ALLQUESTIONSANDSOLUTIONS
TESTBANK:NURSINGA
CONCEPT-BASED
v
APPROACHTO
v
LEARNING,VOLUMESI,
II&III,3RD
v
EDITION,PEARSON
v
EDUCATION
v
ALLCHAPTERSQUESTIONSANDANSWERSFOR
REVISION
v
WISHINGYOUSUCCESSA+
,Nursing:AConcept-BasedApproachtoLearningVol.12&3,3e(Pearson) Module 1
v v v v v v v v v v v v v v
v Acid-Base Balance v
TheConceptofAcid-BaseBalance
v v v v
1) A client is brought to the emergency department (ED) after passing out in a local department store.
v v v v v v v v v v v v v v v v
The client has been fasting and has ketones in the urine. Which acid-base imbalance would the nurse
v v v v v v v v v v v v v v v v v
expect to assess in this client?
v v v v v v
A) Metabolicacidosis v
B) Respiratory alkalosis v
C) Metabolic alkalosis v
D) Respiratoryacidosis
Answer: A
v
Explanation: A) A client who is fasting is at risk for development of metabolic acidosis. The v v v v v v v v v v v v v v v
bodyrecognizesfastingas starvation and beginsto metabolizeits ownfattyacids into ketones, whichare
v v v v v v v v v v v v v v v v
metabolicacids. Starvationwouldnotresult inrespiratoryacidosisoralkalosisorin metabolic alkalosis.
v v v v v v v v v v v v v v v
B) Aclient whoisfastingisat risk fordevelopment ofmetabolicacidosis. Thebodyrecognizes fasting
v v v v v v v v v v v v v v v v
as starvation and begins to metabolize its own fatty acids into ketones, which are metabolicacids.
v v v v v v v v v v v v v v v v
Starvation would not result in respiratory acidosis oralkalosis orin metabolic alkalosis.
v v v v v v v v v v v v v
C) Aclient whoisfastingisat risk fordevelopment ofmetabolicacidosis. Thebodyrecognizes fasting
v v v v v v v v v v v v v v v v
as starvation and begins to metabolize its own fatty acids into ketones, which are metabolicacids.
v v v v v v v v v v v v v v v v
Starvation would not result in respiratory acidosis oralkalosis orin metabolic alkalosis.
v v v v v v v v v v v v v
D) Aclient who is fastingisat risk fordevelopment ofmetabolicacidosis. Thebodyrecognizes fasting
v v v v v v v v v v v v v v v v
as starvation and begins to metabolize its own fatty acids into ketones, which are metabolicacids.
v v v v v v v v v v v v v v v v
Starvation would not result in respiratory acidosis oralkalosis orin metabolic alkalosis.
v v v v v v v v v v v v v
PageRef:6 v v
Cognitive Level: Analyzing v
ClientNeed/Sub: PhysiologicalIntegrity:PhysiologicalAdaptation
v v v v
Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and
v v v v v v v v v v
processes. | AACN Essential Competencies: IX.3. Implement holistic, patient-centered carethat
v v v v v v v v v v
reflects an understanding of human growth and development, pathophysiology, pharmacology,
v v v v v v v v v v
medical management and nursing management across the health-illness continuum,acrosslifespan,
v v v v v v v v v v v
andin all healthcaresettings. |NLNCompetencies: Knowledgeand Science:Relationshipsbetween
v v v v v v v v v v v v
knowledge/scienceand qualityandsafepatient care. |Nursing Process: Assessment
v v v v v v v v v v v
LearningOutcome: 1.2.Differentiatealterationsinacid-basebalance.
v v v v v v
MNLLO:Analyzetheconcept of acid-basebalanceand its application to nursingcare.
v v v v v v v v v v v v
,2) Whichrisk factors exhibited bythe client presenting in theemergencydepartment (ED) would
v v v v v v v v v v v v v
place the client at risk for metabolic acidosis? Select all that apply.
v v v v v v v v v v v v
A) Abdominal fistulas v
B) Chronicobstructivepulmonarydisease v v v
C) Pneumonia
D) Acuterenalfailure v v
E) Hypovolemicshock v
Answer: A, D, E
v v v
Explanation: A) Metabolic acidosis is rarely a primary disorder. It usually develops during the course of
v v v v v v v v v v v v v v v
another disease; presence of abdominal fistulas, which can cause excess bicarbonate loss; acute renal
v v v v v v v v v v v v v v
failure; and hypovolemic shock. Chronic obstructive pulmonary disease and pneumoniaplacethe
v v v v v v v v v v v v
clientatrisk forrespiratoryacidosis with theincreased retention ofcarbon dioxide in the blood.
