TEST BANK
Nursing: A Concept-Based Approach to
Learning
Pearson Education
9780136883395 4th Edition
100% Authentic Test Bank
Instant Access – No Waiting!
Verified & Accurate Questions with Answers
,Table of content
Chapter 1: Assessment
Chapter 2: Caring Interventions
Chapter 3: Comfort
Chapter 4: Elimination
Chapter 5: Fluids and Electrolytes
Chapter 6: Infection
Chapter 7: Intracranial Regulation
Chapter 8: Metabolism
Chapter 9: Mobility
Chapter 10: Nutrition
Chapter 11: Oxygenation
Chapter 12: Perfusion
Chapter 13: Perioperative Care
Chapter 14: Reproduction
Chapter 15: Safety
Chapter 16: Tissue Integrity
, Test Bank - Nursing: A Concept-Based Approach to Learning, 4th Edition (Pearson Education, 2023)
______________________________________________________________________________________________
Nursing: A Concept-Based Approach to Learning Vol. 1 & 2, 4e (Pearson)
Module 1 Acid-Base Balance
The Concept of Acid-Base Balance
1) A client who has been fasting and has ketones in the urine is brought to the emergency
department (ED) unconscious. Which acid-base imbalance would the nurse expect to assess in
this client?
A) Metabolic acidosis
B) Respiratory alkalosis
C) Metabolic alkalosis
D) Respiratory acidosis
Answer: A
Explanation: A) A client who is fasting is at risk for development of metabolic acidosis. The
body recognizes fasting as starvation and begins to metabolize its own fatty acids into ketones,
which are metabolic acids.
B) A client who is fasting is at risk for development of metabolic acidosis. The body recognizes
fasting as starvation and begins to metabolize its own fatty acids into ketones, which are
metabolic acids. Starvation would not result in respiratory alkalosis.
C) A client who is fasting is at risk for development of metabolic acidosis. The body recognizes
fasting as starvation and begins to metabolize its own fatty acids into ketones, which are
metabolic acids. Starvation would not result in metabolic alkalosis.
D) A client who is fasting is at risk for development of metabolic acidosis. The body recognizes
fasting as starvation and begins to metabolize its own fatty acids into ketones, which are
metabolic acids. Starvation would not result in respiratory acidosis.
Page Ref: 5
Cognitive Level: Analyzing
Client Need/Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods
and processes. | AACN Domains and Competencies: 2.4 Diagnose actual or potential health
problems and needs. | NLN Competencies: Knowledge and Science: Relationships between
knowledge/science and quality and safe patient care. | Nursing Process: Assessment
Learning Outcome: 1.2. Differentiate alterations in acid-base balance.
MNL LO: Analyze the concept of acid-base balance and its application to nursing care.
______________________________________________________________________________________________
2|Page
: dnkieahu | Want to earn $1.236
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, Test Bank - Nursing: A Concept-Based Approach to Learning, 4th Edition (Pearson Education, 2023)
______________________________________________________________________________________________
2) The nurse is caring for a client in the emergency department. Which factors will the nurse
identify that increase the client's risk for metabolic acidosis? Select all that apply.
A) Abdominal fistulas
B) Chronic obstructive pulmonary disease
C) Pneumonia
D) Chronic renal failure
E) Hypovolemic shock
Answer: A, D, E
Explanation: A) Metabolic acidosis is rarely a primary disorder. It usually develops during the
course of another condition such as an abdominal fistula which can cause the loss of bicarbonate
from the intestine.
B) Chronic obstructive pulmonary disease places the client at risk for respiratory acidosis with
the increased retention of carbon dioxide in the blood.
C) Pneumonia places the client at risk for respiratory acidosis with the increased retention of
carbon dioxide in the blood.
D) Metabolic acidosis is rarely a primary disorder. It usually develops during the course of
another condition such as chronic renal failure. In this health problem, the kidneys are unable to
excrete a normal amount of hydrogen ions in the urine. This results in an excessive amount of
hydrogen ions in the blood, which produces metabolic acidosis.
E) Metabolic acidosis is rarely a primary disorder. It usually develops during the course of
another condition such as hypovolemic shock. With a severe blood loss, there is a lack of blood
flow throughout the body and a lack of oxygen in every cell. Adenosine triphosphate (ATP) must
produce energy anaerobically without the presence of oxygen; lactic acid is a by-product. This
produces systemic lactic acidosis, a type of metabolic acidosis.
Page Ref: 5-6
Cognitive Level: Applying
Client Need/Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods
and processes. | AACN Domains and Competencies: 2.4 Diagnose actual or potential health
problems and needs. | NLN Competencies: Knowledge and Science: Relationships between
knowledge/science and quality and safe patient care. | Nursing Process: Assessment
Learning Outcome: 1.2. Differentiate alterations in acid-base balance.
MNL LO: Analyze the concept of acid-base balance and its application to nursing care.
______________________________________________________________________________________________
3|Page
: dnkieahu | Want to earn $1.236
extra per year?
