PRN1178 CCC2 Exam 2
1. A client was recently diagnosed with gastroesophageal reflux disease (GERD). Which
type of medication does the nurse anticipate will be prescribed?
Proton pump inhibitor
2. A client has been prescribed a proton pump inhibitor (PPI). About which medication
does the nurse anticipate reinforcing teaching?
Omeprazole
3. The nurse is caring for a client with asthma. Which Activity should the nurse reinforce to
help prevent respiratory acidosis?
Encourage deep breathing exercises every two hours
4. In studying the gastrointestinal system, the nursing student understands the chyme
refers to what?
Liquefied food ready for digestion
5. The three body mechanisms that attempt to compensate for acid-base imbalances are
which of the following?
Kidneys, Buffer System, Respiratory system
6. A client is ordered pantoprazole 40mg in 100ml IV fluids to be administered over 30
minutes. What is the flow rate in ml/hr?
200ml/hr
7. A client who is hyperventilating experiences respiratory alkalosis. Which of the following
values would be expected?
Carbon Dioxide (PaCO2) 33
, 8. The nurse is caring for a client with a peptic ulcer. Which of the following is the most
likely contributing factor to the client's ulcer?
The client takes ibuprofen daily for arthritis
9. A client with an esophageal tumor is working with a speech-language pathologist to
improve swallowing. which finding by the nurse suggests the priority?
The client only chooses foods that are easy to swallow
10. A client is prescribed famotidine 20mg by mouth twice a day for four weeks. The
medication is available in 20mg tablets. How many tablets will the client need for the
duration of the four-week treatment?
56 tablets
11. Which medication's mechanism of action is to suppress acid secretion by blocking H2
receptors on parietal cells?
Famotidine
12. Excessive gastric suctioning from a nasogastric tube could cause which acid-base
imbalances?
Metabolic alkalosis
13. The nurse is caring for a client with a nasoduodenal tube for enteral feeding. Which is
the most appropriate action for the nurse to take?
Flush the tube with sterile water every 4 hours
14. A client's arterial blood gas (ABG) results are pH - 7.5. bicarbonate (HCO3) - 32 mEq/L,
and carbon dioxide (PaCO2) - 40mg. What is the imbalance?
Metabolic alkalosis
1. A client was recently diagnosed with gastroesophageal reflux disease (GERD). Which
type of medication does the nurse anticipate will be prescribed?
Proton pump inhibitor
2. A client has been prescribed a proton pump inhibitor (PPI). About which medication
does the nurse anticipate reinforcing teaching?
Omeprazole
3. The nurse is caring for a client with asthma. Which Activity should the nurse reinforce to
help prevent respiratory acidosis?
Encourage deep breathing exercises every two hours
4. In studying the gastrointestinal system, the nursing student understands the chyme
refers to what?
Liquefied food ready for digestion
5. The three body mechanisms that attempt to compensate for acid-base imbalances are
which of the following?
Kidneys, Buffer System, Respiratory system
6. A client is ordered pantoprazole 40mg in 100ml IV fluids to be administered over 30
minutes. What is the flow rate in ml/hr?
200ml/hr
7. A client who is hyperventilating experiences respiratory alkalosis. Which of the following
values would be expected?
Carbon Dioxide (PaCO2) 33
, 8. The nurse is caring for a client with a peptic ulcer. Which of the following is the most
likely contributing factor to the client's ulcer?
The client takes ibuprofen daily for arthritis
9. A client with an esophageal tumor is working with a speech-language pathologist to
improve swallowing. which finding by the nurse suggests the priority?
The client only chooses foods that are easy to swallow
10. A client is prescribed famotidine 20mg by mouth twice a day for four weeks. The
medication is available in 20mg tablets. How many tablets will the client need for the
duration of the four-week treatment?
56 tablets
11. Which medication's mechanism of action is to suppress acid secretion by blocking H2
receptors on parietal cells?
Famotidine
12. Excessive gastric suctioning from a nasogastric tube could cause which acid-base
imbalances?
Metabolic alkalosis
13. The nurse is caring for a client with a nasoduodenal tube for enteral feeding. Which is
the most appropriate action for the nurse to take?
Flush the tube with sterile water every 4 hours
14. A client's arterial blood gas (ABG) results are pH - 7.5. bicarbonate (HCO3) - 32 mEq/L,
and carbon dioxide (PaCO2) - 40mg. What is the imbalance?
Metabolic alkalosis
