a client with leukemia. Which treatment should the nurse expect to be prescribed for
this client?
A) Diuretic therapy
B) Chemotherapy
C) Electrolyte replacement therapy
D) IV fluid therapy
8) The nurse is caring for an 18-year-old Asian client with a strong family history of breast cancer. What should
the nurse instruct the client regarding cancer prevention?
Select all that apply.
A) Encourage the client to learn more about the disease.
B) Talk to family members who have the disease.
C) Perform monthly breast self-examination.
D) Teach the side effects of cancer treatment.
E) Discuss cancer fears with the healthcare provider.
9) A client with anemia is prescribed synthetic erythropoietin. What should the nurse expect the therapeutic effect
of this treatment to be?
A) Increase in platelets
B) Increase in red blood cells
C) Decrease in white blood cells
D) Decrease in lymph fluid
www.testbanksuccess.com
Approach to Learning 2nd Edition Volume I,
Pearson
YOU CAN FIND MORE QUESTIONS AND ANSWERS, just go HERE
Module 1 Acid-Base Balance
The Concept of Acid-Base Balance
1) A client is brought to the Emergency Department after passing out in a local department store. The client has
been fasting and has ketones in the urine. Which acid-base imbalance would the nurse expect to assess in this
client?
A) Metabolic acidosis
B) Respiratory alkalosis
C) Metabolic alkalosis
D) Respiratory acidosis
2) Which of the following risk factors exhibited by the client presenting in the Emergency Department would
place the client at risk for metabolic acidosis?
Select all that apply.
A) Abdominal fistulas
B) Chronic obstructive pulmonary disease
C) Pneumonia
D) Acute renal failure
E) Hypovolemic shock
3) A child with acute asthma has a PaCO2 of 48 mmHg, a pH of 7.31, and a normal HCO3 blood gas value. The
nurse interprets this as which of the following?
A) Metabolic acidosis
B) Respiratory alkalosis
C) Respiratory acidosis
D) Metabolic alkalosis
4) The nurse is reviewing the latest arterial blood gas results for a client with metabolic alkalosis. Which result
indicates that the metabolic alkalosis is compensated?
A) pH 7.32
B) PaCO2 18 mmHg
C) HCO3 8 mEq/L
D) PaCO2 48 mmHg
5) A client has been admitted with chronic obstructive pulmonary disease. Diagnostic tests have been ordered.
Which of the tests will provide the most accurate indicator of the client's acid-base balance?
A) Arterial blood gases (ABGs)
B) Pulse oximetry
C) Sputum studies
D) Bronchoscopy
6) The nurse is instructing a client with a history of acidosis on the use of sodium bicarbonate. Which client
statement indicates that additional teaching is needed?
www.testbanksuccess.com
,A) "I should contact the doctor if I have any gastric discomfort with chest pain."
B) "I need to purchase antacids without salt."
C) "I should use the antacid for at least 2 months."
D) "I should call the doctor if I get short of breath or start to sweat with this medication."
7) A client who was diagnosed with diabetes mellitus 1 year ago is hospitalized in diabetic ketoacidosis after a
religious fast. The client tells the nurse, "I have fasted during this season every year since I became an adult. I am
not going to stop now." The nurse is not knowledgeable about this particular religion. Which nursing action would
be appropriate?
Select all that apply.
A) Request a consult from a diabetes educator.
B) Tell the client that things are different now because of the diabetes.
C) Ask family members of the same religion to discuss fasting with the client.
D) Assess the meaning and context of fasting in the client's religion.
E) Encourage the client to seek medical care if signs of ketoacidosis occur in the future.
8) The client is receiving sodium bicarbonate intravenously (IV) for correction of acidosis secondary to diabetic
coma. The nurse assesses the client to be lethargic, confused, and breathing rapidly. What is the nurse's priority
response to the situation?
A) Stop the infusion and notify the physician because the client is in alkalosis.
B) Decrease the rate of the infusion and continue to assess the client for symptoms of alkalosis.