v v v v v v v v v v v v v v v v
B) Metabolic acidosis is rarely a primary disorder. It usually develops during the course of v v v v v v v v v v v v v
anotherdisease;presence ofabdominal fistulas,whichcan causeexcess bicarbonateloss; acute renal
v v v v v v v v v v v v v
failure; and hypovolemic shock. Chronic obstructive pulmonary disease and pneumonia place the
v v v v v v v v v v v v
client at risk for respiratory acidosis with the increased retention of carbon dioxide in the blood.
v v v v v v v v v v v v v v b v
C) Metabolicacidosisisrarelyaprimarydisorder. It usuallydevelopsduringthecourseof v v v v v v v v v v v v v
anotherdisease;presence ofabdominal fistulas, whichcan cause excess bicarbonate loss;
v v v v v v v v v v v v
acuterenal failure; and hypovolemic shock. Chronic obstructive pulmonary disease and
v v v v v v v v v v
pneumonia place the client at risk for respiratory acidosis with the increased retention of
v v v v v v v v v v v v v v
carbon dioxide inthe blood.
v v v v
D) Metabolic acidosis is rarely a primary disorder. It usually develops during the course of v v v v v v v v v v v v v
anotherdisease;presence ofabdominal fistulas,whichcan causeexcess bicarbonateloss; acute renal
v v v v v v v v v v v v v
failure; and hypovolemic shock. Chronic obstructive pulmonary disease and pneumonia place the
v v v v v v v v v v v v
client at risk for respiratory acidosis with the increased retention of carbon dioxide in the blood.
v v v v v v v v v v v v v v b v
E) Metabolic acidosis is rarely a primary disorder. It usually develops during the course of v v v v v v v v v v v v v
anotherdisease;presence ofabdominal fistulas,whichcan causeexcess bicarbonateloss; acute renal
v v v v v v v v v v v v v
failure; and hypovolemic shock. Chronic obstructive pulmonary disease and pneumonia place the
v v v v v v v v v v v v
client at risk for respiratory acidosis with the increased retention of carbon dioxide in the blood.
v v v v v v v v v v v v v v b v
PageRef: 6, 14
v v v
CognitiveLevel: Applying v
ClientNeed/Sub: PhysiologicalIntegrity:PhysiologicalAdaptation
v v v v
Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and
v v v v v v v v v v
processes. | AACN Essential Competencies: IX.3. Implement holistic, patient-centered carethat
v v v v v v v v v v
reflects an understanding of human growth and development, pathophysiology, pharmacology,
v v v v v v v v v v
medical management and nursing management across the health-illness continuum,acrosslifespan,
v v v v v v v v v v v
andinall healthcaresettings.|NLNCompetencies: Knowledgeand Science:Relationshipsbetween
v v v v v v v v v v v v
knowledge/scienceand qualityandsafepatient care. |Nursing Process: Assessment
v v v v v v v v v v v
LearningOutcome: 1.2.Differentiatealterationsinacid-basebalance.
v v v v v v
MNLLO:Analyzetheconcept of acid-basebalanceand its application to nursingcare.
v v v v v v v v v v v v
, 3) A child with acute asthma has a PaCO2 of 48 mmHg, a pH of 7.31, and a normal HCO3 blood gas
v v v v v v v
v
v v v v v v v v v v
v
v
value. The nurse interprets these findings as indicative of which condition?
v v v v v v v v v v v
A) Metabolicacidosis v
B) Respiratory alkalosis v
C) Respiratoryacidosis v
D) Metabolicalkalosis v
Answer: C
v
Explanation: A) If the pH is decreased and the PaCO2 is increased with a normal HCO3, it is v v v v v v v v v
v
v v v v v v v
uncompensatedrespiratoryacidosis.UncompensatedrespiratoryalkalosishasanincreasedpH,
v
v v v v v v v v v
decreased PaCO2, and normal HCO3.Uncompensatedmetabolicacidosis has a decreased pH, normal
v
v v v v v v v v v v v v
PaCO2, and decreased HCO3. Uncompensated metabolic alkalosis has an increased pH,normal
v v v v v v v v v v v
PaCO2, and increased HCO3.
v v v v
B) IfthepHisdecreasedandthePaCO2isincreased withanormalHCO3,itisuncompensated
v v v v v v v
v
v v v v v v v v
respiratory acidosis. Uncompensated respiratory alkalosis has an increased pH, decreased PaCO2,
v
v v v v v v v v v v
and normal HCO3. Uncompensated metabolic acidosis has a decreased pH, normal PaCO2, and
v v v v v v v v v v v v v
decreased HCO3. Uncompensated metabolic alkalosis has an increased pH, normalPaCO2, and
v v v v v v v v v v v
increased HCO3.
