6001 FINAL PRACTICE QUESTIONS WITH ACCURATE
ANSWERS
1. A nurse caring for a patient with chronic obstructive pulmonary disease (COPD)
knows that hypoxia may occur in patients with respiratory problems. What are
signs of this serious condition?
Select all answers that apply.
A. Dyspnea
B .Hypotension
C. Small pulse pressure
D. Decreased respiratory rate
E. Pallor
F. Increased pulse rate correct answer 1. a, c, e, f. If a problem exists in
ventilation, respiration, or perfusion, hypoxia may occur. Hypoxia is a condition in
which an inadequate amount of oxygen is available to cells. The most common
symptoms of hypoxia are dyspnea (difficulty breathing), an elevated blood
pressure with a small pulse pressure, increased respiratory and pulse rates, pallor,
and cyanosis.
1. A nurse is caring for an older patient with type II diabetes who is living in a
long-term care facility. The nurse determines that the patient's fluid intake and
output is approximately 1200 mL daily. What patient teaching would the nurse
provide for this patient? Select all that apply.
A. "Try to drink at least six to eight glasses of water each day."
B. "Try to limit your fluid intake to one quart of water daily."
C. "Limit sugar, salt, and alcohol in your diet."
D. "Report side effects of medications you are taking, especially diarrhea."
,E. "Temporarily increase foods containing caffeine for their diuretic effect."
F. "Weigh yourself daily and report any changes in your weight." correct answer
A, C, D, F
Generally, fluid intake and output averages 2,600 mL per day. This patient is
experiencing dehydration and should be encouraged to drink more water,
maintain normal body weight, avoid consuming excess amounts of products high
in salt, sugar, and caffeine, limit alcohol intake, and monitor side effects of
medications, especially diarrhea and water loss from diuretics.
1. Thirty-six hours after having surgery, a patient has a slightly elevated body
temperature and generalized malaise, as well as pain and redness at the surgical
site. Which intervention is most important to include in this patient's nursing care
plan?
A. Document the findings and continue to monitor the patient.
B. Administer antipyretics, as ordered.
C. Increase the frequency of assessment to every hour and notify the patient's
primary care provider.
D. Increase the frequency of wound care and contact the primary care provider
for an antibiotic order correct answer A.
The assessment findings are normal for this stage of healing following surgery.
The patient is in the inflammatory phase of the healing process, which involves a
response by the immune system. This acute inflammation is characterized by
pain, heat, redness, and swelling at the site of the injury (surgery, in this case).
The patient also has a generalized body response, including a mildly elevated
temperature, leukocytosis, and generalized malaise.
,10. A nurse is assessing a patient who has been NPO (nothing by mouth) prior to
abdominal surgery. The patient is ordered a clear liquid diet for breakfast, to
advance to a house diet as tolerated. Which assessments would indicate to the
nurse that the patient's diet should not be advanced?
A. The patient consumed 75% of the liquids on her breakfast tray.
B. The patient tells you she is hungry.
C. The patient's abdomen is soft, nondistended, with bowel sounds.
D. The patient reports fullness and diarrhea after breakfast. correct answer D
10. A nurse is explaining to a patient the anticipated effect of the application of
cold to an injured area. What response indicates that the patient understands the
explanation?
A. "I can expect to have more discomfort in the area where the cold is applied."
B. "I should expect more drainage from the incision after the ice has been in
place."
C. "I should see less swelling and redness with the cold treatment."
D. "My incision may bleed more when the ice is first applied." correct answer C
10. A nurse is monitoring a patient who is diagnosed with hypokalemia. Which
nursing intervention would be appropriate for this patient?
A. Encourage foods and fluids with high sodium content.
B. Administer oral K supplements as ordered.
C. Caution the patient about eating foods high in potassium content.
D. Discuss calcium-losing aspects of nicotine and alcohol use. correct answer B
, Nursing interventions for a patient with hypokalemia include encouraging foods
high in potassium and administering oral K as ordered.
Encouraging foods with high sodium content is appropriate for a patient with
hyponatremia.
Cautioning the patient about foods high in potassium is appropriate for a patient
with hyperkalemia,
and discussing the calcium-losing aspects of nicotine and alcohol use is
appropriate for a patient with hypocalcemia.
10. When planning care for a patient with chronic lung disease who is receiving
oxygen through a nasal cannula, what does the nurse expect?
A. The oxygen must be humidified.
B. The rate will be no more than 2 to 3 L/min or less.
C. Arterial blood gases will be drawn every 4 hours to assess flow rate.
D. The rate will be 6 L/min or more. correct answer b. A rate higher than 3 L/min
may destroy the hypoxic drive that stimulates respirations in the medulla in a
patient with chronic lung disease. Oxygen delivered at low rates does not
necessarily have to be humidified, and arterial blood gases are not required at
regular intervals to determine the flow rate.
11. A nurse is administering 500 mL of saline solution to a patient over 10 hours.
The administration set delivers 60 gtts/min. Determine the infusion rate to
administer via gravity infusion.
