NUR 2392
Multidimensional Care II
MDC 2 Exam 2
Rasmussen College
passing score of 90% or higher
What You’ll Receive (Digital Download)
Exam-Style Qs that mirror the actual Exam
Most Comprehensive to Pass the Exam
Printable + tablet-friendly PDF
,A client has acute alcohol intoxication. What acid-base imbalance is the client at
risk for?
metabolic acidosis.
A client comes into the ED with respiratory acidosis. What type of medication
would the nurse likely administer?
bronchodilators
A patient is brought into the ED with respiratory depression. The patient has a
history of COPD. What acid-base imbalance is most likely?
Respiratory Acidosis. The patient likely has a build-up of CO2, causing respiratory
acidosis.
The nurse is evaluating the lab work of a patient who has uncontrolled
metabolic acidosis. Which lab result would result from this condition?
A) pH 7.4
B) PaO2 98 mm Hg
C) bicarbonate 38 mEq/ L
D) serum potassium 5.7 mEq/L
D) serum potassium 5.7 mEq/L. Serum potassium increases during acidosis to try
to buffer the acidic conditions.
The nurse is reviewing the standing orders for a patient who was admitted for
evaluation of chest pain. The patient has a history of chronic obstructive
pulmonary disease (COPD) and his laboratory results and assessment reveal that
he has mild respiratory acidosis. The nurse would question which order?
A.Encourage oral fluids
B.Keep head of bed elevated
C.Oxygen therapy at 4 L/min as needed
D.Bedrest with bathroom privileges only
, C) Oxygen therapy at 4L/ Min as needed. Oxygen therapy is often ordered for
respiratory acidosis. However, COPD patients have a difficult time off-loading
carbon dioxide and giving too much oxygen can cause these patients to have a
decrease in respiratory drive, leading to respiratory arrest.
A client comes into the ED with a high fever and is hyperventilating. His ABG
results are pH 7.51, PaCO2 28 mm Hg, and HCO3 24 mEq/L. The nurse should
identify that the client has which acid-base imbalance?
Respiratory Alkalosis. Because the client is breathing rapidly, he is exhaling
excessive amounts of carbon dioxide. This loss of carbon dioxide decreases the
hydrogen ion level of the blood, causing the pH to increase and resulting in
respiratory alkalosis.
A nurse is caring for a client who has metabolic alkalosis. As the client
compensates for this acid-base imbalance, which of the following mechanisms
should the nurse expect the client's body to use?
Hypoventilation.
Hypoventilation is the mechanism that helps clients compensate for metabolic
alkalosis.
A nurse is inserting an NG tube for a client who is beginning enteral feedings.
What action should the nurse take to verify tube placement before
administering initial feeding?
Verify tube placement with radiography
Which patient statement alerts the nurse to perform a thorough GI history and
focused assessment?
A."I don't like the taste of spicy foods."
B."I got dentures four years ago."
C."I experience occasional constipation."
D."I take ibuprofen three times daily for arthritis."
Multidimensional Care II
MDC 2 Exam 2
Rasmussen College
passing score of 90% or higher
What You’ll Receive (Digital Download)
Exam-Style Qs that mirror the actual Exam
Most Comprehensive to Pass the Exam
Printable + tablet-friendly PDF
,A client has acute alcohol intoxication. What acid-base imbalance is the client at
risk for?
metabolic acidosis.
A client comes into the ED with respiratory acidosis. What type of medication
would the nurse likely administer?
bronchodilators
A patient is brought into the ED with respiratory depression. The patient has a
history of COPD. What acid-base imbalance is most likely?
Respiratory Acidosis. The patient likely has a build-up of CO2, causing respiratory
acidosis.
The nurse is evaluating the lab work of a patient who has uncontrolled
metabolic acidosis. Which lab result would result from this condition?
A) pH 7.4
B) PaO2 98 mm Hg
C) bicarbonate 38 mEq/ L
D) serum potassium 5.7 mEq/L
D) serum potassium 5.7 mEq/L. Serum potassium increases during acidosis to try
to buffer the acidic conditions.
The nurse is reviewing the standing orders for a patient who was admitted for
evaluation of chest pain. The patient has a history of chronic obstructive
pulmonary disease (COPD) and his laboratory results and assessment reveal that
he has mild respiratory acidosis. The nurse would question which order?
A.Encourage oral fluids
B.Keep head of bed elevated
C.Oxygen therapy at 4 L/min as needed
D.Bedrest with bathroom privileges only
, C) Oxygen therapy at 4L/ Min as needed. Oxygen therapy is often ordered for
respiratory acidosis. However, COPD patients have a difficult time off-loading
carbon dioxide and giving too much oxygen can cause these patients to have a
decrease in respiratory drive, leading to respiratory arrest.
A client comes into the ED with a high fever and is hyperventilating. His ABG
results are pH 7.51, PaCO2 28 mm Hg, and HCO3 24 mEq/L. The nurse should
identify that the client has which acid-base imbalance?
Respiratory Alkalosis. Because the client is breathing rapidly, he is exhaling
excessive amounts of carbon dioxide. This loss of carbon dioxide decreases the
hydrogen ion level of the blood, causing the pH to increase and resulting in
respiratory alkalosis.
A nurse is caring for a client who has metabolic alkalosis. As the client
compensates for this acid-base imbalance, which of the following mechanisms
should the nurse expect the client's body to use?
Hypoventilation.
Hypoventilation is the mechanism that helps clients compensate for metabolic
alkalosis.
A nurse is inserting an NG tube for a client who is beginning enteral feedings.
What action should the nurse take to verify tube placement before
administering initial feeding?
Verify tube placement with radiography
Which patient statement alerts the nurse to perform a thorough GI history and
focused assessment?
A."I don't like the taste of spicy foods."
B."I got dentures four years ago."
C."I experience occasional constipation."
D."I take ibuprofen three times daily for arthritis."
