TEST BANK FOR NURSING
#bh #bh #bh
A CONCEPT-BASED
#bh #bh
APPROACH TO LEARNING,
#bh #bh #bh
VOLUMES I, II & III, 3RD
#bh #bh #bh #bh #bh #bh
EDITION, PEARSON
#bh #bh
EDUCATION #bh
SCHOLARVAULT
,The Concept of Acid-Base Balance
1) A client is brought to the emergency department (ED) after passing out in a local department
store. The client has been fasting and has ketones in the urine. Which acid-base imbalance would
the nurse expect to assess in this client?
A) Metabolic acidosis
B) Respiratory alkalosis
C) Metabolic alkalosis
D) Respiratory acidosis
Answer: A
Explanation: A) A client who is fasting is at risk for development of metabolic acidosis. The
body recognizes fasting as starvation and begins to metabolize its own fatty acids into ketones,
which are metabolic acids. Starvation would not result in respiratory acidosis or alkalosis or in
metabolic alkalosis.
B) A client who is fasting is at risk for development of metabolic acidosis. The body recognizes
fasting as starvation and begins to metabolize its own fatty acids into ketones, which are
metabolic acids. Starvation would not result in respiratory acidosis or alkalosis or in metabolic
alkalosis.
C) A client who is fasting is at risk for development of metabolic acidosis. The body recognizes
fasting as starvation and begins to metabolize its own fatty acids into ketones, which are
metabolic acids. Starvation would not result in respiratory acidosis or alkalosis or in metabolic
alkalosis.
D) A client who is fasting is at risk for development of metabolic acidosis. The body recognizes
fasting as starvation and begins to metabolize its own fatty acids into ketones, which are
metabolic acids. Starvation would not result in respiratory acidosis or alkalosis or in metabolic
alkalosis.
Page Ref: 6
SCHOLARVAULT
,Cognitive #bhLevel: # b h Analyzing
Client #bhNeed/Sub: # b h Physiological #bhIntegrity: #bhPhysiological #bhAdaptation
Standards: # b h QSEN #bhCompetencies: #bhIII.A.1. #bhDemonstrate #bhknowledge #bhof #bhbasic #bhscientific
#bhmethods #bhand #bhprocesses. #bh| #bhAACN #bhEssential #bhCompetencies: #bhIX.3. #bhImplement #bhholistic,
#bhpatient-centered #bhcare #bhthat #bhreflects #bhan #bhunderstanding #bhof #bhhuman #bhgrowth #bhand
#bhdevelopment, #bhpathophysiology, #bhpharmacology, #bhmedical #bhmanagement #bhand #bhnursing
#bhmanagement #bhacross #bhthe #bhhealth-illness #bhcontinuum, #bhacross #bhlifespan, #bhand #bhin #bhall
#bhhealthcare #bhsettings. #bh| #bhNLN #bhCompetencies: #bhKnowledge #bhand #bhScience: #bhRelationships
#bhbetween #bhknowledge/science #bhand #bhquality #bhand #bhsafe #bhpatient #bhcare. #bh | #bhNursing #bhProcess:
#bhAssessment
Learning #bhOutcome: # b h 1.2. #bhDifferentiate #bhalterations #bhin #bhacid-base #bhbalance.
MNL #bhLO: # b h Analyze #bhthe #bhconcept #bhof #bhacid-base #bhbalance #bhand #bhits #bhapplication #bhto
#bhnursing #bhcare.
SCHOLARVAULT
, 2) Which #bhrisk #bhfactors #bhexhibited #bhby #bhthe #bhclient #bhpresenting #bhin #bhthe #bhemergency #bhdepartment
#bh(ED) #bhwould #bhplace #bhthe #bhclient #bhat #bhrisk #bhfor #bhmetabolic #bhacidosis? #bhSelect #bhall #bhthat #bhapply.
