NUR2392:MULTIDIMENSIONAL
CARE II/MDC 2 EXAM 2 WITH
QUESTIONS AND CORRECT
ACTUAL VERIFIED 100% ANSWERS
NEWLY UPDATED /RASMUSSEN/
2024-2025.
A client comes into the ED with respiratory acidosis. What type of medication
would the nurse likely administer?
(ANS - bronchodilators
A client comes into the ED with a high fever and is hyperventilating. His ABG
results are pH 7.51, PaCO2 28 mm Hg, and HCO3 24 mEq/L. The nurse should
identify that the client has which acid-base imbalance?
(ANS - Respiratory Alkalosis. Because the client is breathing rapidly, he is
exhaling excessive amounts of carbon dioxide. This loss of carbon dioxide
decreases the hydrogen ion level of the blood, causing the pH to increase and
resulting in respiratory alkalosis.
A nurse is caring for a client who has metabolic alkalosis. As the client
compensates for this ac id-base imbalance, which of the following mechanisms
should the nurse expect the client's body to use? (ANS - Hypoventilation.
Hypoventilation is the mechanism that helps clients compensate for metabolic
alkalosis.
,A nurse is inserting an NG tube for a client who is beginning enteral feedings.
What action should the nurse take to verify tube placement before administering
initial feeding?(ANS - Verify tube placement with radiography
Which patient statement alerts the nurse to perform a thorough GI history and
focused assessment?
A."I don't like the taste of spicy foods."
B."I got dentures four years ago."
C."I experience occasional constipation."
D."I take ibuprofen three times daily for arthritis."
(ANS - D. large amounts of aspirin or NSAIDs can cause peptic ulcer disease and
GI bleeding.
After abdominal surgery, which question should the nurse ask the patient to
determine whether peristaltic movement is returning?
A."Have you passed flatus?"
B."Are you hungry"
C."Do you have any nausea?"
D."Is your pain level manageable?"
(ANS - A). Passing gas is evidence of peristaltic movement
, A patient is brought into the ED with respiratory depression. The patient has a
history of COPD. What acid-base imbalance is most likely?
(ANS - Respiratory Acidosis. The patient likely has a build-up of CO2, causing
respiratory acidosis.
The nurse is evaluating the lab work of a patient who has uncontrolled metabolic
acidosis. Which lab result would result from this condition?
A) pH 7.4
B) PaO2 98 mm Hg
C) bicarbonate 38 mEq/ L
D) serum potassium 5.7 mEq/L
(ANS –
D) serum 7 mEq/L. Serum potassium increases during acidosis to try to buffer the
acidic conditions potassium 5..
The nurse is reviewing the standing orders for a patient who was admitted for
evaluation of chest pain. The patient has a history of chronic obstructive
pulmonary disease (COPD) and his laboratory results and assessment reveal that
he has mild respiratory acidosis. The nurse would question which order?
A.Encourage oral fluids
B.Keep head of bed elevated
CARE II/MDC 2 EXAM 2 WITH
QUESTIONS AND CORRECT
ACTUAL VERIFIED 100% ANSWERS
NEWLY UPDATED /RASMUSSEN/
2024-2025.
A client comes into the ED with respiratory acidosis. What type of medication
would the nurse likely administer?
(ANS - bronchodilators
A client comes into the ED with a high fever and is hyperventilating. His ABG
results are pH 7.51, PaCO2 28 mm Hg, and HCO3 24 mEq/L. The nurse should
identify that the client has which acid-base imbalance?
(ANS - Respiratory Alkalosis. Because the client is breathing rapidly, he is
exhaling excessive amounts of carbon dioxide. This loss of carbon dioxide
decreases the hydrogen ion level of the blood, causing the pH to increase and
resulting in respiratory alkalosis.
A nurse is caring for a client who has metabolic alkalosis. As the client
compensates for this ac id-base imbalance, which of the following mechanisms
should the nurse expect the client's body to use? (ANS - Hypoventilation.
Hypoventilation is the mechanism that helps clients compensate for metabolic
alkalosis.
,A nurse is inserting an NG tube for a client who is beginning enteral feedings.
What action should the nurse take to verify tube placement before administering
initial feeding?(ANS - Verify tube placement with radiography
Which patient statement alerts the nurse to perform a thorough GI history and
focused assessment?
A."I don't like the taste of spicy foods."
B."I got dentures four years ago."
C."I experience occasional constipation."
D."I take ibuprofen three times daily for arthritis."
(ANS - D. large amounts of aspirin or NSAIDs can cause peptic ulcer disease and
GI bleeding.
After abdominal surgery, which question should the nurse ask the patient to
determine whether peristaltic movement is returning?
A."Have you passed flatus?"
B."Are you hungry"
C."Do you have any nausea?"
D."Is your pain level manageable?"
(ANS - A). Passing gas is evidence of peristaltic movement
, A patient is brought into the ED with respiratory depression. The patient has a
history of COPD. What acid-base imbalance is most likely?
(ANS - Respiratory Acidosis. The patient likely has a build-up of CO2, causing
respiratory acidosis.
The nurse is evaluating the lab work of a patient who has uncontrolled metabolic
acidosis. Which lab result would result from this condition?
A) pH 7.4
B) PaO2 98 mm Hg
C) bicarbonate 38 mEq/ L
D) serum potassium 5.7 mEq/L
(ANS –
D) serum 7 mEq/L. Serum potassium increases during acidosis to try to buffer the
acidic conditions potassium 5..
The nurse is reviewing the standing orders for a patient who was admitted for
evaluation of chest pain. The patient has a history of chronic obstructive
pulmonary disease (COPD) and his laboratory results and assessment reveal that
he has mild respiratory acidosis. The nurse would question which order?
A.Encourage oral fluids
B.Keep head of bed elevated
