Archer Review -
Baseline Exam
Questions Verified
and Provided with
A+ Graded
Answers| Latest
Updated 2026
,Choice B is correct. Following the recent diagnosis of a chronic and incurable
genetic condition such as cystic fibrosis, this family will require significant
emotional support. Throughout the shift, the parents will likely have numerous
questions regarding the need to follow up on genetic counseling, treatment
options, prognosis, and/or resources, making Choice B the priority.
You receive the change-of-shift report for an infant whose family has just been
informed of the infant's cystic fibrosis diagnosis. As the nurse caring for this
pediatric client and the family, which of the following should you prioritize?
A. Arrange and schedule a follow-up appointment with a pediatric pulmonologist
B.Provide emotional support for the family
C. Arrange for financial assistance
D.Arrange for parental genetic testing, as the pareterm-44nts mention they want
another child soon
Choice D is correct. When administering magnesium sulfate, the nurse should
monitor the client for respiratory depression. Magnesium toxicity can lead to
respiratory paralysis, central nervous system depression, and cardiac arrest. If
respiratory depression or another sign of magnesium toxicity is noted, the antidote
is calcium gluconate, one gram, infused intravenously over two minutes.
A preeclamptic client, currently in the 38th week of pregnancy, was admitted and
given magnesium sulfate to prevent seizures. The nurse understands that this
client should be monitored for:
A. Blurring of vision
B. Tachypnea
C. Pain in the epigastric region
D. Respiratory depression
,Choice B is correct. Cyanosis is the bluish discoloration of the skin and mucous
membranes that results in the presence of poorly oxygenated blood.
Cyanosis, a bluish coloring of the skin, is caused by decreased peripheral
circulation or reduced oxygenation of the blood. It may be related to cardiac,
pulmonary, or peripheral vascular problems (e.g. arteriosclerosis). In dark-skinned
clients, you can best see cyanosis by examining the conjunctiva, tongue, buccal
mucosa, and palms and soles for a dull dark color.
When a nursing student asks a nurse on her assigned floor what cyanosis means,
what is the nurse's best response?
A. Cyanosis means the client has been exposed to cyanide poisoning.
B.Cyanosis is the blue coloring of the skin and mucous membranes in the
presence of poorly oxygenated blood.
C. Cyanosis is the primary indication that the client has pneumonia.
D.Cyanosis is the blue coloring of skin and mucous membranes in the presence of
highly oxygenated blood.
, Choice B is correct. Digoxin and furosemide increase renal perfusion when
taken together, leading to potassium loss. The client should be educated and
instructed to monitor serum electrolyte levels (most notably the serum potassium)
at designated intervals.
A nurse is preparing for the discharge of a client with heart failure. Upon review,
the nurse notes that the client has been prescribed digoxin and furosemide. Which
of the following laboratory tests must the client have monitored due to this
combination of prescribed medications?
A. Fecal occult blood
B.Serum electrolytes
C. Urinalysis
D.Glycosylated hemoglobin
Choice A is correct. This is a normal ABG. The registered nurse must know the
basics of ABG interpretation, including the normal ranges for each of the values.
First, the nurse should look at the pH. The normal range is 7.35-7.45. A value
below 7.35 indicates an acidosis; a value above 7.45 indicates an alkalosis. The
normal partial pressure of carbon dioxide (PaCO2) is 35-45 mmHg. Standard
bicarbonate for a man this age is 22-29 mmol/L. Since this patient’s values are all
within the normal range, this is a normal ABG. The pH and PaCO2 define
respiratory disorders. Respiratory acidosis is defined as a pH below 7.35 and a
PaCO2 above 45 mmHg. Respiratory alkalosis is defined as a pH above
7.45 and a PaCO2 below 35 mmHg. Metabolic disorders are defined by the pH and
the bicarbonate (HCO3). Metabolic acidosis is defined as a pH below 7.35 and an
HCO3 below 22 mmol/L. Metabolic alkalosis is defined as a pH above 7.45 and an
HCO3 above 29 mmol/L.