A) Abdominal #bhfistulas
B) Chronic #bhobstructive #bhpulmonary #bhdisease
C) Pneumonia
D) Acute #bhrenal #bhfailure
E) Hypovolemic
#bhshock #bhAnswer:
# b h A, #bhD, #bhE
Explanation: # b h A) #bhMetabolic #bhacidosis #bhis #bhrarely #bha #bhprimary #bhdisorder. #bhIt #bhusually
#bhdevelops #bhduring #bhthe #bhcourse #bhof #bhanother #bhdisease; #bhpresence #bhof #bhabdominal #bhfistulas,
#bhwhich #bhcan #bhcause #bhexcess #bhbicarbonate #bhloss; #bhacute #bhrenal #bhfailure; #bhand #bhhypovolemic
#bhshock. #bhChronic #bhobstructive #bhpulmonary #bhdisease #bhand #bhpneumonia #bhplace #bhthe #bhclient #bhat
#bhrisk #bhfor #bhrespiratory #bhacidosis #bhwith #bhthe #bhincreased #bhretention #bhof #bhcarbon #bhdioxide #bhin #bhthe
#bhblood.
B) Metabolic #bhacidosis #bhis #bhrarely #bha #bhprimary #bhdisorder. #bhIt #bhusually #bhdevelops #bhduring #bhthe
#bhcourse #bhof #bhanother #bhdisease; #bhpresence #bhof #bhabdominal #bhfistulas, #bhwhich #bhcan #bhcause #bhexcess
#bhbicarbonate #bhloss; #bhacute #bhrenal #bhfailure; #bhand #bhhypovolemic #bhshock. #bhChronic #bhobstructive
#bhpulmonary #bhdisease #bhand #bhpneumonia #bhplace #bhthe #bhclient #bhat #bhrisk #bhfor #bhrespiratory
#bhacidosis #bhwith #bhthe #bhincreased #bhretention #bhof #bhcarbon #bhdioxide #bhin #bhthe #bhblood.
C) Metabolic #bhacidosis #bhis #bhrarely #bha #bhprimary #bhdisorder. #bhIt #bhusually #bhdevelops #bhduring #bhthe
#bhcourse #bhof #bhanother #bhdisease; #bhpresence #bhof #bhabdominal #bhfistulas, #bhwhich #bhcan #bhcause #bhexcess
#bhbicarbonate #bhloss; #bhacute #bhrenal #bhfailure; #bhand #bhhypovolemic #bhshock. #bhChronic #bhobstructive
#bhpulmonary #bhdisease #bhand #bhpneumonia #bhplace #bhthe #bhclient #bhat #bhrisk #bhfor #bhrespiratory
#bhacidosis #bhwith #bhthe #bhincreased #bhretention #bhof #bhcarbon #bhdioxide #bhin #bhthe #bhblood.
D) Metabolic #bhacidosis #bhis #bhrarely #bha #bhprimary #bhdisorder. #bhIt #bhusually #bhdevelops #bhduring #bhthe
#bhcourse #bhof #bhanother #bhdisease; #bhpresence #bhof #bhabdominal #bhfistulas, #bhwhich #bhcan #bhcause #bhexcess
#bhbicarbonate #bhloss; #bhacute #bhrenal #bhfailure; #bhand #bhhypovolemic #bhshock. #bhChronic #bhobstructive
#bhpulmonary #bhdisease #bhand #bhpneumonia #bhplace #bhthe #bhclient #bhat #bhrisk #bhfor #bhrespiratory
#bhacidosis #bhwith #bhthe #bhincreased #bhretention #bhof #bhcarbon #bhdioxide #bhin #bhthe #bhblood.
E) Metabolic #bhacidosis #bhis #bhrarely #bha #bhprimary #bhdisorder. #bhIt #bhusually #bhdevelops #bhduring #bhthe
#bhcourse #bhof #bhanother #bhdisease; #bhpresence #bhof #bhabdominal #bhfistulas, #bhwhich #bhcan #bhcause #bhexcess
#bhbicarbonate #bhloss; #bhacute #bhrenal #bhfailure; #bhand #bhhypovolemic #bhshock. #bhChronic #bhobstructive
#bhpulmonary #bhdisease #bhand #bhpneumonia #bhplace #bhthe #bhclient #bhat #bhrisk #bhfor #bhrespiratory
#bhacidosis #bhwith #bhthe #bhincreased #bhretention #bhof #bhcarbon #bhdioxide #bhin #bhthe #bhblood.