v v
C) IfthepHisdecreasedandthePaCO2isincreased withanormalHCO3,itisuncompensated
v v v v v v v
v
v v v v v v v v
respiratory acidosis. Uncompensated respiratory alkalosis has an increased pH, decreased PaCO2,
v
v v v v v v v v v v
and normal HCO3. Uncompensated metabolic acidosis has a decreased pH, normal PaCO2, and
v v v v v v v v v v v v v
decreased HCO3. Uncompensated metabolic alkalosis has an increased pH, normalPaCO2, and
v v v v v v v v v v v
increased HCO3.
v v
D) IfthepHisdecreasedandthePaCO2isincreased withanormalHCO3,itisuncompensated
v v v v v v v
v
v v v v v v v v
respiratory acidosis. Uncompensated respiratory alkalosis has an increased pH, decreased PaCO2,
v
v v v v v v v v v v
and normal HCO3. Uncompensated metabolic acidosis has a decreased pH, normal PaCO2, and
v v v v v v v v v v v v v
decreased HCO3. Uncompensated metabolic alkalosis has an increased pH, normalPaCO2, and
v v v v v v v v v v v
increased HCO3.
v v
PageRef:24 v v
Cognitive Level: Analyzing v
ClientNeed/Sub: PhysiologicalIntegrity:PhysiologicalAdaptation
v v v v
Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and
v v v v v v v v v v
processes. | AACN Essential Competencies: IX.3. Implement holistic, patient-centered carethat
v v v v v v v v v v
reflects an understanding of human growth and development, pathophysiology, pharmacology,
v v v v v v v v v v
medical management and nursing management across the health-illness continuum,acrosslifespan,
v v v v v v v v v v v
andinall healthcaresettings. |NLNCompetencies: Knowledgeand Science:Relationshipsbetween
v v v v v v v v v v v v v
knowledge/scienceand qualityandsafepatient care. |Nursing Process: Diagnosis
v v v v v v v v v v v
LearningOutcome: 1.2.Differentiatealterationsinacid-basebalance.
v v v v v v
MNLLO:Analyzetheconcept of acid-basebalanceand its application to nursingcare.
v v v v v v v v v v v v
TESTBANK:NURSINGA
CONCEPT-BASED
v
APPROACHTO
v
LEARNING,VOLUMESI,
II&III,3RD
v
EDITION,PEARSON
v
EDUCATION
v
ALLCHAPTERSQUESTIONSANDANSWERSFOR
REVISION
v
WISHINGYOUSUCCESSA+
,Nursing:AConcept-BasedApproachtoLearningVol.12&3,3e(Pearson) Module 1
v v v v v v v v v v v v v v
v Acid-Base Balance v
TheConceptofAcid-BaseBalance
v v v v
1) A client is brought to the emergency department (ED) after passing out in a local department store.
v v v v v v v v v v v v v v v v
The client has been fasting and has ketones in the urine. Which acid-base imbalance would the nurse
v v v v v v v v v v v v v v v v v
expect to assess in this client?
v v v v v v
A) Metabolicacidosis v
B) Respiratory alkalosis v
C) Metabolic alkalosis v
D) Respiratoryacidosis
Answer: A
v
Explanation: A) A client who is fasting is at risk for development of metabolic acidosis. The v v v v v v v v v v v v v v v
bodyrecognizesfastingas starvation and beginsto metabolizeits ownfattyacids into ketones, whichare
v v v v v v v v v v v v v v v v
metabolicacids. Starvationwouldnotresult inrespiratoryacidosisoralkalosisorin metabolic alkalosis.
v v v v v v v v v v v v v v v
B) Aclient whoisfastingisat risk fordevelopment ofmetabolicacidosis. Thebodyrecognizes fasting
v v v v v v v v v v v v v v v v
as starvation and begins to metabolize its own fatty acids into ketones, which are metabolicacids.
v v v v v v v v v v v v v v v v
Starvation would not result in respiratory acidosis oralkalosis orin metabolic alkalosis.
v v v v v v v v v v v v v
C) Aclient whoisfastingisat risk fordevelopment ofmetabolicacidosis. Thebodyrecognizes fasting
v v v v v v v v v v v v v v v v
as starvation and begins to metabolize its own fatty acids into ketones, which are metabolicacids.
v v v v v v v v v v v v v v v v
Starvation would not result in respiratory acidosis oralkalosis orin metabolic alkalosis.
