PAT 201 PRACTICE QUESTIONS WITH COMPLETE
SOLUTIONS.
How are secretion of antidiuretic hormone (ADH) and the perception of thirst
stimulated? Answer - Increase in plasma osmolality
The nurse is assessing a client who has been experiencing a high fever with
excessive perspiration and diarrhea, with a plasma sodium level of 150 mmol/L.
Which clinical manifestation would the nurse associate with these assessment
findings? Answer - -Oliguria
Which arterial blood gas values should the nurse associate with a client
reporting surgical pain who has a BP of 142/86, a heart rate of 104/minute, and
a respiratory rate of 34/minute? Answer - -pH 7.51, PCO2 29, HCO3- 24
Which mechanisms would promote homeostasis when the pH is 7.2? - acidic =
build up of acids and lack of breathing Answer - -Kussmaul respirations;
kidneys reabsorb bicarbonate
A 26-year-old client has been admitted with suspected hyponatremia after
drinking sevexral litres of tap water in a couple of hours. What would the nurse
assess for? Answer - Lethargy, headache, confusion
Apprehension, seizures, coma
, When treating fluid imbalances, which is the ultimate goal of care? Answer - -
To diagnose and correct the underlying cause
the nurse is caring for a client with a serum sodium level of 110 mmol/L. Which
solution will be used to treat this condition? Answer - -0.9% sodium chloride
Which intravenous solution ordered by the doctor replaces an intracellular fluid
volume deficit? Answer - -isotonic
What are the processes required to move large particles and particles with
electrical charges across membranes? Answer - -Diffusion and active transport
A nurse is scheduled to administer a potassium supplement to a client. Which
priority action should the nurse take prior to administering the drug? Answer -
-Check the client's potassium level from the morning labs.
The nurse is caring for a client with an extracellular fluid volume deficit. The
nurse is aware that which compensatory mechanism is initiated in the presence
of an extracellular fluid volume deficit? Answer - -Activation of the renin-
angiotensin-aldosterone system
-The nurse is caring for a client with chronic obstructive pulmonary disease
who has polycythemia (an increased number of RBCs). What is the most likely
cause of this finding? Answer - -Significant hypoxemia
Which laboratory value is most important for the nurse to report to the doctor?
Answer - -Potassium 2.9 mmol/
The nurse is assisting a client to master the use of a steroid inhaler. The client
says, "Can't I take this in a pill form instead of an inhaler?" What information
SOLUTIONS.
How are secretion of antidiuretic hormone (ADH) and the perception of thirst
stimulated? Answer - Increase in plasma osmolality
The nurse is assessing a client who has been experiencing a high fever with
excessive perspiration and diarrhea, with a plasma sodium level of 150 mmol/L.
Which clinical manifestation would the nurse associate with these assessment
findings? Answer - -Oliguria
Which arterial blood gas values should the nurse associate with a client
reporting surgical pain who has a BP of 142/86, a heart rate of 104/minute, and
a respiratory rate of 34/minute? Answer - -pH 7.51, PCO2 29, HCO3- 24
Which mechanisms would promote homeostasis when the pH is 7.2? - acidic =
build up of acids and lack of breathing Answer - -Kussmaul respirations;
kidneys reabsorb bicarbonate
A 26-year-old client has been admitted with suspected hyponatremia after
drinking sevexral litres of tap water in a couple of hours. What would the nurse
assess for? Answer - Lethargy, headache, confusion
Apprehension, seizures, coma
, When treating fluid imbalances, which is the ultimate goal of care? Answer - -
To diagnose and correct the underlying cause
the nurse is caring for a client with a serum sodium level of 110 mmol/L. Which
solution will be used to treat this condition? Answer - -0.9% sodium chloride
Which intravenous solution ordered by the doctor replaces an intracellular fluid
volume deficit? Answer - -isotonic
What are the processes required to move large particles and particles with
electrical charges across membranes? Answer - -Diffusion and active transport
A nurse is scheduled to administer a potassium supplement to a client. Which
priority action should the nurse take prior to administering the drug? Answer -
-Check the client's potassium level from the morning labs.
The nurse is caring for a client with an extracellular fluid volume deficit. The
nurse is aware that which compensatory mechanism is initiated in the presence
of an extracellular fluid volume deficit? Answer - -Activation of the renin-
angiotensin-aldosterone system
-The nurse is caring for a client with chronic obstructive pulmonary disease
who has polycythemia (an increased number of RBCs). What is the most likely
cause of this finding? Answer - -Significant hypoxemia
Which laboratory value is most important for the nurse to report to the doctor?
Answer - -Potassium 2.9 mmol/
The nurse is assisting a client to master the use of a steroid inhaler. The client
says, "Can't I take this in a pill form instead of an inhaler?" What information