D 444 |Adult Health II Exam 2 Practice
Questions| (Western Governors
University)
________ is a process whereby fluid and solutes move together across a
membrane from an area of higher pressure to one of lower pressure.
A)Osmosis
B)Filtration
C)Active transport
D)Diffusion - ------------ANS: B) Filtration
A client admitted with the diagnosis of cardiomyopathy becomes short of
breath with ambulation and eating and fatigued with routine care activities.
Which nursing diagnosis does the nurse include in the client's plan of care?
A)Imbalanced Nutrition: Less than Body Requirements
B)Deficient Knowledge
C)Activity Intolerance
D)Self-Care Deficit - ------------ANS: C) Activity Intolerance
A client diagnosed with cardiomyopathy asks the nurse to explain the different
types of the disease. Which is inappropriate for the nurse to include in the
teaching session?
A)Dilated cardiomyopathy
B)Restrictive cardiomyopathy
C)Hypotrophic cardiomyopathy
D)Arrhythmogenic right ventricular dysplasia - ------------ANS: C) Hypotrophic
cardiomyopathy
A client diagnosed with cardiomyopathy reports having to rest between
activities during the day. The client asks the nurse why this is occurring. Which
reason should the nurse include in the response to the client?
A)Increased stroke volume
B)Decreased cardiac output
,C)An elongated and dilated aorta
D)Increased blood pressure - ------------ANS: B) Decreased cardiac output
A client has been admitted with chronic obstructive pulmonary disease.
Diagnostic tests have been ordered. Which of the tests will provide the most
accurate indicator of the client's acid-base balance?
A)Arterial blood gases (ABGs)
B)Pulse oximetry
C)Sputum studies
D)Bronchoscopy - ------------ANS: A) Arterial blood gases (ABGs)
A client has prescribed enalapril (Vasotec) for the treatment of heart failure.
Which adverse effect should the nurse assess for following the initial
administration of this drug?
A)Jaundice
B)Ototoxicity
C)Low blood pressure
D)Blurred vision - ------------ANS: C) Low blood pressure
A client is admitted to the hospital with airway edema, bronchoconstriction,
and increased mucus production after being exposed to an allergen. Which
nursing interventions are appropriate to address this inflammation to the
client's respiratory system? Select all that apply.
A)Turn and reposition every 2 hours.
B)Monitor oxygen saturation.
C)Administer oxygen as prescribed.
D)Restrict fluids.
E)Monitor lung sounds. - ------------ANS: B) Monitor oxygen saturation.
C) Administer oxygen as prescribed.
E) Monitor lung sounds
A client is admitted to the hospital with sudden, severe abdominal pain. The
client is diagnosed with respiratory alkalosis. Which arterial blood gas value
does the nurse document to support this diagnosis?
A)pH is 7.33 and PaCO2 is 36.
B)pH is 7.51 and HCO3 is 30.
, C)pH is 7.47 and PaCO2 is 25.
D)pH is 7.35 and PaO2 is 88. - ------------ANS: C) pH is 7.47 and PaCO2 is
25.
A client is admitted with manifestations of metabolic alkalosis. Which
diagnostic test findings support the admitting diagnosis? Select all that apply.
A)Serum glucose level 142 mg/dL
B)Blood pH 7.47 and bicarbonate 34 mEq/L
C)Intravenous pyelogram shows kidney stones
D)Bilateral lower lobe infiltrates noted on chest x-ray
E)Electrocardiogram changes consistent with hypokalemia - ------------ANS: B)
Blood pH 7.47 and bicarbonate 34 mEq/L
E) Electrocardiogram changes consistent with hypokalemia
A client is being treated with blood transfusions for a large peptic ulcer in the
duodenum. Which information in the client's history should the nurse suspect
as a potential cause of this health problem?
A)Allergies to penicillin and morphine sulfate
B)History of chronic atrial fibrillation
C)Daily medications include naproxen sodium and aspirin
D)History of recent cataract extraction with lens implant - ------------ANS: C)
Daily medications include naproxen sodium and aspirin
A client is brought to the emergency department (ED) after passing out in a
local department store. The client has been fasting and has ketones in the
urine. Which acid-base imbalance would the nurse expect to assess in this
client?
A)Metabolic acidosis
B)Respiratory alkalosis
C)Metabolic alkalosis
D)Respiratory acidosis - ------------ANS: A) Metabolic acidosis
A client states to the nurse, "I know I have high blood pressure, but I don't
want to take medication." Based on this data, which health problem is the
client at risk for developing?