v v v v v v v v v v v v v
D) Aclient who is fastingisat risk fordevelopment ofmetabolicacidosis. Thebodyrecognizes fasting
v v v v v v v v v v v v v v v v
as starvation and begins to metabolize its own fatty acids into ketones, which are metabolicacids.
v v v v v v v v v v v v v v v v
Starvation would not result in respiratory acidosis oralkalosis orin metabolic alkalosis.
v v v v v v v v v v v v v
PageRef:6 v v
Cognitive Level: Analyzing v
ClientNeed/Sub: PhysiologicalIntegrity:PhysiologicalAdaptation
v v v v
Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and
v v v v v v v v v v
processes. | AACN Essential Competencies: IX.3. Implement holistic, patient-centered carethat
v v v v v v v v v v
reflects an understanding of human growth and development, pathophysiology, pharmacology,
v v v v v v v v v v
medical management and nursing management across the health-illness continuum,acrosslifespan,
v v v v v v v v v v v
andin all healthcaresettings. |NLNCompetencies: Knowledgeand Science:Relationshipsbetween
v v v v v v v v v v v v
knowledge/scienceand qualityandsafepatient care. |Nursing Process: Assessment
v v v v v v v v v v v
LearningOutcome: 1.2.Differentiatealterationsinacid-basebalance.
v v v v v v
MNLLO:Analyzetheconcept of acid-basebalanceand its application to nursingcare.
v v v v v v v v v v v v
,2) Whichrisk factors exhibited bythe client presenting in theemergencydepartment (ED) would
v v v v v v v v v v v v v
place the client at risk for metabolic acidosis? Select all that apply.
v v v v v v v v v v v v
A) Abdominal fistulas v
B) Chronicobstructivepulmonarydisease v v v
C) Pneumonia
D) Acuterenalfailure v v
E) Hypovolemicshock v
Answer: A, D, E
v v v
Explanation: A) Metabolic acidosis is rarely a primary disorder. It usually develops during the course of
v v v v v v v v v v v v v v v
another disease; presence of abdominal fistulas, which can cause excess bicarbonate loss; acute renal
v v v v v v v v v v v v v v
failure; and hypovolemic shock. Chronic obstructive pulmonary disease and pneumoniaplacethe
v v v v v v v v v v v v
clientatrisk forrespiratoryacidosis with theincreased retention ofcarbon dioxide in the blood.
v v v v v v v v v v v v v v v v
B) Metabolic acidosis is rarely a primary disorder. It usually develops during the course of v v v v v v v v v v v v v
anotherdisease;presence ofabdominal fistulas,whichcan causeexcess bicarbonateloss; acute renal
v v v v v v v v v v v v v
failure; and hypovolemic shock. Chronic obstructive pulmonary disease and pneumonia place the
v v v v v v v v v v v v
client at risk for respiratory acidosis with the increased retention of carbon dioxide in the blood.
v v v v v v v v v v v v v v b v
C) Metabolicacidosisisrarelyaprimarydisorder. It usuallydevelopsduringthecourseof v v v v v v v v v v v v v
anotherdisease;presence ofabdominal fistulas, whichcan cause excess bicarbonate loss;
v v v v v v v v v v v v
acuterenal failure; and hypovolemic shock. Chronic obstructive pulmonary disease and
v v v v v v v v v v
pneumonia place the client at risk for respiratory acidosis with the increased retention of
v v v v v v v v v v v v v v
carbon dioxide inthe blood.
v v v v
D) Metabolic acidosis is rarely a primary disorder. It usually develops during the course of v v v v v v v v v v v v v
anotherdisease;presence ofabdominal fistulas,whichcan causeexcess bicarbonateloss; acute renal
v v v v v v v v v v v v v
failure; and hypovolemic shock. Chronic obstructive pulmonary disease and pneumonia place the
v v v v v v v v v v v v
client at risk for respiratory acidosis with the increased retention of carbon dioxide in the blood.
v v v v v v v v v v v v v v b v
E) Metabolic acidosis is rarely a primary disorder. It usually develops during the course of v v v v v v v v v v v v v
anotherdisease;presence ofabdominal fistulas,whichcan causeexcess bicarbonateloss; acute renal
v v v v v v v v v v v v v
failure; and hypovolemic shock. Chronic obstructive pulmonary disease and pneumonia place the
v v v v v v v v v v v v
client at risk for respiratory acidosis with the increased retention of carbon dioxide in the blood.
