Adult Health II Exam 2 Practice
Questions And Answers.
The nurse is reviewing the lab values for a client being cared for on the unit.The client's phosphorus
level is currently 2.0 mg/dL. Based on this data, which nursing intervention is most appropriate for the
nurse to implement?
A)Enforce contact precautions.
B)Encourage consumption of a high-calorie carbohydrate diet.
C)Strain all urine.
D)Encourage consumption of milk and yogurt. - Correct Answer ✔✔ - D) Encourage consumption of
milk and yogurt.
A home health nurse is providing care for a client diagnosed with heart failure. The client is taking
furosemide (Lasix). The nurse reviews the client's most recent serum potassium, which was 3.4 mEq/L.
Based on this data, which food should the nurse encourage the client to consume?
A)Baked fish
B)Iced tea
C)Banana
D)Peas - Correct Answer ✔✔ - C) Banana
Which of the following total serum calcium levels would be considered normal inan adult client?
A)9.88 mg/dL
B)2.21 mg/dL
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,C)4.87 mg/dL
D)7.03 mg/dL - Correct Answer ✔✔ - A) 9.88 mg/dL
The nurse is caring for an older adult client who is receiving intravenous fluids at 150 mL/hr. Upon
assessment, the nurse notes crackles, shortness of breath, and jugular vein distention. Based on this
data, which complication ofIV fluid therapy does the nurse anticipate?
A)Speed shock
B)Fluid volume excess
C)Pulmonary embolism
D)An allergic reaction - Correct Answer ✔✔ - B) Fluid volume excess
An increase in blood hydrostatic pressure would result in which fluid volume disturbance?
A)Fluid volume excess, because the pressure would force fluid out through the lymphatic system and
into the interstitial compartment.
B)Fluid volume deficit because the pressure would force fluid out of the interstitial compartment and
into the lymphatic system.
C)Fluid volume excess because the pressure would force fluid out through the capillary walls and into
the interstitial compartment.
D)Fluid volume deficit because the pressure would force fluid out of the interstitial compartment and
into the capillaries. - Correct Answer ✔✔ - C) Fluid volume excess because the pressure would force
fluid out through the capillary walls and into the interstitial compartment.
Which client statement indicates that additional teaching is required?
A)"I can use as much salt substitute as I want."
B)"I have to read the labels on foods to find out the sodium content."
C)"I have to limit the intake of food with baking soda or baking powder."
D)"I can use spices and lemon juice to add flavor to food when cooking." - Correct Answer ✔✔ - A) "I
can use as much salt substitute as I want."
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,The nurse is caring for a client with a potassium level of 5.9 mEq/L. The healthcare provider prescribes
both glucose and insulin for the client. The client's spouse asks, "Why is insulin needed?" Which
response by the nurse is the most appropriate?
A)"The insulin will cause extra potassium to move into his cells, which will lower the potassium level in
the blood."
B)"Insulin is safer than other medications that can lower potassium levels."
C)"The insulin lowers his blood sugar levels and causes the extra potassium to be excreted."
D)"The insulin will help his kidneys excrete the extra potassium." - Correct Answer ✔✔ - A) "The insulin
will cause extra potassium to move into his cells, which will lower the potassium level in the blood."
The nurse is instructing a client diagnosed with heart failure about a prescribed sodium-restricted diet.
Which of the following terms refers to severe, generalized edema, which may occur as a result of fluid
volume excess?
A)Ascites
B)Anasarca
C)Hypervolemia
D)Orthopnea - Correct Answer ✔✔ - B) Anasarca
The nurse is caring for a client who is receiving intravenous fluids postoperatively following cardiac
surgery. The nurse is aware that this client is at risk for fluid volume excess. The family asks why the
client is at risk for this condition. Which response by the nurse is the most appropriate?
A)"Fluid volume excess commonly occurs due to new-onset liver failure caused by the surgery."
B)"Fluid volume excess is frequently caused by the administration of intravenous fluids."
C)"Fluid volume excess is common due to increased levels of antidiuretic hormone in response to the
stress of surgery."
D)"Fluid volume excess is frequently caused by inactivity." - Correct Answer ✔✔ - C) "Fluid volume
excess is common due to increased levels of antidiuretic hormone in response to the stress of surgery."
The nurse is planning care for a client admitted to the unit with a diagnosis of dehydration. The client's
lab values indicate a low level of serum sodium. Based on the assessment finding, the nurse determines
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, that Risk for ElectrolyteImbalance is an appropriate nursing diagnosis. Which medical condition supports
this nursing diagnosis?
A)Isotonic dehydration
B)Hydrostatic pressure
C)Hypotonic dehydration
D)Osmotic pressure - Correct Answer ✔✔ - C) Hypotonic dehydration
An older adult client is brought to the emergency department. The client has been experiencing fever,
nausea, and vomiting for the past 2 days. The client denies thirst. Urine dipstick indicates a decreased
urine specific gravity. Based on this data, which diagnosis should the nurse most anticipate for this
client?
A)Congestive heart failure
B)Dehydration
C)Fluid overload
D)Normal changes of aging - Correct Answer ✔✔ - B) Dehydration
________ is a process whereby fluid and solutes move together across a membrane from an area of
higher pressure to one of lower pressure.
A)Osmosis
B)Filtration
C)Active transport
D)Diffusion - Correct Answer ✔✔ - B) Filtration
Which of the following lab values is indicative of hypokalemia?
A)Serum potassium of 3.25 mEq/L
B)Serum potassium of 5.45 mEq/L
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Questions And Answers.