Page #bhRef: #bh6, #bh14
Cognitive #bhLevel: # b h Applying
Client #bhNeed/Sub: # b h Physiological #bhIntegrity: #bhPhysiological #bhAdaptation
Standards: # b h QSEN #bhCompetencies: #bhIII.A.1. #bhDemonstrate #bhknowledge #bhof #bhbasic #bhscientific
#bhmethods #bhand #bhprocesses. #bh| #bhAACN #bhEssential #bhCompetencies: #bhIX.3. #bhImplement #bhholistic,
#bhpatient-centered #bhcare #bhthat #bhreflects #bhan #bhunderstanding #bhof #bhhuman #bhgrowth #bhand
#bhdevelopment, #bhpathophysiology, #bhpharmacology, #bhmedical #bhmanagement #bhand #bhnursing
#bhmanagement #bhacross #bhthe #bhhealth-illness #bhcontinuum, #bhacross #bhlifespan, #bhand #bhin #bhall
#bhhealthcare #bhsettings. #bh| #bhNLN #bhCompetencies: #bhKnowledge #bhand #bhScience: #bhRelationships
#bhbetween #bhknowledge/science #bhand #bhquality #bhand #bhsafe #bhpatient #bhcare. #bh | #bhNursing #bhProcess:
#bhAssessment
Learning #bhOutcome: # b h 1.2. #bhDifferentiate #bhalterations #bhin #bhacid-base #bhbalance.
MNL #bhLO: # b h Analyze #bhthe #bhconcept #bhof #bhacid-base #bhbalance #bhand #bhits #bhapplication #bhto
#bhnursing #bhcare.
SCHOLARVAULT
#bh #bh #bh
A CONCEPT-BASED
#bh #bh
APPROACH TO LEARNING,
#bh #bh #bh
VOLUMES I, II & III, 3RD
#bh #bh #bh #bh #bh #bh
EDITION, PEARSON
#bh #bh
EDUCATION #bh
SCHOLARVAULT
,The Concept of Acid-Base Balance
1) A client is brought to the emergency department (ED) after passing out in a local department
store. The client has been fasting and has ketones in the urine. Which acid-base imbalance would
the nurse expect to assess in this client?
A) Metabolic acidosis
B) Respiratory alkalosis
C) Metabolic alkalosis
D) Respiratory acidosis
Answer: A
Explanation: A) A client who is fasting is at risk for development of metabolic acidosis. The
body recognizes fasting as starvation and begins to metabolize its own fatty acids into ketones,
which are metabolic acids. Starvation would not result in respiratory acidosis or alkalosis or in
metabolic alkalosis.
B) A client who is fasting is at risk for development of metabolic acidosis. The body recognizes
fasting as starvation and begins to metabolize its own fatty acids into ketones, which are
metabolic acids. Starvation would not result in respiratory acidosis or alkalosis or in metabolic
alkalosis.
C) A client who is fasting is at risk for development of metabolic acidosis. The body recognizes
fasting as starvation and begins to metabolize its own fatty acids into ketones, which are
metabolic acids. Starvation would not result in respiratory acidosis or alkalosis or in metabolic
alkalosis.
D) A client who is fasting is at risk for development of metabolic acidosis. The body recognizes
fasting as starvation and begins to metabolize its own fatty acids into ketones, which are
metabolic acids. Starvation would not result in respiratory acidosis or alkalosis or in metabolic
alkalosis.
