EXAM 1 NUR 365 QUESTIONS) UPDATED AND CORRECT
ANSWERS UPDATED QUESTIONS AND CORRECT
ANSWERS
Question:
1. What is the best action for a nurse to take on finding a ANS:
client's serum chloride level is 101 mEq/L?
A. Urge the client to drink more water
B. Notify the primary health care provider
C. Asses
D. Document the finding as normal
Answer:
D
Question:
2. Which clinical indicators are most relevant for the ANS:
nurse to monitor during IV fluid replacement for a client with dehydration? *Select ALL that apply*
A. Blood pressure
B. Deep tendon reflexes
C. Hand-grip strength
D. Pulse rate and quality
E. Skin turgor
F. Urine output
Answer:
A, D, F
Question:
3. With which client does the nurse remain alert for and ANS:
assess most frequently for signs and symptoms of hy-pokalemia?
A. 72-year-old taking the diuretic spironolactone for
control of hypertension
B. 62-year-old receiving an IV solution of Ringer's lac-
tate at a rate of 200 mL/hour
C. 42-year-old trauma victim receiving a third infusion
of packed red blood cells in 12 hours
D. 22-year-old receiving an IV infusion of regular in-
sulin to manage an episode of ketoacidosis
Answer:
D
Question:
4. Which assessment finding on a client with hyperv- ANS:
olemia indicates to the nurse that the client's condition may be worsening?
A. Nose and ears have a slightly yellow-tinged appear-
ance.
B. Neck veins are now distended in the sitting position.
C. Breath sounds can be heard in the right lower lung
, lobe.
D. Weight is unchanged from that obtained yesterday
Answer:
B
Question:
5. Which serum electrolyte value indicates to the nurse ANS:
that the client has hypernatremia?
A. Sodium 132 mEq/L (mmol/L)
B. Potassium 3.5 mEq/L (mmol/L)
C. Sodium 148 mEq/L (mmol/L)
D. Potassium 5.3 mEq/L (mmol/L)
Answer:
C
Question:
6. Which sign or symptom indicates to the nurse that ANS:
treatment for a client's hypokalemia is effective?
A. Reports having a bowel movement daily.
B. ECG shows an inverted T wave.
C. Fasting blood glucose level is 106 mg/dL.
D. Two lb weight gain during the past week.
Answer:
A
Question:
7. A client with a suspected overdose of an unknown ANS:
drug is admitted to the emergency department. Arter-ial blood gas values indicate respiratory
acidosis. What should the nurse do first?
A. Monitor the client's heart rhythm.
B. Prepare to assist with ventilation.
C. Obtain a urine specimen for drug screening.
D. Prepare for gastric lavage.
Answer:
B
Question:
8. A client in the emergency department reports that he ANS:
has been vomiting excessively for the past 2 days. His arterial blood gas analysis shows a pH of 7.50,
partial pressure of arterial carbon dioxide (PaCO2) of 43 mm Hg, partial pressure of arterial oxygen
(PaO2) of 75 mm Hg, and bicarbonate (HCO3-) of 42 mEq/L. Based on these findings, the nurse
documents that the client is experiencing which type of acid-base imbalance?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic alkalosis
D. Metabolic acidosis
Answer:
C
ANSWERS UPDATED QUESTIONS AND CORRECT
ANSWERS
Question:
1. What is the best action for a nurse to take on finding a ANS:
client's serum chloride level is 101 mEq/L?
A. Urge the client to drink more water
B. Notify the primary health care provider
C. Asses
D. Document the finding as normal
Answer:
D
Question:
2. Which clinical indicators are most relevant for the ANS:
nurse to monitor during IV fluid replacement for a client with dehydration? *Select ALL that apply*
A. Blood pressure
B. Deep tendon reflexes
C. Hand-grip strength
D. Pulse rate and quality
E. Skin turgor
F. Urine output
Answer:
A, D, F
Question:
3. With which client does the nurse remain alert for and ANS:
assess most frequently for signs and symptoms of hy-pokalemia?
A. 72-year-old taking the diuretic spironolactone for
control of hypertension
B. 62-year-old receiving an IV solution of Ringer's lac-
tate at a rate of 200 mL/hour
C. 42-year-old trauma victim receiving a third infusion
of packed red blood cells in 12 hours
D. 22-year-old receiving an IV infusion of regular in-
sulin to manage an episode of ketoacidosis
Answer:
D
Question:
4. Which assessment finding on a client with hyperv- ANS:
olemia indicates to the nurse that the client's condition may be worsening?
A. Nose and ears have a slightly yellow-tinged appear-
ance.
B. Neck veins are now distended in the sitting position.
C. Breath sounds can be heard in the right lower lung
, lobe.
D. Weight is unchanged from that obtained yesterday
Answer:
B
Question:
5. Which serum electrolyte value indicates to the nurse ANS:
that the client has hypernatremia?
A. Sodium 132 mEq/L (mmol/L)
B. Potassium 3.5 mEq/L (mmol/L)
C. Sodium 148 mEq/L (mmol/L)
D. Potassium 5.3 mEq/L (mmol/L)
Answer:
C
Question:
6. Which sign or symptom indicates to the nurse that ANS:
treatment for a client's hypokalemia is effective?
A. Reports having a bowel movement daily.
B. ECG shows an inverted T wave.
C. Fasting blood glucose level is 106 mg/dL.
D. Two lb weight gain during the past week.
Answer:
A
Question:
7. A client with a suspected overdose of an unknown ANS:
drug is admitted to the emergency department. Arter-ial blood gas values indicate respiratory
acidosis. What should the nurse do first?
A. Monitor the client's heart rhythm.
B. Prepare to assist with ventilation.
C. Obtain a urine specimen for drug screening.
D. Prepare for gastric lavage.
Answer:
B
Question:
8. A client in the emergency department reports that he ANS:
has been vomiting excessively for the past 2 days. His arterial blood gas analysis shows a pH of 7.50,
partial pressure of arterial carbon dioxide (PaCO2) of 43 mm Hg, partial pressure of arterial oxygen
(PaO2) of 75 mm Hg, and bicarbonate (HCO3-) of 42 mEq/L. Based on these findings, the nurse
documents that the client is experiencing which type of acid-base imbalance?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic alkalosis
D. Metabolic acidosis
Answer:
C
