NURS 320 - Quiz 1 Questions with
Complete Solutions
Which fluid regulation mechanisms can the nurse anticipate when a patient reports
eating a ham sandwich and potato chips for lunch?
a) Release of aldosterone from the adrenal cortex
b) The kidneys will start the RAS system
c) Stimulation of the pituitary to release ADH
d) Thirst mechanisms decreases - ANSWER-c
The patient is experiencing increased ADH secretion. Therefore, the nurse can
anticipate which patient result?
a) Decreased urine output
b) Increased urine output
c) Decreased serum potassium
d) Increased serum potassium - ANSWER-a
Which fluid compartments does the nurse recognize is associated with a patient who
is experiencing meningitis which results in an increase in the amount of cerebral
spinal fluid?
a) Intracellular fluid
b) Interstitial fluid
c) Intravascular fluid
d) Transcellular fluid - ANSWER-d
Which compartment contains the largest volume of fluid?
a) Intracellular
b) Interstitial
c) Intravascular
d) Trancellular - ANSWER-a
Which fluid compartment is it essential for protein to be in sufficient amounts?
a) intracellular
b) intravascular
c) interstitial
d) transcellular - ANSWER-b
When a nurse administers the hypertonic solution such as 3% NaCl to patient, what
actions are essential? Select all that apply.
a) Auscultate lung sounds
b) Monitor blood pressure
c) Monitor urine output
d) Check sodium level
e) Check for tetany - ANSWER-a,b,c,d
Which fluid can the nurse anticipate when the physician orders a hypotonic solution?
,a) 0.45% NS
b) 0.9% NS
c) 3%NaCl
d) D10 1/2 NS - ANSWER-a
Which situation warrants action by the nurse? Select all that apply
a) The patient with fluid volume deficit from hemorrhaging is ordered NSS.
b) The patient with active seizures and a Na+ level of 158 is ordered 3% NaCl.
c) The patient with head trauma is ordered D5W.
d) The patient with Na+ level of 132 is ordered NSS. - ANSWER-b,c
coolness at IV sight - ANSWER-infiltration
red streak along arm - ANSWER-phlebitis
blistering and necrosis of tissue - ANSWER-extravasation
T/F: All the above catheter tips reside in the superior vena cava (SVC) - ANSWER-T
Which catheter is inserted in a vessel in the patient's arm?
a) port a cath
b) PICC line
c) tunneled catheter
d) non tunneled catheter - ANSWER-b
T/F: Clean technique is used when caring for and accessing central lines. -
ANSWER-F
The new RN is administering a blood product under the observation of the charge
nurse. Which actions by the new nurse warrant intervention by the charge nurse?
Select all that apply.
a) Provides IV D5NSS solution primed along with the blood product
b) Stays with the patient during the first 15 minutes of the transfusion
c) Once the blood is connected to the patient the nurse sets the pump to the ordered
infusion rate
d) Takes vital signs at the start and 15 minutes into the infusion - ANSWER-a,c
The patient with type B+ blood is scheduled to receive packed red blood cells. Which
blood types can the nurse transfuse safely to this patient? Select all that apply.
a) Type B-
b) Type A+
c) Type O+
d) Type AB+ - ANSWER-a,c
Which blood type allele is considered the recessive gene?
a) O
b) A
c) B
d) All are dominant - ANSWER-a
, Parents are inquiring about the blood type of their son. Mom is type O and dad is
type AB. Which blood type may the child possess? Select all that apply. Hint: find
answer via a Punnet Square.
Multiple answers:Multiple answers are accepted for this question
Select one or more answers and submit. For keyboard navigation...SHOW MORE
a) Type O
b) Type A
c) Type B
d) Type AB - ANSWER-b,c
Which patient is most likely to have respiratory alkalosis?
a) Hypoxic patient
b) Patient with a body cast
c) Patient with a panic attack
d) A smoker who is obese and with chronic lung disease - ANSWER-c
A nurse is caring for a client diagnosed with respiratory acidosis. Which arterial blood
gas findings should indicate to the nurse that the client's kidneys have compensated
for the imbalance?
a) pH = 7.45; CO2=60; HCO3 = 35
b) pH = 7.35; CO2 = 50, HCO3 = 30
c) pH = 7.50; CO2 = 35, HCO3 = 30
d)pH = 7.44; CO2 = 45, HCO3 = 24 - ANSWER-b
A recent GN is getting ready to take the NCLEX. She is nervous and slightly
diaphoretic. Which ABG result is most likely?
a) pH 7.41, CO2 42, HCO3- 23
b) pH 7.30, CO2 38, HCO3- 20
c) pH 7.48, CO2 31, HCO3- 23
d) pH 7.37, CO2 55, HCO3- 30 - ANSWER-c
Which statements are true regarding Acid Base Compensation? Select all that apply.
a) The pH is normal is a fully compensation ABG
b) When the CO2 levels rise in the blood this produces less acid in the body
c) When the CO2 value is opposite the pH this reflects a respiratory imbalance
d) When all values are abnormal in an ABG this reflects a partially compensated
condition - ANSWER-a,c,d
Which findings can the nurse expect to assess in a patient admitted with DKA?
Select all that apply
a) thirst
b) ketonuria
c) metabolic alkalosis
d) dehydration
e) fruity breath odor - ANSWER-a,b,d,e
Which routine serum blood tests can the nurse anticipate will be ordered for the
patient experiencing Hyperosmolar Hyperglycemia Non ketonic State (HHNS)?
