Module 1 and 2 - FSCJ NUR1460C-2025 Questions With
Complete Solutions
A 25-year-old female patient demands that her mother or father
be present during all blood testing. Which defense mechanism
could the nurse document as being used by this patient?
a. Sublimation
b. Repression
c. Projection
d. Regression Correct Answers d. Regression
A 65-year-old female patient is a two-pack-a-day cigarette
smoker with a history of chronic obstructive pulmonary disease
(COPD). What is the interpretation of her arterial blood gas
values (pH 7.34, PCO2 55, PO2 82, HCO3− 32)?
a. Partially compensated respiratory alkalosis
b. Uncompensated metabolic acidosis
c. Uncompensated respiratory alkalosis
d. Partially compensated respiratory acidosis Correct Answers
d. Partially compensated respiratory acidosis
A client brought to the emergency department states that he has
accidentally been taking 2 times his prescribed dose of warfarin
for the past week. After noting that the client has no evidence of
obvious bleeding, the nurse plans to take which action?
a. Prepare to administer an antidote.
b. Draw a sample for type and crossmatch and transfuse the
client.
c. Draw a sample for an activated partial thromboplastin time
(aPTT) level.
,d. Draw a sample for prothrombin time (PT) and international
normalized ratio (INR). Correct Answers d. Draw a sample for
prothrombin time (PT) and international normalized ratio (INR).
A client has been admitted to the hospital for gastroenteritis and
dehydration. The nurse determines that the client has received
adequate volume replacement if the blood urea nitrogen (BUN)
level drops to which value?
a. 3 mg/dL (1.08 mmol/L)
b. 15 mg/dL (5.4 mmol/L)
c. 29 mg/dL (10.44 mmol/L)
d. 35 mg/dL (12.6 mmol/L) Correct Answers b. 15 mg/dL (5.4
mmol/L)
A client is receiving a continuous intravenous infusion of
heparin sodium to treat deep vein thrombosis. The client's
activated partial thromboplastin time (aPTT) is 65 seconds. The
nurse anticipates that which action is needed?
a. Discontinuing the heparin infusion
b. Increasing the rate of the heparin infusion
c. Decreasing the rate of the heparin infusion
d. Leaving the rate of the heparin infusion as is Correct
Answers d. Leaving the rate of the heparin infusion as is
A client is receiving an intravenous infusion of 100 mEq (mmol)
of potassium chloride in 1000 mL of normal saline. How many
mEq (mmol) of potassium per hour does the nurse calculate the
client will receive if the IV is infused at a rate of 150 mL/hour?
A. 12 mEq (mmol)
B. 15 mEq (mmol)
C. 18 mEq (mmol)
,D. 20 mEq (mmol) Correct Answers B. 15 mEq (mmol)
A client receiving gentamycin intravenously reports that the
peripheral IV insertion site has become painful and reddened.
What is the priority nursing action?
A. Contact the primary health care provider
B. Document findings in the electronic health record
C. Change the IV site to a new location
D. Stop the infusion of the drug Correct Answers D. Stop the
infusion of the drug
A client recently diagnosed as being obese is experiencing stress
related to the need to lose weight. How can the nurse best help
the client focus on the eustress nature of this stressor?
a. Discuss weight loss strategies with the client
b. Encourage the client to discuss his or her feelings about being
obese
c. Provide the client with a list of realistic, time focused weight
loss goals
d. Re-enforce for the client that obesity is a health problem that
is manageable Correct Answers a. Discuss weight loss
strategies with the client
A client with a history of heart failure is due for a morning dose
of furosemide. Which serum potassium level, if noted in the
client's laboratory report, should be reported before
administering the dose of furosemide?
a. 3.2 mEq/L (3.2 mmol/L)
b. 3.8 mEq/L (3.8 mmol/L)
c. 2 mEq/L (4.2 mmol/L)
, d. 8 mEq/L (4.8 mmol/L) Correct Answers a. 3.2 mEq/L (3.2
mmol/L)
A client with a history of upper gastrointestinal bleeding has a
platelet count of 300,000 mm3 (300 × 109/L). The nurse should
take which action after seeing the laboratory results?
a. Report the abnormally low count.
b. Report the abnormally high count.
c. Place the client on bleeding precautions.
d. Place the normal report in the client's medical record. Correct
Answers d. Place the normal report in the client's medical
record.
A client with atrial fibrillation who is receiving maintenance
therapy of warfarin sodium has a prothrombin time (PT) of 35
seconds. On the basis of these laboratory values, the nurse
anticipates which prescription?
a. Adding a dose of heparin sodium
b. Holding the next dose of warfarin
c. Increasing the next dose of warfarin
d. Administering the next dose of warfarin Correct Answers b.
