NSG 3800 COMPREHENSIVE EXAM UPDATED
QUESTIONS AND SOLUTIONS RATED A+
✔✔Which substance accounts for 90% of plasma? - ✔✔a. water
✔✔The nurse is providing care for a client with decreased sodium level. Which of the
following foods should the nurse recommend? (Select all that apply). - ✔✔a. Pre-made
meals such as canned or frozen dinners
b. Celery
c. Ham
✔✔The nurse is providing care for a client who has an elevated serum calcium level.
Which of the following signs and symptoms should the nurse monitor for? (Select all
that apply). - ✔✔a. Bone pain
b. Blood clots
✔✔The nurse is caring for a client who was admitted with the following labs.
Which of the following interventions should the nurse perform? (Select all that apply). -
✔✔a. Provide extra blankets for warmth
b. Observe and institute seizure precautions
✔✔A patient is admitted to the hospital with severe dehydration. The nurse would
expect to see which of the following serum lab values? - ✔✔a. Na 155 mEq/L
✔✔A client presents to the Emergency Department (ED) with a diagnosis of Metabolic
Acidosis. The nurse understands that which of the following conditions can contribute to
this metabolic derangement. (Select all that apply.) - ✔✔a. Excessive ingestion of
Aspirin
b. Fever
c. Severe diarrhea
✔✔Which organs in the body serve as a compensatory function to maintain acid-base
balance? (Select all that apply.) - ✔✔a. Kidneys
b. Lungs
✔✔You are caring for a client with the following ABG results. Which of the following is
an appropriate interpretation?
pH 7.30
CO2 44
HCO-3 20 - ✔✔a. Metabolic Acidosis
✔✔You are providing care to a client who has just returned from surgery. As you assess
the client, you determine the client is heavily sedated, has shallow respirations, and is
, having difficulty staying awake. The client has the following vital signs and arterial blood
gas lab results:
HR: 80 bpm
BP: 132/86mmHg
RR: 10 bpm
Oxygen saturation: 88% on 2 Liters of Nasal Canal
pH: 7.33
CO2: 52
HCO3: 26
Which of the following cues should the nurse report to the primary healthcare provider?
- ✔✔a. CO2
b. Shallow respirations
c. RR
d. Sedate
e. Oxygen Saturation
✔✔What is the interpretation of the following arterial blood gas results?
pH: 7.35
CO2: 37mmHg
HCO3: 24mEq/L
Oxygen saturation: 98% on room air - ✔✔a. Normal
✔✔The nurse is caring for a client who rates their pain at a 10 on a scale of 1-10. The
respiratory rate is 32 breaths/min. Which acid-base imbalance does the nurse expect to
find with sustained tachypnea? - ✔✔a. Respiratory Alkalosis
✔✔A nurse is caring for a client who just arrived to the Intensive Care Unit (ICU). The
client is mechanically ventilated and the rate of respiration on the ventilator is set at 22.
The nurse understands that this client is at risk for which acid-base derangement? -
✔✔a. Respiratory Alkalosis
✔✔The nurse is caring for an adult client who has an ABG return with the following
values. Based on the ABG, which of the following interventions is appropriate?
pH 7.30
CO2 49
HCO-3 23
K+ 4.9 - ✔✔a. Encourage the client to use the incentive spirometer.
✔✔As the nurse, you are providing care to a client who has just returned from surgery.
As you assess the client, you are aware that the client is sedate, with shallow
respirations and is having difficulty staying awake. The client has the following vital
signs and arterial blood gas lab results:
HR: 80bpm
BP: 132/86mmHg
RR: 10bpm
QUESTIONS AND SOLUTIONS RATED A+
✔✔Which substance accounts for 90% of plasma? - ✔✔a. water
✔✔The nurse is providing care for a client with decreased sodium level. Which of the
following foods should the nurse recommend? (Select all that apply). - ✔✔a. Pre-made
meals such as canned or frozen dinners
b. Celery
c. Ham
✔✔The nurse is providing care for a client who has an elevated serum calcium level.
Which of the following signs and symptoms should the nurse monitor for? (Select all
that apply). - ✔✔a. Bone pain
b. Blood clots
✔✔The nurse is caring for a client who was admitted with the following labs.
Which of the following interventions should the nurse perform? (Select all that apply). -
✔✔a. Provide extra blankets for warmth
b. Observe and institute seizure precautions
✔✔A patient is admitted to the hospital with severe dehydration. The nurse would
expect to see which of the following serum lab values? - ✔✔a. Na 155 mEq/L
✔✔A client presents to the Emergency Department (ED) with a diagnosis of Metabolic
Acidosis. The nurse understands that which of the following conditions can contribute to
this metabolic derangement. (Select all that apply.) - ✔✔a. Excessive ingestion of
Aspirin
b. Fever
c. Severe diarrhea
✔✔Which organs in the body serve as a compensatory function to maintain acid-base
balance? (Select all that apply.) - ✔✔a. Kidneys
b. Lungs
✔✔You are caring for a client with the following ABG results. Which of the following is
an appropriate interpretation?
pH 7.30
CO2 44
HCO-3 20 - ✔✔a. Metabolic Acidosis
✔✔You are providing care to a client who has just returned from surgery. As you assess
the client, you determine the client is heavily sedated, has shallow respirations, and is
, having difficulty staying awake. The client has the following vital signs and arterial blood
gas lab results:
HR: 80 bpm
BP: 132/86mmHg
RR: 10 bpm
Oxygen saturation: 88% on 2 Liters of Nasal Canal
pH: 7.33
CO2: 52
HCO3: 26
Which of the following cues should the nurse report to the primary healthcare provider?
- ✔✔a. CO2
b. Shallow respirations
c. RR
d. Sedate
e. Oxygen Saturation
✔✔What is the interpretation of the following arterial blood gas results?
pH: 7.35
CO2: 37mmHg
HCO3: 24mEq/L
Oxygen saturation: 98% on room air - ✔✔a. Normal
✔✔The nurse is caring for a client who rates their pain at a 10 on a scale of 1-10. The
respiratory rate is 32 breaths/min. Which acid-base imbalance does the nurse expect to
find with sustained tachypnea? - ✔✔a. Respiratory Alkalosis
✔✔A nurse is caring for a client who just arrived to the Intensive Care Unit (ICU). The
client is mechanically ventilated and the rate of respiration on the ventilator is set at 22.
The nurse understands that this client is at risk for which acid-base derangement? -
✔✔a. Respiratory Alkalosis
✔✔The nurse is caring for an adult client who has an ABG return with the following
values. Based on the ABG, which of the following interventions is appropriate?
pH 7.30
CO2 49
HCO-3 23
K+ 4.9 - ✔✔a. Encourage the client to use the incentive spirometer.
✔✔As the nurse, you are providing care to a client who has just returned from surgery.
As you assess the client, you are aware that the client is sedate, with shallow
respirations and is having difficulty staying awake. The client has the following vital
signs and arterial blood gas lab results:
HR: 80bpm
BP: 132/86mmHg
RR: 10bpm