Page Ref: 6
SCHOLARVAULT
,Cognitive #bhLevel: # b h Analyzing
Client #bhNeed/Sub: # b h Physiological #bhIntegrity: #bhPhysiological #bhAdaptation
Standards: # b h QSEN #bhCompetencies: #bhIII.A.1. #bhDemonstrate #bhknowledge #bhof #bhbasic #bhscientific
#bhmethods #bhand #bhprocesses. #bh| #bhAACN #bhEssential #bhCompetencies: #bhIX.3. #bhImplement #bhholistic,
#bhpatient-centered #bhcare #bhthat #bhreflects #bhan #bhunderstanding #bhof #bhhuman #bhgrowth #bhand
#bhdevelopment, #bhpathophysiology, #bhpharmacology, #bhmedical #bhmanagement #bhand #bhnursing
#bhmanagement #bhacross #bhthe #bhhealth-illness #bhcontinuum, #bhacross #bhlifespan, #bhand #bhin #bhall
#bhhealthcare #bhsettings. #bh| #bhNLN #bhCompetencies: #bhKnowledge #bhand #bhScience: #bhRelationships
#bhbetween #bhknowledge/science #bhand #bhquality #bhand #bhsafe #bhpatient #bhcare. #bh | #bhNursing #bhProcess:
#bhAssessment
Learning #bhOutcome: # b h 1.2. #bhDifferentiate #bhalterations #bhin #bhacid-base #bhbalance.
MNL #bhLO: # b h Analyze #bhthe #bhconcept #bhof #bhacid-base #bhbalance #bhand #bhits #bhapplication #bhto
#bhnursing #bhcare.
SCHOLARVAULT
, 2) Which #bhrisk #bhfactors #bhexhibited #bhby #bhthe #bhclient #bhpresenting #bhin #bhthe #bhemergency #bhdepartment
#bh(ED) #bhwould #bhplace #bhthe #bhclient #bhat #bhrisk #bhfor #bhmetabolic #bhacidosis? #bhSelect #bhall #bhthat #bhapply.
A) Abdominal #bhfistulas
B) Chronic #bhobstructive #bhpulmonary #bhdisease
C) Pneumonia
D) Acute #bhrenal #bhfailure
E) Hypovolemic
#bhshock #bhAnswer:
# b h A, #bhD, #bhE
Explanation: # b h A) #bhMetabolic #bhacidosis #bhis #bhrarely #bha #bhprimary #bhdisorder. #bhIt #bhusually
#bhdevelops #bhduring #bhthe #bhcourse #bhof #bhanother #bhdisease; #bhpresence #bhof #bhabdominal #bhfistulas,
#bhwhich #bhcan #bhcause #bhexcess #bhbicarbonate #bhloss; #bhacute #bhrenal #bhfailure; #bhand #bhhypovolemic
#bhshock. #bhChronic #bhobstructive #bhpulmonary #bhdisease #bhand #bhpneumonia #bhplace #bhthe #bhclient #bhat
#bhrisk #bhfor #bhrespiratory #bhacidosis #bhwith #bhthe #bhincreased #bhretention #bhof #bhcarbon #bhdioxide #bhin #bhthe
#bhblood.
B) Metabolic #bhacidosis #bhis #bhrarely #bha #bhprimary #bhdisorder. #bhIt #bhusually #bhdevelops #bhduring #bhthe
#bhcourse #bhof #bhanother #bhdisease; #bhpresence #bhof #bhabdominal #bhfistulas, #bhwhich #bhcan #bhcause #bhexcess
#bhbicarbonate #bhloss; #bhacute #bhrenal #bhfailure; #bhand #bhhypovolemic #bhshock. #bhChronic #bhobstructive
#bhpulmonary #bhdisease #bhand #bhpneumonia #bhplace #bhthe #bhclient #bhat #bhrisk #bhfor #bhrespiratory
#bhacidosis #bhwith #bhthe #bhincreased #bhretention #bhof #bhcarbon #bhdioxide #bhin #bhthe #bhblood.