Holding the next dose of warfarin
A client with diabetes mellitus has a glycosylated hemoglobin
A1c level of 8%. On the basis of this test result, the nurse plans
to teach the client about the need for which measure?
a. Avoiding infection
b. Taking in adequate fluids
c. Preventing and recognizing hypoglycemia
d. Preventing and recognizing hyperglycemia Correct Answers
d. Preventing and recognizing hyperglycemia
Complete Solutions
A 25-year-old female patient demands that her mother or father
be present during all blood testing. Which defense mechanism
could the nurse document as being used by this patient?
a. Sublimation
b. Repression
c. Projection
d. Regression Correct Answers d. Regression
A 65-year-old female patient is a two-pack-a-day cigarette
smoker with a history of chronic obstructive pulmonary disease
(COPD). What is the interpretation of her arterial blood gas
values (pH 7.34, PCO2 55, PO2 82, HCO3− 32)?
a. Partially compensated respiratory alkalosis
b. Uncompensated metabolic acidosis
c. Uncompensated respiratory alkalosis
d. Partially compensated respiratory acidosis Correct Answers
d. Partially compensated respiratory acidosis
A client brought to the emergency department states that he has
accidentally been taking 2 times his prescribed dose of warfarin
for the past week. After noting that the client has no evidence of
obvious bleeding, the nurse plans to take which action?
a. Prepare to administer an antidote.
b. Draw a sample for type and crossmatch and transfuse the
client.
c. Draw a sample for an activated partial thromboplastin time
(aPTT) level.
,d. Draw a sample for prothrombin time (PT) and international
normalized ratio (INR). Correct Answers d. Draw a sample for
prothrombin time (PT) and international normalized ratio (INR).
A client has been admitted to the hospital for gastroenteritis and
dehydration. The nurse determines that the client has received
adequate volume replacement if the blood urea nitrogen (BUN)
level drops to which value?
a. 3 mg/dL (1.08 mmol/L)
b. 15 mg/dL (5.4 mmol/L)
c. 29 mg/dL (10.44 mmol/L)
d. 35 mg/dL (12.6 mmol/L) Correct Answers b. 15 mg/dL (5.4
mmol/L)
A client is receiving a continuous intravenous infusion of
heparin sodium to treat deep vein thrombosis. The client's
activated partial thromboplastin time (aPTT) is 65 seconds. The
nurse anticipates that which action is needed?
a. Discontinuing the heparin infusion
b. Increasing the rate of the heparin infusion
c. Decreasing the rate of the heparin infusion
d. Leaving the rate of the heparin infusion as is Correct
Answers d. Leaving the rate of the heparin infusion as is
A client is receiving an intravenous infusion of 100 mEq (mmol)
of potassium chloride in 1000 mL of normal saline. How many
mEq (mmol) of potassium per hour does the nurse calculate the
client will receive if the IV is infused at a rate of 150 mL/hour?
A. 12 mEq (mmol)
B. 15 mEq (mmol)
C. 18 mEq (mmol)
,D. 20 mEq (mmol) Correct Answers B. 15 mEq (mmol)
A client receiving gentamycin intravenously reports that the
peripheral IV insertion site has become painful and reddened.
What is the priority nursing action?
A. Contact the primary health care provider
B. Document findings in the electronic health record
C. Change the IV site to a new location
D. Stop the infusion of the drug Correct Answers D. Stop the
infusion of the drug
A client recently diagnosed as being obese is experiencing stress
related to the need to lose weight. How can the nurse best help
the client focus on the eustress nature of this stressor?
a. Discuss weight loss strategies with the client
b. Encourage the client to discuss his or her feelings about being
obese
c. Provide the client with a list of realistic, time focused weight
loss goals
d. Re-enforce for the client that obesity is a health problem that
is manageable Correct Answers a. Discuss weight loss
strategies with the client
A client with a history of heart failure is due for a morning dose
of furosemide. Which serum potassium level, if noted in the
client's laboratory report, should be reported before
administering the dose of furosemide?
a. 3.2 mEq/L (3.2 mmol/L)
b. 3.8 mEq/L (3.8 mmol/L)
c. 2 mEq/L (4.2 mmol/L)
, d. 8 mEq/L (4.8 mmol/L) Correct Answers a. 3.2 mEq/L (3.2
mmol/L)
A client with a history of upper gastrointestinal bleeding has a
platelet count of 300,000 mm3 (300 × 109/L). The nurse should
take which action after seeing the laboratory results?
a. Report the abnormally low count.
b. Report the abnormally high count.
c. Place the client on bleeding precautions.
d. Place the normal report in the client's medical record. Correct
Answers d. Place the normal report in the client's medical
record.
A client with atrial fibrillation who is receiving maintenance
therapy of warfarin sodium has a prothrombin time (PT) of 35
seconds. On the basis of these laboratory values, the nurse
anticipates which prescription?
a. Adding a dose of heparin sodium
b. Holding the next dose of warfarin
c. Increasing the next dose of warfarin
d. Administering the next dose of warfarin Correct Answers b.
Holding the next dose of warfarin
A client with diabetes mellitus has a glycosylated hemoglobin
A1c level of 8%. On the basis of this test result, the nurse plans
to teach the client about the need for which measure?
a. Avoiding infection
b. Taking in adequate fluids
c. Preventing and recognizing hypoglycemia
d. Preventing and recognizing hyperglycemia Correct Answers
d. Preventing and recognizing hyperglycemia