Nursing: A Concept-Based Approach to
Learning
Pearson Education
9780136883395 4th Edition
100% Authentic Test Bank
Instant Access – No Waiting!
Verified & Accurate Questions with Answers
,Table of content
Chapter 1: Assessment
Chapter 2: Caring Interventions
Chapter 3: Comfort
Chapter 4: Elimination
Chapter 5: Fluids and Electrolytes
Chapter 6: Infection
Chapter 7: Intracranial Regulation
Chapter 8: Metabolism
Chapter 9: Mobility
Chapter 10: Nutrition
Chapter 11: Oxygenation
Chapter 12: Perfusion
Chapter 13: Perioperative Care
Chapter 14: Reproduction
Chapter 15: Safety
Chapter 16: Tissue Integrity
, Test Bank - Nursing: A Concept-Based Approach to Learning, 4th Edition (Pearson Education, 2023)
______________________________________________________________________________________________
Nursing: A Concept-Based Approach to Learning Vol. 1 & 2, 4e (Pearson)
Module 1 Acid-Base Balance
The Concept of Acid-Base Balance
1) A client who has been fasting and has ketones in the urine is brought to the emergency
department (ED) unconscious. Which acid-base imbalance would the nurse expect to assess in
this client?
A) Metabolic acidosis
B) Respiratory alkalosis
C) Metabolic alkalosis
D) Respiratory acidosis
Answer: A
Explanation: A) A client who is fasting is at risk for development of metabolic acidosis. The
body recognizes fasting as starvation and begins to metabolize its own fatty acids into ketones,
which are metabolic acids.
B) A client who is fasting is at risk for development of metabolic acidosis. The body recognizes
fasting as starvation and begins to metabolize its own fatty acids into ketones, which are
metabolic acids. Starvation would not result in respiratory alkalosis.
C) A client who is fasting is at risk for development of metabolic acidosis. The body recognizes
fasting as starvation and begins to metabolize its own fatty acids into ketones, which are
metabolic acids. Starvation would not result in metabolic alkalosis.
D) A client who is fasting is at risk for development of metabolic acidosis. The body recognizes
fasting as starvation and begins to metabolize its own fatty acids into ketones, which are
metabolic acids. Starvation would not result in respiratory acidosis.
Page Ref: 5
Cognitive Level: Analyzing
Client Need/Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods
and processes. | AACN Domains and Competencies: 2.4 Diagnose actual or potential health
problems and needs. | NLN Competencies: Knowledge and Science: Relationships between
knowledge/science and quality and safe patient care. | Nursing Process: Assessment
Learning Outcome: 1.2. Differentiate alterations in acid-base balance.
MNL LO: Analyze the concept of acid-base balance and its application to nursing care.
______________________________________________________________________________________________
2|Page
: dnkieahu | Want to earn $1.236
extra per year?
, Test Bank - Nursing: A Concept-Based Approach to Learning, 4th Edition (Pearson Education, 2023)
______________________________________________________________________________________________
2) The nurse is caring for a client in the emergency department. Which factors will the nurse
identify that increase the client's risk for metabolic acidosis? Select all that apply.
A) Abdominal fistulas
B) Chronic obstructive pulmonary disease
C) Pneumonia
D) Chronic renal failure
E) Hypovolemic shock
Answer: A, D, E
Explanation: A) Metabolic acidosis is rarely a primary disorder. It usually develops during the
course of another condition such as an abdominal fistula which can cause the loss of bicarbonate
from the intestine.
B) Chronic obstructive pulmonary disease places the client at risk for respiratory acidosis with
the increased retention of carbon dioxide in the blood.
C) Pneumonia places the client at risk for respiratory acidosis with the increased retention of
carbon dioxide in the blood.
D) Metabolic acidosis is rarely a primary disorder. It usually develops during the course of
another condition such as chronic renal failure. In this health problem, the kidneys are unable to
excrete a normal amount of hydrogen ions in the urine. This results in an excessive amount of
hydrogen ions in the blood, which produces metabolic acidosis.
E) Metabolic acidosis is rarely a primary disorder. It usually develops during the course of
another condition such as hypovolemic shock. With a severe blood loss, there is a lack of blood
flow throughout the body and a lack of oxygen in every cell. Adenosine triphosphate (ATP) must
produce energy anaerobically without the presence of oxygen; lactic acid is a by-product. This
produces systemic lactic acidosis, a type of metabolic acidosis.
Page Ref: 5-6
Cognitive Level: Applying
Client Need/Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods
and processes. | AACN Domains and Competencies: 2.4 Diagnose actual or potential health
problems and needs. | NLN Competencies: Knowledge and Science: Relationships between
knowledge/science and quality and safe patient care. | Nursing Process: Assessment
Learning Outcome: 1.2. Differentiate alterations in acid-base balance.
MNL LO: Analyze the concept of acid-base balance and its application to nursing care.
______________________________________________________________________________________________
3|Page
: dnkieahu | Want to earn $1.236
extra per year?
