©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM
NURS 1220 test 2 Exam Questions With
Correct Answers
Which nursing intervention would be included in the plan of care for a patient who is in
metabolic alkalosis because of overuse of diuretics? Select all that apply.
- Monitoring electrolyte levels
- Administering prescribed diuretics
- Administering IV fluids
- Placing the patient on fall precautions
- Administering prescribed antiemetics - answer✔Monitoring electrolyte levels
Administering IV fluids
Placing the patient on fall precautions
rationale: For a patient with metabolic alkalosis because of diuretic therapy, the patient's
diuretics should be stopped, the nurse should administer IV fluids and monitor electrolyte levels,
and the patient should be placed on fall precautions because hypotension and muscle cramping
are common with metabolic alkalosis. Antiemetics are used if metabolic alkalosis is caused by
vomiting.
Which organ plays a major role in maintaining pH balance in the body? Select all that apply.
- Lungs
- Brain
- Pancreas
- Kidneys
- Small intestines - answer✔Lungs
, ©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM
Kidneys
rationale: Blood pH represents a delicate balance between hydrogen ions (acid) and bicarbonate
anions (base), which is largely controlled by the lungs and kidneys. The lungs adjust the blood
pH by releasing or retaining hydrogen ions (acid), and the kidneys adjust the blood pH by
releasing or retaining bicarbonate anions (base). The liver plays a role in metabolism, immunity,
and clotting. The pancreas releases insulin for glucose metabolism and enzymes for digestion.
The brain plays a secondary role in maintaining ph balance by sensing the need for alterations in
acid or base levels and sends appropriate signals to the kidneys and lungs. The small intestine is
not involved with regulating blood pH.
Which assessment finding if present in the patient would prompt the nurse to suspect right-sided
heart failure secondary to endocarditis? Select all that apply.
- Distended neck veins
- Weight gain
- Peripheral edema
- Shortness of breath
- Crackles when auscultating lungs - answer✔- Distended neck veins
- Weight gain
- Peripheral edema
rationale: Distended neck veins, weight gain, and peripheral edema are findings consistent with
right-sided heart failure. Shortness of breath and crackles when auscultating the lungs are
symptoms of left-sided heart failure.
At the last visit, the nurse and patient developed a goal to improve cardiovascular health.
Which finding indicates the goal has been met? Select all that apply.
- Has total cholesterol of 175 mg/dL
- Exercises 40 minutes per day
- Has body mass index of 24.8 kg/m 2
- Consumes 40 g fiber daily
10/10/2024 11:44 AM
NURS 1220 test 2 Exam Questions With
Correct Answers
Which nursing intervention would be included in the plan of care for a patient who is in
metabolic alkalosis because of overuse of diuretics? Select all that apply.
- Monitoring electrolyte levels
- Administering prescribed diuretics
- Administering IV fluids
- Placing the patient on fall precautions
- Administering prescribed antiemetics - answer✔Monitoring electrolyte levels
Administering IV fluids
Placing the patient on fall precautions
rationale: For a patient with metabolic alkalosis because of diuretic therapy, the patient's
diuretics should be stopped, the nurse should administer IV fluids and monitor electrolyte levels,
and the patient should be placed on fall precautions because hypotension and muscle cramping
are common with metabolic alkalosis. Antiemetics are used if metabolic alkalosis is caused by
vomiting.
Which organ plays a major role in maintaining pH balance in the body? Select all that apply.
- Lungs
- Brain
- Pancreas
- Kidneys
- Small intestines - answer✔Lungs
, ©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM
Kidneys
rationale: Blood pH represents a delicate balance between hydrogen ions (acid) and bicarbonate
anions (base), which is largely controlled by the lungs and kidneys. The lungs adjust the blood
pH by releasing or retaining hydrogen ions (acid), and the kidneys adjust the blood pH by
releasing or retaining bicarbonate anions (base). The liver plays a role in metabolism, immunity,
and clotting. The pancreas releases insulin for glucose metabolism and enzymes for digestion.
The brain plays a secondary role in maintaining ph balance by sensing the need for alterations in
acid or base levels and sends appropriate signals to the kidneys and lungs. The small intestine is
not involved with regulating blood pH.
Which assessment finding if present in the patient would prompt the nurse to suspect right-sided
heart failure secondary to endocarditis? Select all that apply.
- Distended neck veins
- Weight gain
- Peripheral edema
- Shortness of breath
- Crackles when auscultating lungs - answer✔- Distended neck veins
- Weight gain
- Peripheral edema
rationale: Distended neck veins, weight gain, and peripheral edema are findings consistent with
right-sided heart failure. Shortness of breath and crackles when auscultating the lungs are
symptoms of left-sided heart failure.
At the last visit, the nurse and patient developed a goal to improve cardiovascular health.
Which finding indicates the goal has been met? Select all that apply.
- Has total cholesterol of 175 mg/dL
- Exercises 40 minutes per day
- Has body mass index of 24.8 kg/m 2
- Consumes 40 g fiber daily