C) Metabolic #bhacidosis #bhis #bhrarely #bha #bhprimary #bhdisorder. #bhIt #bhusually #bhdevelops #bhduring #bhthe
#bhcourse #bhof #bhanother #bhdisease; #bhpresence #bhof #bhabdominal #bhfistulas, #bhwhich #bhcan #bhcause #bhexcess
#bhbicarbonate #bhloss; #bhacute #bhrenal #bhfailure; #bhand #bhhypovolemic #bhshock. #bhChronic #bhobstructive
#bhpulmonary #bhdisease #bhand #bhpneumonia #bhplace #bhthe #bhclient #bhat #bhrisk #bhfor #bhrespiratory
#bhacidosis #bhwith #bhthe #bhincreased #bhretention #bhof #bhcarbon #bhdioxide #bhin #bhthe #bhblood.
D) Metabolic #bhacidosis #bhis #bhrarely #bha #bhprimary #bhdisorder. #bhIt #bhusually #bhdevelops #bhduring #bhthe
#bhcourse #bhof #bhanother #bhdisease; #bhpresence #bhof #bhabdominal #bhfistulas, #bhwhich #bhcan #bhcause #bhexcess
#bhbicarbonate #bhloss; #bhacute #bhrenal #bhfailure; #bhand #bhhypovolemic #bhshock. #bhChronic #bhobstructive
#bhpulmonary #bhdisease #bhand #bhpneumonia #bhplace #bhthe #bhclient #bhat #bhrisk #bhfor #bhrespiratory
#bhacidosis #bhwith #bhthe #bhincreased #bhretention #bhof #bhcarbon #bhdioxide #bhin #bhthe #bhblood.
E) Metabolic #bhacidosis #bhis #bhrarely #bha #bhprimary #bhdisorder. #bhIt #bhusually #bhdevelops #bhduring #bhthe
#bhcourse #bhof #bhanother #bhdisease; #bhpresence #bhof #bhabdominal #bhfistulas, #bhwhich #bhcan #bhcause #bhexcess
#bhbicarbonate #bhloss; #bhacute #bhrenal #bhfailure; #bhand #bhhypovolemic #bhshock. #bhChronic #bhobstructive
#bhpulmonary #bhdisease #bhand #bhpneumonia #bhplace #bhthe #bhclient #bhat #bhrisk #bhfor #bhrespiratory
#bhacidosis #bhwith #bhthe #bhincreased #bhretention #bhof #bhcarbon #bhdioxide #bhin #bhthe #bhblood.
Page #bhRef: #bh6, #bh14
Cognitive #bhLevel: # b h Applying
Client #bhNeed/Sub: # b h Physiological #bhIntegrity: #bhPhysiological #bhAdaptation
Standards: # b h QSEN #bhCompetencies: #bhIII.A.1. #bhDemonstrate #bhknowledge #bhof #bhbasic #bhscientific
#bhmethods #bhand #bhprocesses. #bh| #bhAACN #bhEssential #bhCompetencies: #bhIX.3. #bhImplement #bhholistic,
#bhpatient-centered #bhcare #bhthat #bhreflects #bhan #bhunderstanding #bhof #bhhuman #bhgrowth #bhand
#bhdevelopment, #bhpathophysiology, #bhpharmacology, #bhmedical #bhmanagement #bhand #bhnursing
#bhmanagement #bhacross #bhthe #bhhealth-illness #bhcontinuum, #bhacross #bhlifespan, #bhand #bhin #bhall
#bhhealthcare #bhsettings. #bh| #bhNLN #bhCompetencies: #bhKnowledge #bhand #bhScience: #bhRelationships
#bhbetween #bhknowledge/science #bhand #bhquality #bhand #bhsafe #bhpatient #bhcare. #bh | #bhNursing #bhProcess:
#bhAssessment
Learning #bhOutcome: # b h 1.2. #bhDifferentiate #bhalterations #bhin #bhacid-base #bhbalance.
MNL #bhLO: # b h Analyze #bhthe #bhconcept #bhof #bhacid-base #bhbalance #bhand #bhits #bhapplication #bhto
#bhnursing #bhcare.
SCHOLARVAULT