A)Gastritis
Questions| (Western Governors
University)
________ is a process whereby fluid and solutes move together across a
membrane from an area of higher pressure to one of lower pressure.
A)Osmosis
B)Filtration
C)Active transport
D)Diffusion - ------------ANS: B) Filtration
A client admitted with the diagnosis of cardiomyopathy becomes short of
breath with ambulation and eating and fatigued with routine care activities.
Which nursing diagnosis does the nurse include in the client's plan of care?
A)Imbalanced Nutrition: Less than Body Requirements
B)Deficient Knowledge
C)Activity Intolerance
D)Self-Care Deficit - ------------ANS: C) Activity Intolerance
A client diagnosed with cardiomyopathy asks the nurse to explain the different
types of the disease. Which is inappropriate for the nurse to include in the
teaching session?
A)Dilated cardiomyopathy
B)Restrictive cardiomyopathy
C)Hypotrophic cardiomyopathy
D)Arrhythmogenic right ventricular dysplasia - ------------ANS: C) Hypotrophic
cardiomyopathy
A client diagnosed with cardiomyopathy reports having to rest between
activities during the day. The client asks the nurse why this is occurring. Which
reason should the nurse include in the response to the client?
A)Increased stroke volume
B)Decreased cardiac output
,C)An elongated and dilated aorta
D)Increased blood pressure - ------------ANS: B) Decreased cardiac output
A client has been admitted with chronic obstructive pulmonary disease.
Diagnostic tests have been ordered. Which of the tests will provide the most
accurate indicator of the client's acid-base balance?
A)Arterial blood gases (ABGs)
B)Pulse oximetry
C)Sputum studies
D)Bronchoscopy - ------------ANS: A) Arterial blood gases (ABGs)
A client has prescribed enalapril (Vasotec) for the treatment of heart failure.
Which adverse effect should the nurse assess for following the initial
administration of this drug?
A)Jaundice
B)Ototoxicity
C)Low blood pressure
D)Blurred vision - ------------ANS: C) Low blood pressure
A client is admitted to the hospital with airway edema, bronchoconstriction,
and increased mucus production after being exposed to an allergen. Which
nursing interventions are appropriate to address this inflammation to the
client's respiratory system? Select all that apply.
A)Turn and reposition every 2 hours.
B)Monitor oxygen saturation.
C)Administer oxygen as prescribed.
D)Restrict fluids.
E)Monitor lung sounds. - ------------ANS: B) Monitor oxygen saturation.
C) Administer oxygen as prescribed.
E) Monitor lung sounds
A client is admitted to the hospital with sudden, severe abdominal pain. The
client is diagnosed with respiratory alkalosis. Which arterial blood gas value
does the nurse document to support this diagnosis?
A)pH is 7.33 and PaCO2 is 36.
B)pH is 7.51 and HCO3 is 30.
, C)pH is 7.47 and PaCO2 is 25.
D)pH is 7.35 and PaO2 is 88. - ------------ANS: C) pH is 7.47 and PaCO2 is
25.
A client is admitted with manifestations of metabolic alkalosis. Which
diagnostic test findings support the admitting diagnosis? Select all that apply.
A)Serum glucose level 142 mg/dL
B)Blood pH 7.47 and bicarbonate 34 mEq/L
C)Intravenous pyelogram shows kidney stones
D)Bilateral lower lobe infiltrates noted on chest x-ray
E)Electrocardiogram changes consistent with hypokalemia - ------------ANS: B)
Blood pH 7.47 and bicarbonate 34 mEq/L
E) Electrocardiogram changes consistent with hypokalemia
A client is being treated with blood transfusions for a large peptic ulcer in the
duodenum. Which information in the client's history should the nurse suspect
as a potential cause of this health problem?
A)Allergies to penicillin and morphine sulfate
B)History of chronic atrial fibrillation
C)Daily medications include naproxen sodium and aspirin
D)History of recent cataract extraction with lens implant - ------------ANS: C)
Daily medications include naproxen sodium and aspirin
A client is brought to the emergency department (ED) after passing out in a
local department store. The client has been fasting and has ketones in the
urine. Which acid-base imbalance would the nurse expect to assess in this
client?
A)Metabolic acidosis
B)Respiratory alkalosis
C)Metabolic alkalosis
D)Respiratory acidosis - ------------ANS: A) Metabolic acidosis
A client states to the nurse, "I know I have high blood pressure, but I don't
want to take medication." Based on this data, which health problem is the
client at risk for developing?
A)Gastritis
