NURS 3632 Exam 3 Questions With
Correct Answers
A |client |who |is |recovering |from |surgery |has |been |advanced |from |a |clear |liquid |diet |to |a |full |
liquid |diet. |The |client |is |looking |forward |to |the |diet |change |because |he |has |been |"bored" |with
|the |clear |liquid |diet. |The |nurse |would |offer |which |full |liquid |item |to |the |client?
1. |Tea
2. |Gelatin
3. |Custard
4. |Popsicle |- |CORRECT |ANSWER✔✔-3. |Custard
A |patient |on |a |clear |liquid |diet |is |asking |for |something |more. |Of |the |available |options, |which |is
|appropriate? |Select |all |that |apply.
a. |Chicken |broth
b. |Chicken |noodle |soup
c. |Popsicles
d. |Jello
e. |Coffee |with |cream
f. |Grape |juice |- |CORRECT |ANSWER✔✔-a. |Chicken |broth
c. |Popsicles
d. |Jello
,A |patient |is |NPO |after |midnight |for |a |surgical |procedure. |Which |statement |if |made |by |the |
patient, |indicates |further |teaching |for |instruction?
a. |I |can |only |have |sips |of |water |after |midnight
b. |I |can |take |nothing |at |all |by |mouth |after |midnight
c. |If |the |doctor |orders |it, |I |can |take |my |oral |meds |with |just |a |sip |of |water |after |midnight
d. |My |stomach |and |bowels |will |actually |be |affected |by |the |anesthesia, |just |like |my |
consciousness |will |- |CORRECT |ANSWER✔✔-a. |I |can |only |have |sips |of |water |after |midnight
The |nurse |is |making |initial |rounds |on |the |nursing |unit |ti |assess |the |condition |of |an |assigned |
client. |The |nurse |notes |that |a |client's |IV |site |is |cool, |pale, |and |swollen, |and |the |solution |is |not |
infusing. |The |nurse |concludes |that |which |of |the |following |complications |has |occurred?
1. |Infection
2. |Phlebitis
3. |Infiltration
4. |Thrombosis |- |CORRECT |ANSWER✔✔-3. |Infiltration
The |patient |has |20 |mg |furosemide |ordered |IV. |Before |giving |it, |the |nurse |checks |on |the |latest |
K+ |values, |knowing |that |furosemide |is |a |loop |diuretic |and |will |decrease |potassium |
significantly. |What |is |the |minimum |value |that |the |nurse |will |give |medication |without |notifying |
the |physician |of |hypokalemia? |(mEq/L)
A. |3.4
B. |4.1
C. |4.5
D. |5.2 |- |CORRECT |ANSWER✔✔-B. |4.1 |mEq/L
,A |patient |has |been |admitted |with |dehydration |secondary |to |N/V/D |after |salmonella |infection. |
The |nurse |expects |an |isotonic |IV |solution |to |be |ordered. |Which |of |the |following |are |isotonic? |
SATA |(table |40-7)
a. |NS
b. |D5W
c. |D5RL
d. |Lactated |Ringer
e. |D5NS |- |CORRECT |ANSWER✔✔-a. |NS
b. |D5W
d. |Lactated |Ringer
A |patient |is |in |the |ICU |and |has |the |following |blood |gases. |ABGs: |pH |7.32, |PCo2 |46, |HCO3 |25. |
How |should |this |be |categorized?
a. |Metabolic |Acidosis
b. |Metabolic |Alkalosis
c. |Respiratory |Acidosis
d. |Respiratory |Alkalosis |- |CORRECT |ANSWER✔✔-c. |Respiratory |Acidosis
What |are |the |causes |of |respiratory |acidosis?
a. |decreased |respiratory |rate
b. |increased |respiratory |rate
c. |diarrhea |for |several |days
d. |vomiting |or |gastric |suction |- |CORRECT |ANSWER✔✔-a. |decreased |respiratory |rate
, A |patient |with |vomiting |from |early |pregnancy |has |been |admitted. |She |is |quite |dehydrated. |
Her |electrolytes |and |ABGs |were |drawn |to |determine |her |status |and |fluid |needs. |The |values |
are |listed |below. |Which |electrolytes |are |out |of |normal |range, |and |what |is |the |acid-base |
status?
Na |129; |K+ |3.4, |Mg |1.6
ABGs: |pH |7.47; |pCO2 |46; |HCO3 |27
List |the |abnormal |values
a. |metabolic |alkalosis
b. |metabolic |acidosis
c. |respiratory |acidosis
d. |respiratory |alkalosis |- |CORRECT |ANSWER✔✔-Abnormal |values: |Na |129, |K+ |3.4, |all |ABGs |(all |
except |Mg)
a. |metabolic |alkalosis
A |patient |with |vomiting |from |early |pregnancy |has |been |admitted. |She |is |quite |dehydrated. |
Her |electrolytes |and |ABGs |were |drawn |to |determine |her |status |and |fluid |needs. |The |values |
are |listed |below. |What |IV |fluids |might |be |anticipated?
Na |129; |K+ |3.4, |Mg |1.6
ABGs: |pH |7.47; |pCO2 |46; |HCO3 |27
a. |1/2 |NS |at |100 |ml/hr
b. |D5W |at |100 |ml/hr
c. |D5RL |at |100 |ml/hr
d. |NS |with |20 |mEq |KCL |at |100 |ml/hr |- |CORRECT |ANSWER✔✔-D. |NS |with |20 |mEc |KCL |at |100 |
ml/hr
Correct Answers
A |client |who |is |recovering |from |surgery |has |been |advanced |from |a |clear |liquid |diet |to |a |full |
liquid |diet. |The |client |is |looking |forward |to |the |diet |change |because |he |has |been |"bored" |with
|the |clear |liquid |diet. |The |nurse |would |offer |which |full |liquid |item |to |the |client?
