Adult Health I (324 Exam 1) Questions
with Verified Answers
A client is diagnosed with metabolic acidosis, which would the nurse expect the health
care provider to order? - ANSWERSSodium Bicarbonate
Which of these clients are high risk for fluid overload? - ANSWERS- A client who is
Chronic Renal failure
- A client who is in heart failure
- A client with Cushing's disease
Which of these laboratory values for a febrile client with pneumonia indicates a
complication with dehydration? - ANSWERSIncrease urine specific gravity
What assessment findings would be most consistent with a serum sodium level
128mEq/dL from inadequate sodium intake? - ANSWERSHypotension and Decreased
DTRs
What is the priority care for a client who present with an ABG: pH 7.48, PaCO2 33,
HCO3 22? - ANSWERSAssist the client to slow down breathing and assist with
rebreathing device
What statement by an RN indicates understanding of the pathophysiology behind acid-
base balance? - ANSWERS"Respiratory acidosis can occur from the usage of opioids"
Which clinical manifestation would lead the nurse to suspect that a client is experiencing
hypermagnesemia? - ANSWERSHot flushed skin and Diaphoresis (sweating)
Jon has a potassium level of 6.5 mEq/L, which medication would nurse Wilma
anticipate? - ANSWERSKayexalate (K (potassium) exits late)
Which electrolyte would the RN identify as responsible for determining the concentration
of the extracellular fluid? - ANSWERSSodium
Lab tests revealed that patient Z's [Na+] is 170 mEq/L. Which clinical manifestation
would nurse Natty expect to assess? - ANSWERSTented skin turgor and thirst
Tetany is most likely to result from which of the following electrolyte disorders? -
ANSWERSHypocalcemia
What is Tetany? - ANSWERSA condition marked by intermittent muscular spasms,
caused by malfunction of the parathyroid glands and a consequent deficiency of
calcium.
, Which of the following IV solutions would be appropriate for a patient with severe
hyponatremia secondary to SIADH? - ANSWERSHypertonic solution
What disorder impairs water excretion caused by the inability to suppress the secretion
of antidiuretic hormone (ADH) - ANSWERSsyndrome of inappropriate secretion of
antidiuretic hormone (SIADH)
When assessing a patient for signs of fluid overload, the nurse would expect to observe:
- ANSWERSBounding pulse
Normal venous blood pH ranges from: - ANSWERS7.35-7.45
Mr. Wenceslao is scheduled to receive an isotonic solution; which one of the following is
an example of such a solution? - ANSWERS0.9% Saline
You are proving care to a client with metabolic alkalosis. Which ABG results are
consistent with this imbalance? - ANSWERSpH 7.50, PaCO2 29, HCO3 30
A patient with which of the following disorders is at high risk for developing
hyperphosphatemia? - ANSWERSHypocalcemia
A client has the following ABG: pH 7.32, CO2 49, HCO3 29, PO2 80. Based on these
results, the client is experiencing? - ANSWERSRespiratory acidosis
You are caring for a client with metabolic acidosis. You would assess for which sign and
symptoms of this imbalance? - ANSWERSLethargy
- Hyporeflexia
- Tachycardia
- Hyperkalemia
You are caring for a client with respiratory alkalosis. Cosistent with this diagnosis, what
symptoms would you see? - ANSWERS- Hypotension
- Anxiety/Panic
- Lethargy/Confusion
A client arrives to the ER. RR 44, O2 sat 98 on RA, & wheezes. You anticipate what
acid-base imbalance? - ANSWERSRespiratory Alkalosis
A client is over-zealously using her breathing techniques during labor. What acid-base
imbalance to you anticipate? - ANSWERSRespiratory Alkalosis
Your client is experiencing uncontrolled severe vomiting. The most likely acid-base
imbalance would be: - ANSWERSMetabolic alkalosis
with Verified Answers
A client is diagnosed with metabolic acidosis, which would the nurse expect the health
care provider to order? - ANSWERSSodium Bicarbonate
Which of these clients are high risk for fluid overload? - ANSWERS- A client who is
Chronic Renal failure
- A client who is in heart failure
- A client with Cushing's disease
Which of these laboratory values for a febrile client with pneumonia indicates a
complication with dehydration? - ANSWERSIncrease urine specific gravity
What assessment findings would be most consistent with a serum sodium level
128mEq/dL from inadequate sodium intake? - ANSWERSHypotension and Decreased
DTRs
What is the priority care for a client who present with an ABG: pH 7.48, PaCO2 33,
HCO3 22? - ANSWERSAssist the client to slow down breathing and assist with
rebreathing device
What statement by an RN indicates understanding of the pathophysiology behind acid-
base balance? - ANSWERS"Respiratory acidosis can occur from the usage of opioids"
Which clinical manifestation would lead the nurse to suspect that a client is experiencing
hypermagnesemia? - ANSWERSHot flushed skin and Diaphoresis (sweating)
Jon has a potassium level of 6.5 mEq/L, which medication would nurse Wilma
anticipate? - ANSWERSKayexalate (K (potassium) exits late)
Which electrolyte would the RN identify as responsible for determining the concentration
of the extracellular fluid? - ANSWERSSodium
Lab tests revealed that patient Z's [Na+] is 170 mEq/L. Which clinical manifestation
would nurse Natty expect to assess? - ANSWERSTented skin turgor and thirst
Tetany is most likely to result from which of the following electrolyte disorders? -
ANSWERSHypocalcemia
What is Tetany? - ANSWERSA condition marked by intermittent muscular spasms,
caused by malfunction of the parathyroid glands and a consequent deficiency of
calcium.
, Which of the following IV solutions would be appropriate for a patient with severe
hyponatremia secondary to SIADH? - ANSWERSHypertonic solution
What disorder impairs water excretion caused by the inability to suppress the secretion
of antidiuretic hormone (ADH) - ANSWERSsyndrome of inappropriate secretion of
antidiuretic hormone (SIADH)
When assessing a patient for signs of fluid overload, the nurse would expect to observe:
- ANSWERSBounding pulse
Normal venous blood pH ranges from: - ANSWERS7.35-7.45
Mr. Wenceslao is scheduled to receive an isotonic solution; which one of the following is
an example of such a solution? - ANSWERS0.9% Saline
You are proving care to a client with metabolic alkalosis. Which ABG results are
consistent with this imbalance? - ANSWERSpH 7.50, PaCO2 29, HCO3 30
A patient with which of the following disorders is at high risk for developing
hyperphosphatemia? - ANSWERSHypocalcemia
A client has the following ABG: pH 7.32, CO2 49, HCO3 29, PO2 80. Based on these
results, the client is experiencing? - ANSWERSRespiratory acidosis
You are caring for a client with metabolic acidosis. You would assess for which sign and
symptoms of this imbalance? - ANSWERSLethargy
- Hyporeflexia
- Tachycardia
- Hyperkalemia
You are caring for a client with respiratory alkalosis. Cosistent with this diagnosis, what
symptoms would you see? - ANSWERS- Hypotension
- Anxiety/Panic
- Lethargy/Confusion
A client arrives to the ER. RR 44, O2 sat 98 on RA, & wheezes. You anticipate what
acid-base imbalance? - ANSWERSRespiratory Alkalosis
A client is over-zealously using her breathing techniques during labor. What acid-base
imbalance to you anticipate? - ANSWERSRespiratory Alkalosis
Your client is experiencing uncontrolled severe vomiting. The most likely acid-base
imbalance would be: - ANSWERSMetabolic alkalosis