C) Continue the infusion, because the client is still in acidosis, and notify the physician.
D) Increase the rate of the infusion and continue to assess the client for symptoms of acidosis.
9) The nurse is preparing to analyze a client's arterial blood gas results. List the steps in the order that the nurse
should follow when analyzing this laboratory test.
1. Look at the PaCO2.
2. Look at the pH.
3. Evaluate the relationship between pH and PaCO2.
4. Look for compensation.
5. Evaluate the pH, HCO3, and base excess for a possible metabolic problem.
6. Look at the bicarbonate.
7. Evaluate oxygenation.
Module 2 Cellular Regulation
The Concept of Cellular Regulation
1) The nurse is teaching a class to prospective parents about the roles that ribonucleic acid (RNA) and
deoxyribonucleic acid (DNA) play in the development of the human fetus. The nurse concludes that the parents
understand teaching when what is stated by the parents?
Select all that apply.
A) "RNA will determine what color eyes my baby has."
B) "DNA molecules form the genetic material."
C) "RNA is the messenger that carries DNA to the ribosomes."
D) "DNA is outside the nucleus of the cell."
E) "DNA plays a role in protein synthesis in our bodies.".
2) A nursing instructor is explaining the term hyperplasia to the class. Which statement, made by a nursing
student, indicates an understanding of why hyperplasia occurs with myocardial infarction?
A) "The cells of the muscle experience hyperplasia with the prolonged need for oxygen."
B) "The cells of the heart are metaplastic in response to muscle damage."
C) "The cells of the heart muscle have lost fluid."
D) "The cells of the heart muscle are responding to metabolic needs."
3) A nurse is caring for a client who has been diagnosed with skin cancer. Which nursing interventions will
reduce the growth of cancer cells and support normal cell function?
www.testbanksuccess.com
, Select all that apply.
A) Encouraging mobility and exercise
B) Encouraging increased rest and sleep
C) Assessing normal functioning of organ systems
D) Reducing oxygen supply to retard growth of cancer cells
E) Increasing calorie intake
4) The nurse is preparing to perform a health assessment on a 32-year-old client who has a family history of
cancer. Which questions should the nurse ask the client to assess for the early warning signs of cancer?
Select all that apply.
A) "Do you have a cough that is associated with seasonal allergies?"
B) "Have you noticed a change in your appetite?"
C) "Have you noticed any cuts that have not healed?"
D) "Have you had any changes in bowel or bladder habits?"
E) "Have you experienced any problems swallowing?"
5) The nurse is caring for a client who has been diagnosed with cancer. Which diagnostic tests may be helpful to
assist with treatment options?
Select all that apply.
A) Tumor markers
B) Urinalysis
C) Physical assessment
D) MRI
E) Stool analysis
6) The nurse instructs a group of community members about ways to reduce the development of cancer. Which
participant statements indicate that teaching has been effective?
Select all that apply.
A) "I should eat at least 2 servings of fruits or vegetables each day."
B) "Sunscreen should be applied before spending time outdoors."
C) "I need to cut down on my smoking."
D) "I need to get my home tested for radon."
E) "I need to keep my children away from smokers."
7) The nurse is caring for a client with leukemia. Which treatment should the nurse expect to be prescribed for
this client?
A) Diuretic therapy
B) Chemotherapy
C) Electrolyte replacement therapy
D) IV fluid therapy
8) The nurse is caring for an 18-year-old Asian client with a strong family history of breast cancer. What should
the nurse instruct the client regarding cancer prevention?
Select all that apply.
A) Encourage the client to learn more about the disease.
B) Talk to family members who have the disease.
C) Perform monthly breast self-examination.
D) Teach the side effects of cancer treatment.
E) Discuss cancer fears with the healthcare provider.
9) A client with anemia is prescribed synthetic erythropoietin. What should the nurse expect the therapeutic effect
of this treatment to be?
A) Increase in platelets
B) Increase in red blood cells
C) Decrease in white blood cells
D) Decrease in lymph fluid
www.testbanksuccess.com