1. |Tea
2. |Gelatin
3. |Custard
4. |Popsicle |- |CORRECT |ANSWER✔✔-3. |Custard
A |patient |on |a |clear |liquid |diet |is |asking |for |something |more. |Of |the |available |options, |which |is
|appropriate? |Select |all |that |apply.
a. |Chicken |broth
b. |Chicken |noodle |soup
c. |Popsicles
d. |Jello
e. |Coffee |with |cream
f. |Grape |juice |- |CORRECT |ANSWER✔✔-a. |Chicken |broth
c. |Popsicles
d. |Jello
,A |patient |is |NPO |after |midnight |for |a |surgical |procedure. |Which |statement |if |made |by |the |
patient, |indicates |further |teaching |for |instruction?
a. |I |can |only |have |sips |of |water |after |midnight
b. |I |can |take |nothing |at |all |by |mouth |after |midnight
c. |If |the |doctor |orders |it, |I |can |take |my |oral |meds |with |just |a |sip |of |water |after |midnight
d. |My |stomach |and |bowels |will |actually |be |affected |by |the |anesthesia, |just |like |my |
consciousness |will |- |CORRECT |ANSWER✔✔-a. |I |can |only |have |sips |of |water |after |midnight
The |nurse |is |making |initial |rounds |on |the |nursing |unit |ti |assess |the |condition |of |an |assigned |
client. |The |nurse |notes |that |a |client's |IV |site |is |cool, |pale, |and |swollen, |and |the |solution |is |not |
infusing. |The |nurse |concludes |that |which |of |the |following |complications |has |occurred?
1. |Infection
2. |Phlebitis
3. |Infiltration
4. |Thrombosis |- |CORRECT |ANSWER✔✔-3. |Infiltration
The |patient |has |20 |mg |furosemide |ordered |IV. |Before |giving |it, |the |nurse |checks |on |the |latest |
K+ |values, |knowing |that |furosemide |is |a |loop |diuretic |and |will |decrease |potassium |
significantly. |What |is |the |minimum |value |that |the |nurse |will |give |medication |without |notifying |
the |physician |of |hypokalemia? |(mEq/L)
A. |3.4
B. |4.1
C. |4.5
D. |5.2 |- |CORRECT |ANSWER✔✔-B. |4.1 |mEq/L
,A |patient |has |been |admitted |with |dehydration |secondary |to |N/V/D |after |salmonella |infection. |
The |nurse |expects |an |isotonic |IV |solution |to |be |ordered. |Which |of |the |following |are |isotonic? |
SATA |(table |40-7)
a. |NS
b. |D5W
c. |D5RL
d. |Lactated |Ringer
e. |D5NS |- |CORRECT |ANSWER✔✔-a. |NS
b. |D5W
d. |Lactated |Ringer
A |patient |is |in |the |ICU |and |has |the |following |blood |gases. |ABGs: |pH |7.32, |PCo2 |46, |HCO3 |25. |
How |should |this |be |categorized?
a. |Metabolic |Acidosis
b. |Metabolic |Alkalosis
c. |Respiratory |Acidosis
d. |Respiratory |Alkalosis |- |CORRECT |ANSWER✔✔-c. |Respiratory |Acidosis
What |are |the |causes |of |respiratory |acidosis?
a. |decreased |respiratory |rate
b. |increased |respiratory |rate
c. |diarrhea |for |several |days
d. |vomiting |or |gastric |suction |- |CORRECT |ANSWER✔✔-a. |decreased |respiratory |rate
, A |patient |with |vomiting |from |early |pregnancy |has |been |admitted. |She |is |quite |dehydrated. |
Her |electrolytes |and |ABGs |were |drawn |to |determine |her |status |and |fluid |needs. |The |values |
are |listed |below. |Which |electrolytes |are |out |of |normal |range, |and |what |is |the |acid-base |
status?
Na |129; |K+ |3.4, |Mg |1.6
ABGs: |pH |7.47; |pCO2 |46; |HCO3 |27
List |the |abnormal |values
a. |metabolic |alkalosis
b. |metabolic |acidosis
c. |respiratory |acidosis
d. |respiratory |alkalosis |- |CORRECT |ANSWER✔✔-Abnormal |values: |Na |129, |K+ |3.4, |all |ABGs |(all |
except |Mg)
a. |metabolic |alkalosis
A |patient |with |vomiting |from |early |pregnancy |has |been |admitted. |She |is |quite |dehydrated. |
Her |electrolytes |and |ABGs |were |drawn |to |determine |her |status |and |fluid |needs. |The |values |
are |listed |below. |What |IV |fluids |might |be |anticipated?
Na |129; |K+ |3.4, |Mg |1.6
ABGs: |pH |7.47; |pCO2 |46; |HCO3 |27
a. |1/2 |NS |at |100 |ml/hr
b. |D5W |at |100 |ml/hr
c. |D5RL |at |100 |ml/hr
d. |NS |with |20 |mEq |KCL |at |100 |ml/hr |- |CORRECT |ANSWER✔✔-D. |NS |with |20 |mEc |KCL |at |100 |
ml/hr