v v v v v v v v v v v v v v b v
PageRef: 6, 14
v v v
CognitiveLevel: Applying v
ClientNeed/Sub: PhysiologicalIntegrity:PhysiologicalAdaptation
v v v v
Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and
v v v v v v v v v v
processes. | AACN Essential Competencies: IX.3. Implement holistic, patient-centered carethat
v v v v v v v v v v
reflects an understanding of human growth and development, pathophysiology, pharmacology,
v v v v v v v v v v
medical management and nursing management across the health-illness continuum,acrosslifespan,
v v v v v v v v v v v
andinall healthcaresettings.|NLNCompetencies: Knowledgeand Science:Relationshipsbetween
v v v v v v v v v v v v
knowledge/scienceand qualityandsafepatient care. |Nursing Process: Assessment
v v v v v v v v v v v
LearningOutcome: 1.2.Differentiatealterationsinacid-basebalance.
v v v v v v
MNLLO:Analyzetheconcept of acid-basebalanceand its application to nursingcare.
v v v v v v v v v v v v
, 3) A child with acute asthma has a PaCO2 of 48 mmHg, a pH of 7.31, and a normal HCO3 blood gas
v v v v v v v
v
v v v v v v v v v v
v
v
value. The nurse interprets these findings as indicative of which condition?
v v v v v v v v v v v
A) Metabolicacidosis v
B) Respiratory alkalosis v
C) Respiratoryacidosis v
D) Metabolicalkalosis v
Answer: C
v
Explanation: A) If the pH is decreased and the PaCO2 is increased with a normal HCO3, it is v v v v v v v v v
v
v v v v v v v
uncompensatedrespiratoryacidosis.UncompensatedrespiratoryalkalosishasanincreasedpH,
v
v v v v v v v v v
decreased PaCO2, and normal HCO3.Uncompensatedmetabolicacidosis has a decreased pH, normal
v
v v v v v v v v v v v v
PaCO2, and decreased HCO3. Uncompensated metabolic alkalosis has an increased pH,normal
v v v v v v v v v v v
PaCO2, and increased HCO3.
v v v v
B) IfthepHisdecreasedandthePaCO2isincreased withanormalHCO3,itisuncompensated
v v v v v v v
v
v v v v v v v v
respiratory acidosis. Uncompensated respiratory alkalosis has an increased pH, decreased PaCO2,
v
v v v v v v v v v v
and normal HCO3. Uncompensated metabolic acidosis has a decreased pH, normal PaCO2, and
v v v v v v v v v v v v v
decreased HCO3. Uncompensated metabolic alkalosis has an increased pH, normalPaCO2, and
v v v v v v v v v v v
increased HCO3.
v v
C) IfthepHisdecreasedandthePaCO2isincreased withanormalHCO3,itisuncompensated
v v v v v v v
v
v v v v v v v v
respiratory acidosis. Uncompensated respiratory alkalosis has an increased pH, decreased PaCO2,
v
v v v v v v v v v v
and normal HCO3. Uncompensated metabolic acidosis has a decreased pH, normal PaCO2, and
v v v v v v v v v v v v v
decreased HCO3. Uncompensated metabolic alkalosis has an increased pH, normalPaCO2, and
v v v v v v v v v v v
increased HCO3.
v v
D) IfthepHisdecreasedandthePaCO2isincreased withanormalHCO3,itisuncompensated
v v v v v v v
v
v v v v v v v v
respiratory acidosis. Uncompensated respiratory alkalosis has an increased pH, decreased PaCO2,
v
v v v v v v v v v v
and normal HCO3. Uncompensated metabolic acidosis has a decreased pH, normal PaCO2, and
v v v v v v v v v v v v v
decreased HCO3. Uncompensated metabolic alkalosis has an increased pH, normalPaCO2, and
v v v v v v v v v v v
increased HCO3.
v v
PageRef:24 v v
Cognitive Level: Analyzing v
ClientNeed/Sub: PhysiologicalIntegrity:PhysiologicalAdaptation
v v v v
Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and
v v v v v v v v v v
processes. | AACN Essential Competencies: IX.3. Implement holistic, patient-centered carethat
v v v v v v v v v v
reflects an understanding of human growth and development, pathophysiology, pharmacology,
v v v v v v v v v v
medical management and nursing management across the health-illness continuum,acrosslifespan,
v v v v v v v v v v v
andinall healthcaresettings. |NLNCompetencies: Knowledgeand Science:Relationshipsbetween
v v v v v v v v v v v v v
knowledge/scienceand qualityandsafepatient care. |Nursing Process: Diagnosis
v v v v v v v v v v v
LearningOutcome: 1.2.Differentiatealterationsinacid-basebalance.
v v v v v v
MNLLO:Analyzetheconcept of acid-basebalanceand its application to nursingcare.
v v v v v v v v v v v v