You are assessing a 35-year-old male patient in the clinic. He had a cough and
intermittent abdominal pain for a few days. You receive results of an arterial blood
gas that show:
pH = 7.41
PaCO2 = 40
Bicarbonate = 25
You determine that this ABG shows:
A. Normal ABG
B.Respiratory acidosis
C. Respiratory alkalosis
D.Metabolic acidosis
Baseline Exam
Questions Verified
and Provided with
A+ Graded
Answers| Latest
Updated 2026
,Choice B is correct. Following the recent diagnosis of a chronic and incurable
genetic condition such as cystic fibrosis, this family will require significant
emotional support. Throughout the shift, the parents will likely have numerous
questions regarding the need to follow up on genetic counseling, treatment
options, prognosis, and/or resources, making Choice B the priority.
You receive the change-of-shift report for an infant whose family has just been
informed of the infant's cystic fibrosis diagnosis. As the nurse caring for this
pediatric client and the family, which of the following should you prioritize?
A. Arrange and schedule a follow-up appointment with a pediatric pulmonologist
B.Provide emotional support for the family
C. Arrange for financial assistance
D.Arrange for parental genetic testing, as the pareterm-44nts mention they want
another child soon
Choice D is correct. When administering magnesium sulfate, the nurse should
monitor the client for respiratory depression. Magnesium toxicity can lead to
respiratory paralysis, central nervous system depression, and cardiac arrest. If
respiratory depression or another sign of magnesium toxicity is noted, the antidote
is calcium gluconate, one gram, infused intravenously over two minutes.
A preeclamptic client, currently in the 38th week of pregnancy, was admitted and
given magnesium sulfate to prevent seizures. The nurse understands that this
client should be monitored for:
A. Blurring of vision
B. Tachypnea
C. Pain in the epigastric region
D. Respiratory depression
,Choice B is correct. Cyanosis is the bluish discoloration of the skin and mucous
membranes that results in the presence of poorly oxygenated blood.
Cyanosis, a bluish coloring of the skin, is caused by decreased peripheral
circulation or reduced oxygenation of the blood. It may be related to cardiac,
pulmonary, or peripheral vascular problems (e.g. arteriosclerosis). In dark-skinned
clients, you can best see cyanosis by examining the conjunctiva, tongue, buccal
mucosa, and palms and soles for a dull dark color.
When a nursing student asks a nurse on her assigned floor what cyanosis means,
what is the nurse's best response?
A. Cyanosis means the client has been exposed to cyanide poisoning.
B.Cyanosis is the blue coloring of the skin and mucous membranes in the
presence of poorly oxygenated blood.
C. Cyanosis is the primary indication that the client has pneumonia.
D.Cyanosis is the blue coloring of skin and mucous membranes in the presence of
highly oxygenated blood.
, Choice B is correct. Digoxin and furosemide increase renal perfusion when
taken together, leading to potassium loss. The client should be educated and
instructed to monitor serum electrolyte levels (most notably the serum potassium)
at designated intervals.
A nurse is preparing for the discharge of a client with heart failure. Upon review,
the nurse notes that the client has been prescribed digoxin and furosemide. Which
of the following laboratory tests must the client have monitored due to this
combination of prescribed medications?
A. Fecal occult blood
B.Serum electrolytes
C. Urinalysis
D.Glycosylated hemoglobin
Choice A is correct. This is a normal ABG. The registered nurse must know the
basics of ABG interpretation, including the normal ranges for each of the values.
First, the nurse should look at the pH. The normal range is 7.35-7.45. A value
below 7.35 indicates an acidosis; a value above 7.45 indicates an alkalosis. The
normal partial pressure of carbon dioxide (PaCO2) is 35-45 mmHg. Standard
bicarbonate for a man this age is 22-29 mmol/L. Since this patient’s values are all
within the normal range, this is a normal ABG. The pH and PaCO2 define
respiratory disorders. Respiratory acidosis is defined as a pH below 7.35 and a
PaCO2 above 45 mmHg. Respiratory alkalosis is defined as a pH above
7.45 and a PaCO2 below 35 mmHg. Metabolic disorders are defined by the pH and
the bicarbonate (HCO3). Metabolic acidosis is defined as a pH below 7.35 and an
HCO3 below 22 mmol/L. Metabolic alkalosis is defined as a pH above 7.45 and an
HCO3 above 29 mmol/L.
You are assessing a 35-year-old male patient in the clinic. He had a cough and
intermittent abdominal pain for a few days. You receive results of an arterial blood
gas that show:
pH = 7.41
PaCO2 = 40
Bicarbonate = 25
You determine that this ABG shows:
A. Normal ABG
B.Respiratory acidosis
C. Respiratory alkalosis
D.Metabolic acidosis