The nurse is reviewing the lab values for a client being cared for on the unit.The client's phosphorus
level is currently 2.0 mg/dL. Based on this data, which nursing intervention is most appropriate for the
nurse to implement?
A)Enforce contact precautions.
B)Encourage consumption of a high-calorie carbohydrate diet.
C)Strain all urine.
D)Encourage consumption of milk and yogurt. - Correct Answer ✔✔ - D) Encourage consumption of
milk and yogurt.
A home health nurse is providing care for a client diagnosed with heart failure. The client is taking
furosemide (Lasix). The nurse reviews the client's most recent serum potassium, which was 3.4 mEq/L.
Based on this data, which food should the nurse encourage the client to consume?
A)Baked fish
B)Iced tea
C)Banana
D)Peas - Correct Answer ✔✔ - C) Banana
Which of the following total serum calcium levels would be considered normal inan adult client?
A)9.88 mg/dL
B)2.21 mg/dL
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,C)4.87 mg/dL
D)7.03 mg/dL - Correct Answer ✔✔ - A) 9.88 mg/dL
The nurse is caring for an older adult client who is receiving intravenous fluids at 150 mL/hr. Upon
assessment, the nurse notes crackles, shortness of breath, and jugular vein distention. Based on this
data, which complication ofIV fluid therapy does the nurse anticipate?
A)Speed shock
B)Fluid volume excess
C)Pulmonary embolism
D)An allergic reaction - Correct Answer ✔✔ - B) Fluid volume excess
An increase in blood hydrostatic pressure would result in which fluid volume disturbance?
A)Fluid volume excess, because the pressure would force fluid out through the lymphatic system and
into the interstitial compartment.
B)Fluid volume deficit because the pressure would force fluid out of the interstitial compartment and
into the lymphatic system.
C)Fluid volume excess because the pressure would force fluid out through the capillary walls and into
the interstitial compartment.
D)Fluid volume deficit because the pressure would force fluid out of the interstitial compartment and
into the capillaries. - Correct Answer ✔✔ - C) Fluid volume excess because the pressure would force
fluid out through the capillary walls and into the interstitial compartment.
Which client statement indicates that additional teaching is required?
A)"I can use as much salt substitute as I want."
B)"I have to read the labels on foods to find out the sodium content."
C)"I have to limit the intake of food with baking soda or baking powder."
D)"I can use spices and lemon juice to add flavor to food when cooking." - Correct Answer ✔✔ - A) "I
can use as much salt substitute as I want."
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,The nurse is caring for a client with a potassium level of 5.9 mEq/L. The healthcare provider prescribes
both glucose and insulin for the client. The client's spouse asks, "Why is insulin needed?" Which
response by the nurse is the most appropriate?
A)"The insulin will cause extra potassium to move into his cells, which will lower the potassium level in
the blood."
B)"Insulin is safer than other medications that can lower potassium levels."
C)"The insulin lowers his blood sugar levels and causes the extra potassium to be excreted."
D)"The insulin will help his kidneys excrete the extra potassium." - Correct Answer ✔✔ - A) "The insulin
will cause extra potassium to move into his cells, which will lower the potassium level in the blood."
The nurse is instructing a client diagnosed with heart failure about a prescribed sodium-restricted diet.
Which of the following terms refers to severe, generalized edema, which may occur as a result of fluid
volume excess?
A)Ascites
B)Anasarca
C)Hypervolemia
D)Orthopnea - Correct Answer ✔✔ - B) Anasarca
The nurse is caring for a client who is receiving intravenous fluids postoperatively following cardiac
surgery. The nurse is aware that this client is at risk for fluid volume excess. The family asks why the
client is at risk for this condition. Which response by the nurse is the most appropriate?
A)"Fluid volume excess commonly occurs due to new-onset liver failure caused by the surgery."
B)"Fluid volume excess is frequently caused by the administration of intravenous fluids."
C)"Fluid volume excess is common due to increased levels of antidiuretic hormone in response to the
stress of surgery."
D)"Fluid volume excess is frequently caused by inactivity." - Correct Answer ✔✔ - C) "Fluid volume
excess is common due to increased levels of antidiuretic hormone in response to the stress of surgery."
The nurse is planning care for a client admitted to the unit with a diagnosis of dehydration. The client's
lab values indicate a low level of serum sodium. Based on the assessment finding, the nurse determines
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, that Risk for ElectrolyteImbalance is an appropriate nursing diagnosis. Which medical condition supports
this nursing diagnosis?
A)Isotonic dehydration
B)Hydrostatic pressure
C)Hypotonic dehydration
D)Osmotic pressure - Correct Answer ✔✔ - C) Hypotonic dehydration
An older adult client is brought to the emergency department. The client has been experiencing fever,
nausea, and vomiting for the past 2 days. The client denies thirst. Urine dipstick indicates a decreased
urine specific gravity. Based on this data, which diagnosis should the nurse most anticipate for this
client?
A)Congestive heart failure
B)Dehydration
C)Fluid overload
D)Normal changes of aging - Correct Answer ✔✔ - B) Dehydration
________ is a process whereby fluid and solutes move together across a membrane from an area of
higher pressure to one of lower pressure.
A)Osmosis
B)Filtration
C)Active transport
D)Diffusion - Correct Answer ✔✔ - B) Filtration
Which of the following lab values is indicative of hypokalemia?
A)Serum potassium of 3.25 mEq/L
B)Serum potassium of 5.45 mEq/L
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