NEXT GEN TEST QUESTIONS AND ANSWERS
With a pH: of 7.20, PCO2: 38, and HCO3: 18 what would be the acid-base imbalance?
A: Respiratory Acidosis
B: Metabolic Acidosis
C: Respiratory Alkalosis
D: Metabolic Alkalosis - Answers :B: Metabolic Acidosis
What would your first priority be when caring for this patient?
A: Oxygen
B: Pain Meds
C: Control Diarrhea
D: Hydration - Answers :C: Control Diarrhea
How would you determine the patient has returned to Homeostasis?
A: O2 normal with no assistance
B: pH is 7.40, PCO2: 38, HCO3: 25
C: Respirations 20
D: Patient reports decrease in pain - Answers :B: pH is 7.40, PCO2: 38, HCO3: 25
Which of the following is not a sign or symptom of Diabetic Ketoacidosis?
A. Positive Ketones in the urine
B. Oliguria
C. Polydipsia
D. Abdominal Pain - Answers :B. Oliguria
. A patient is admitted with Diabetic Ketoacidosis. The physician orders intravenous
fluids of 0.9% Normal Saline and 10 units of intravenous regular insulin IV bolus and
then starts an insulin drip per protocol. The patient's labs are pH 7.20, Glucose 469,
potassium 5.5. Which of the following is the most appropriate nursing intervention to
perform next?
A. Start the IV fluids and administer the insulin bolus and drip as ordered
B. Hold the insulin and notify the doctor of the potassium level of 5.5 C. Hold IV fluids
and administer insulin as ordered
D. Recheck the glucose level - Answers :B. Hold the insulin and notify the doctor of the
potassium level of 5.5
What type of insulin do you expect the doctor to order for the treatment of DKA?
A. IV Novolog
B. IV Levemir
C. IV NPH
D. IV Regular Insulin - Answers :D. IV Regular Insulin
, A patient diagnosed with diabetes mellitus is being discharged home and you are
teaching them about preventing DKA. What statement by the patient demonstrates they
understood your teaching about this condition?
A. "I should not be alarmed if ketones are present in my urine because this is expected
during illness."
B. "It is normal for my blood sugar to be 250-350 mg/dL while I'm sick."
C. "I will hold off taking my insulin while I'm sick."
D. "It is important I check my blood glucose every 3-4 hours when I'm sick and consume
liquids." - Answers :D. "It is important I check my blood glucose every 3-4 hours when
I'm sick and consume liquids."
5. When teaching the patient how to recognize DKA, which response shows the patient
understands the education?
A. Slow HR
B. Deep rapid breathing
C.Decreased urine output
D. Protruding eyeballs - Answers :B. Deep rapid breathing
What patient symptoms would lead you to the dx of Metabolic Acidosis? Select all that
apply.
A: Diarrhea
B: Increased respirations
C: Decreased BP
D: Bradycardia
E: Hypokalemia - Answers :A: Diarrhea
B: Increased respirations
C: Decreased BP
What Nursing Concept is related to the primary diagnosis?
A: Elimination
B: Comfort
C: Acid Base
D: Nutrition - Answers :C: Acid Base
Collaboration with which healthcare professionals would benefit this client?
A: Optometrist
B: Gynecologist
C: Respiratory Therapy
D: Hematologist - Answers :C: Respiratory Therapy
A charge nurse in the ED received the laboratory results for several clients which of the
following results should the nurse report to the provider?
A. a client who has bacterial ammonia and a white blood count of 15,800/mm^3
B. A client who has a chronic kidney disease and a calcium level of 8.7 mg/dL
C. A client who has DKA and a blood glucose of 469mg/dL
With a pH: of 7.20, PCO2: 38, and HCO3: 18 what would be the acid-base imbalance?
A: Respiratory Acidosis
B: Metabolic Acidosis
C: Respiratory Alkalosis
D: Metabolic Alkalosis - Answers :B: Metabolic Acidosis
What would your first priority be when caring for this patient?
A: Oxygen
B: Pain Meds
C: Control Diarrhea
D: Hydration - Answers :C: Control Diarrhea
How would you determine the patient has returned to Homeostasis?
A: O2 normal with no assistance
B: pH is 7.40, PCO2: 38, HCO3: 25
C: Respirations 20
D: Patient reports decrease in pain - Answers :B: pH is 7.40, PCO2: 38, HCO3: 25
Which of the following is not a sign or symptom of Diabetic Ketoacidosis?
A. Positive Ketones in the urine
B. Oliguria
C. Polydipsia
D. Abdominal Pain - Answers :B. Oliguria
. A patient is admitted with Diabetic Ketoacidosis. The physician orders intravenous
fluids of 0.9% Normal Saline and 10 units of intravenous regular insulin IV bolus and
then starts an insulin drip per protocol. The patient's labs are pH 7.20, Glucose 469,
potassium 5.5. Which of the following is the most appropriate nursing intervention to
perform next?
A. Start the IV fluids and administer the insulin bolus and drip as ordered
B. Hold the insulin and notify the doctor of the potassium level of 5.5 C. Hold IV fluids
and administer insulin as ordered
D. Recheck the glucose level - Answers :B. Hold the insulin and notify the doctor of the
potassium level of 5.5
What type of insulin do you expect the doctor to order for the treatment of DKA?
A. IV Novolog
B. IV Levemir
C. IV NPH
D. IV Regular Insulin - Answers :D. IV Regular Insulin
, A patient diagnosed with diabetes mellitus is being discharged home and you are
teaching them about preventing DKA. What statement by the patient demonstrates they
understood your teaching about this condition?
A. "I should not be alarmed if ketones are present in my urine because this is expected
during illness."
B. "It is normal for my blood sugar to be 250-350 mg/dL while I'm sick."
C. "I will hold off taking my insulin while I'm sick."
D. "It is important I check my blood glucose every 3-4 hours when I'm sick and consume
liquids." - Answers :D. "It is important I check my blood glucose every 3-4 hours when
I'm sick and consume liquids."
5. When teaching the patient how to recognize DKA, which response shows the patient
understands the education?
A. Slow HR
B. Deep rapid breathing
C.Decreased urine output
D. Protruding eyeballs - Answers :B. Deep rapid breathing
What patient symptoms would lead you to the dx of Metabolic Acidosis? Select all that
apply.
A: Diarrhea
B: Increased respirations
C: Decreased BP
D: Bradycardia
E: Hypokalemia - Answers :A: Diarrhea
B: Increased respirations
C: Decreased BP
What Nursing Concept is related to the primary diagnosis?
A: Elimination
B: Comfort
C: Acid Base
D: Nutrition - Answers :C: Acid Base
Collaboration with which healthcare professionals would benefit this client?
A: Optometrist
B: Gynecologist
C: Respiratory Therapy
D: Hematologist - Answers :C: Respiratory Therapy
A charge nurse in the ED received the laboratory results for several clients which of the
following results should the nurse report to the provider?
A. a client who has bacterial ammonia and a white blood count of 15,800/mm^3
B. A client who has a chronic kidney disease and a calcium level of 8.7 mg/dL
C. A client who has DKA and a blood glucose of 469mg/dL
