2
NURS 3632 Exam 3 with precise detailed 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 - ✔✔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 - ✔✔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?
|| || || || ||
,2
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 - ✔✔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 - ✔✔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 - ✔✔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)
|| || || ||
,2
a. NS
||
b. D5W
||
c. D5RL
||
d. Lactated Ringer
|| ||
e. D5NS - ✔✔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 - ✔✔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 - ✔✔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
|| || || || || || || || || || || || || || ||
, 2
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 - ✔✔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 - ✔✔D. NS with 20 mEc KCL at 100 ml/hr
|| || || || || || || || || || || || || || || || || ||
A patient has the following ABGs:
|| || || || ||
pH: 7.51 ||
NURS 3632 Exam 3 with precise detailed 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 - ✔✔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 - ✔✔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?
|| || || || ||
,2
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 - ✔✔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 - ✔✔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 - ✔✔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)
|| || || ||
,2
a. NS
||
b. D5W
||
c. D5RL
||
d. Lactated Ringer
|| ||
e. D5NS - ✔✔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 - ✔✔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 - ✔✔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
|| || || || || || || || || || || || || || ||
, 2
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 - ✔✔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 - ✔✔D. NS with 20 mEc KCL at 100 ml/hr
|| || || || || || || || || || || || || || || || || ||
A patient has the following ABGs:
|| || || || ||
pH: 7.51 ||