Select all that apply.
a) Na+
Complete Solutions
Which fluid regulation mechanisms can the nurse anticipate when a patient reports
eating a ham sandwich and potato chips for lunch?
a) Release of aldosterone from the adrenal cortex
b) The kidneys will start the RAS system
c) Stimulation of the pituitary to release ADH
d) Thirst mechanisms decreases - ANSWER-c
The patient is experiencing increased ADH secretion. Therefore, the nurse can
anticipate which patient result?
a) Decreased urine output
b) Increased urine output
c) Decreased serum potassium
d) Increased serum potassium - ANSWER-a
Which fluid compartments does the nurse recognize is associated with a patient who
is experiencing meningitis which results in an increase in the amount of cerebral
spinal fluid?
a) Intracellular fluid
b) Interstitial fluid
c) Intravascular fluid
d) Transcellular fluid - ANSWER-d
Which compartment contains the largest volume of fluid?
a) Intracellular
b) Interstitial
c) Intravascular
d) Trancellular - ANSWER-a
Which fluid compartment is it essential for protein to be in sufficient amounts?
a) intracellular
b) intravascular
c) interstitial
d) transcellular - ANSWER-b
When a nurse administers the hypertonic solution such as 3% NaCl to patient, what
actions are essential? Select all that apply.
a) Auscultate lung sounds
b) Monitor blood pressure
c) Monitor urine output
d) Check sodium level
e) Check for tetany - ANSWER-a,b,c,d
Which fluid can the nurse anticipate when the physician orders a hypotonic solution?
,a) 0.45% NS
b) 0.9% NS
c) 3%NaCl
d) D10 1/2 NS - ANSWER-a
Which situation warrants action by the nurse? Select all that apply
a) The patient with fluid volume deficit from hemorrhaging is ordered NSS.
b) The patient with active seizures and a Na+ level of 158 is ordered 3% NaCl.
c) The patient with head trauma is ordered D5W.
d) The patient with Na+ level of 132 is ordered NSS. - ANSWER-b,c
coolness at IV sight - ANSWER-infiltration
red streak along arm - ANSWER-phlebitis
blistering and necrosis of tissue - ANSWER-extravasation
T/F: All the above catheter tips reside in the superior vena cava (SVC) - ANSWER-T
Which catheter is inserted in a vessel in the patient's arm?
a) port a cath
b) PICC line
c) tunneled catheter
d) non tunneled catheter - ANSWER-b
T/F: Clean technique is used when caring for and accessing central lines. -
ANSWER-F
The new RN is administering a blood product under the observation of the charge
nurse. Which actions by the new nurse warrant intervention by the charge nurse?
Select all that apply.
a) Provides IV D5NSS solution primed along with the blood product
b) Stays with the patient during the first 15 minutes of the transfusion
c) Once the blood is connected to the patient the nurse sets the pump to the ordered
infusion rate
d) Takes vital signs at the start and 15 minutes into the infusion - ANSWER-a,c
The patient with type B+ blood is scheduled to receive packed red blood cells. Which
blood types can the nurse transfuse safely to this patient? Select all that apply.
a) Type B-
b) Type A+
c) Type O+
d) Type AB+ - ANSWER-a,c
Which blood type allele is considered the recessive gene?
a) O
b) A
c) B
d) All are dominant - ANSWER-a
, Parents are inquiring about the blood type of their son. Mom is type O and dad is
type AB. Which blood type may the child possess? Select all that apply. Hint: find
answer via a Punnet Square.
Multiple answers:Multiple answers are accepted for this question
Select one or more answers and submit. For keyboard navigation...SHOW MORE
a) Type O
b) Type A
c) Type B
d) Type AB - ANSWER-b,c
Which patient is most likely to have respiratory alkalosis?
a) Hypoxic patient
b) Patient with a body cast
c) Patient with a panic attack
d) A smoker who is obese and with chronic lung disease - ANSWER-c
A nurse is caring for a client diagnosed with respiratory acidosis. Which arterial blood
gas findings should indicate to the nurse that the client's kidneys have compensated
for the imbalance?
a) pH = 7.45; CO2=60; HCO3 = 35
b) pH = 7.35; CO2 = 50, HCO3 = 30
c) pH = 7.50; CO2 = 35, HCO3 = 30
d)pH = 7.44; CO2 = 45, HCO3 = 24 - ANSWER-b
A recent GN is getting ready to take the NCLEX. She is nervous and slightly
diaphoretic. Which ABG result is most likely?
a) pH 7.41, CO2 42, HCO3- 23
b) pH 7.30, CO2 38, HCO3- 20
c) pH 7.48, CO2 31, HCO3- 23
d) pH 7.37, CO2 55, HCO3- 30 - ANSWER-c
Which statements are true regarding Acid Base Compensation? Select all that apply.
a) The pH is normal is a fully compensation ABG
b) When the CO2 levels rise in the blood this produces less acid in the body
c) When the CO2 value is opposite the pH this reflects a respiratory imbalance
d) When all values are abnormal in an ABG this reflects a partially compensated
condition - ANSWER-a,c,d
Which findings can the nurse expect to assess in a patient admitted with DKA?
Select all that apply
a) thirst
b) ketonuria
c) metabolic alkalosis
d) dehydration
e) fruity breath odor - ANSWER-a,b,d,e
Which routine serum blood tests can the nurse anticipate will be ordered for the
patient experiencing Hyperosmolar Hyperglycemia Non ketonic State (HHNS)?
Select all that apply.
a) Na+
