PNII Exam 1 Questions with Correct Answers 2025

a client has the following arterial blood gas results pH 7.30, HCO3 17 mEq/L, PaCO2 25 mm Hg. which intervention by the nurse is most important? a. prepare to administer the ordered albuterol nebulizer treatment b. place the client on 2L oxygen via nasal cannula c. assess the client and notify the physician using SBAR d. these are normal finding, document and continue to assess - ANSWER-c. assess theclient and notify the physician using SBAR the nurse is to administer ampicillin 500 mg orally to a client with ruptured appendix the nurse checks the capsule in the client medication box located inside the clients room. the medication dosage is not labeled but the nurse recognizes the color and shape of the capsule. which of the following should the nurse do next? a. administer the medication to maintain blood levels of the drug b. ask another registered nurse (RN) to verify the capsule is ampicillin c. notify the unit manager to report the problem d. contact the pharmacy to bring a properly labeled medication - ANSWER-d. contactthe pharmacy to bring a properly labeled medication a client with a serum sodium level of 113 mEq/L has been receiving 3% sodium chloride IV infusion at 50 mL/hr for 16 hours. the client feels tired and short of breath. which of the following is the priority? a. notify the physician b. obtain order to decrease infusion c. assess for signs of fluid overload d. check the latest sodium level - ANSWER-c. assess for signs of fluid overload a nurse is providing teaching for a client who has experienced an acute episode of gastritis. which of the following instructions should the nurse include in the teaching? a. limit drinking milk b. limit strenuous exercise c. avoid drinking alcohol d. take nonsteroidal anti-inflammatory drugs (NSAIDs) for pain - ANSWER-c. avoiddrinking alcohol which client being managed for dehydration does the nurse consider at greatest risk for possible reduced kidney function? a. a 45-year old man receiving oral and IV fluid therapy b. a 48-year old woman with established urinary continence c. a 62-year old woman with a known allergy to contrast media d. an 80-year old man who has benign prostatic hyperplasia - ANSWER-d. an 80-yearold man who has benign prostatic hyperplasia immediately after having surgery to create an ileostomy, which goal has the highest priority? a. minimizing odor formation b. providing relief from constipation c. maintaining fluid and electrolyte balance d. assisting the client with self-care activities - ANSWER-c. maintaining fluid andelectrolyte balance the nurse is caring for a client with a bleeding duodenal ulcer who was admitted to the hospital after vomiting bright red blood. which condition does the nurse anticipate when the client develops a sudden, sharp pain in the mid-epigastric region and a rigid, board- like abdomen a. pancreatitis b. ulcer perforation c. small bowel obstruction d. development of additional ulcers - ANSWER-b. ulcer perforation a client is receiving 250 mL of 3% sodium chloride solution intravenously for severe hyponatremia. which signs or symptoms indicate to the nurse that this therapy is effective? a. blood pressure has increased from 100/50 mm Hg to 112/70 mm Hg b. the client reports hand swelling c. fall sounds are present in all four abdominal quadrants d. serum potassium levels have decreased 4.4 mEq/L to 4.2 mEq/L - ANSWER-a. bloodpressure has increased from 100/50 mm Hg to 112/70 mm Hg the nurse is evaluating the arterial blood gas ABG results of her clients. which of the following ABG results exhibits partially compensated respiratory alkalosis? a. pH 7.24, PaCO2 33 mmHg, HCO3-26 mEq/L b. pH 7.33, PaCO2 55 mmHg, HCO3- 30 mEq/L c. pH 7.55, PaCO2 30 mmHg, HCO3-19 mEq/L d. pH 7.50, PaCO2 50 mm Hg, HCO3- 38 mEq/L - ANSWER-c. pH 7.55, PaCO2 30 mmHg, HCO3 19 mEq/L