ANSWERS
1. A nurse caring for a patient with chronic obstructive pulmonary disease (COPD)
knows that hypoxia may occur in patients with respiratory problems. What are
signs of this serious condition?
Select all answers that apply.
A. Dyspnea
B .Hypotension
C. Small pulse pressure
D. Decreased respiratory rate
E. Pallor
F. Increased pulse rate correct answer 1. a, c, e, f. If a problem exists in
ventilation, respiration, or perfusion, hypoxia may occur. Hypoxia is a condition in
which an inadequate amount of oxygen is available to cells. The most common
symptoms of hypoxia are dyspnea (difficulty breathing), an elevated blood
pressure with a small pulse pressure, increased respiratory and pulse rates, pallor,
and cyanosis.
1. A nurse is caring for an older patient with type II diabetes who is living in a
long-term care facility. The nurse determines that the patient's fluid intake and
output is approximately 1200 mL daily. What patient teaching would the nurse
provide for this patient? Select all that apply.
A. "Try to drink at least six to eight glasses of water each day."
B. "Try to limit your fluid intake to one quart of water daily."
C. "Limit sugar, salt, and alcohol in your diet."
D. "Report side effects of medications you are taking, especially diarrhea."
,E. "Temporarily increase foods containing caffeine for their diuretic effect."
F. "Weigh yourself daily and report any changes in your weight." correct answer
A, C, D, F
Generally, fluid intake and output averages 2,600 mL per day. This patient is
experiencing dehydration and should be encouraged to drink more water,
maintain normal body weight, avoid consuming excess amounts of products high
in salt, sugar, and caffeine, limit alcohol intake, and monitor side effects of
medications, especially diarrhea and water loss from diuretics.
1. Thirty-six hours after having surgery, a patient has a slightly elevated body
temperature and generalized malaise, as well as pain and redness at the surgical
site. Which intervention is most important to include in this patient's nursing care
plan?
A. Document the findings and continue to monitor the patient.
B. Administer antipyretics, as ordered.
C. Increase the frequency of assessment to every hour and notify the patient's
primary care provider.
D. Increase the frequency of wound care and contact the primary care provider
for an antibiotic order correct answer A.
The assessment findings are normal for this stage of healing following surgery.
The patient is in the inflammatory phase of the healing process, which involves a
response by the immune system. This acute inflammation is characterized by
pain, heat, redness, and swelling at the site of the injury (surgery, in this case).
The patient also has a generalized body response, including a mildly elevated
temperature, leukocytosis, and generalized malaise.
,10. A nurse is assessing a patient who has been NPO (nothing by mouth) prior to
abdominal surgery. The patient is ordered a clear liquid diet for breakfast, to
advance to a house diet as tolerated. Which assessments would indicate to the
nurse that the patient's diet should not be advanced?
A. The patient consumed 75% of the liquids on her breakfast tray.
B. The patient tells you she is hungry.
C. The patient's abdomen is soft, nondistended, with bowel sounds.
D. The patient reports fullness and diarrhea after breakfast. correct answer D
10. A nurse is explaining to a patient the anticipated effect of the application of
cold to an injured area. What response indicates that the patient understands the
explanation?
A. "I can expect to have more discomfort in the area where the cold is applied."
B. "I should expect more drainage from the incision after the ice has been in
place."
C. "I should see less swelling and redness with the cold treatment."
D. "My incision may bleed more when the ice is first applied." correct answer C
10. A nurse is monitoring a patient who is diagnosed with hypokalemia. Which
nursing intervention would be appropriate for this patient?
A. Encourage foods and fluids with high sodium content.
B. Administer oral K supplements as ordered.
C. Caution the patient about eating foods high in potassium content.
D. Discuss calcium-losing aspects of nicotine and alcohol use. correct answer B
, Nursing interventions for a patient with hypokalemia include encouraging foods
high in potassium and administering oral K as ordered.
Encouraging foods with high sodium content is appropriate for a patient with
hyponatremia.
Cautioning the patient about foods high in potassium is appropriate for a patient
with hyperkalemia,
and discussing the calcium-losing aspects of nicotine and alcohol use is
appropriate for a patient with hypocalcemia.
10. When planning care for a patient with chronic lung disease who is receiving
oxygen through a nasal cannula, what does the nurse expect?
A. The oxygen must be humidified.
B. The rate will be no more than 2 to 3 L/min or less.
C. Arterial blood gases will be drawn every 4 hours to assess flow rate.
D. The rate will be 6 L/min or more. correct answer b. A rate higher than 3 L/min
may destroy the hypoxic drive that stimulates respirations in the medulla in a
patient with chronic lung disease. Oxygen delivered at low rates does not
necessarily have to be humidified, and arterial blood gases are not required at
regular intervals to determine the flow rate.
11. A nurse is administering 500 mL of saline solution to a patient over 10 hours.
The administration set delivers 60 gtts/min. Determine the infusion rate to
administer via gravity infusion.
