2ND TEST CHA 2025 SPRING QUESTIONS AND
ANSWERS
To compensate for a HCO3 of 28 mEq/L, what will occur? - Answers :Slowed
respirations to retain CO2
Acute respiratory alkalosis can be caused by: - Answers :all of the above
ANXIETY
PAIN
CNS lesion
ABG results are pH 7.4, PaCO2 60 mmHg, HCO3 36 mEq/L. This indicates: - Answers
:fully compensated respiratory acidosis or metabolic alkalosis
ABGs are pH 7.4, CO2 40 mmHg and HCO3 22mEq/L. This indicates: - Answers
:normal balance
A patient's ABG results are pH 7.2, PaCO2 64 mmHg, HCO3 30 mEq/L. This indicates:
- Answers :partially compensated respiratory acidosis
Acute metabolic acidosis can be precipitated by: - Answers :DKA
In fully compensated respiratory acidosis, pH is between: - Answers :7.35 and 7.45
An arterial blood gas with a pH of 7.48 indicates: - Answers :alkalosis
Signs and symptoms of acute respiratory alkalosis include: - Answers :a & b
A.)cardiac arrhythmias
B.)tingling of hands and feet
To compensate for a PaCO2 of 24 mm Hg, what will occur? - Answers :excretion of
bicarbonate
The client is diagnosed with hypothyroidism. Which signs/symptoms should the nurse
expect the client to exhibit?
a.)complaints of profusde sweating and flushed skin
b.)complaints of extreme fatigue and hair loss
c.)tetany and complaints of stiffness of the hands
d.)exopthalmos and complaints of nervousness - Answers :b.)complaints of extreme
fatigue and hair loss
The client is admitted to the intensive care department diagnosed with myxedema
coma. Which assessment data warrant immediate intervention by the nurse?
a.)pulse oximeter reading of 90%
b.)serum blood glucose level of 74 mg/dL
, c.)telemetary reading showing sinus bradycardia
d.)the client is lethargic and sleeps all the time - Answers :a.)pulse oximeter reading of
90%
Which signs/symptoms should make the nurse suspect the client is experiencing a
thyroid storm?
a.)decreased respirations and hypoxia
b.)obstipation and hypoactive bowel sounds
c.)hypotension and bradycardia
d.)hyperpyrexia and extreme tachycardia - Answers :d.)hyperpyrexia and extreme
tachycardia
Which laboratory value should be monitored by the nurse for the client diagnosed with
diabetes insipidus?
a.)serum sodium
b.)serum calcium
c.)urine WBCs
d.)urine glucose - Answers :a.)serum sodium
The nurse is planning the care of a client diagnosed with SIADH. Which interventions
should be implemented? Select all that apply. One, some, or all responses may be
correct.
a.)monitor urine and serum osmolarity
b.)assess LOC every 2 hrs
c.)weight the client every 3 days
d.)provide an atmosphere of stimulation
e.)restrict fluids per HCP order - Answers :a.)monitor urine and serum osmolarity
b.)assess LOC every 2 hrs
e.)restrict fluids per HCP order
The nurse is admitting a client diagnosed with SIADH. Which clinical manifestations
should be reported to the HCP?
a.)serum calcium of 10 mg/dL and tented tissue turgor
b.)serum potassium of 5.0 mEq/L and a heightened awareness
c.)serum sodium of 112 mEq/L and a headache
d.)serum magnesium of 1.2mg/dL and large urinary output - Answers :c.)serum sodium
of 112 mEq/L and a headache
The nurse is admitting a client to the neurological intensive care unit who is
postoperative transsphenoidal hypophysectomy. Which data warrant immediate
intervention?
a.)the client has an output of 2.500mL since surgery and an intake of 100 mL
b.)the clients vital signs are T 97.6 degrees F,P88,R20 and BP 130/80
c.)the client is alert to name buyt in unable to tell the nurse the location
ANSWERS
To compensate for a HCO3 of 28 mEq/L, what will occur? - Answers :Slowed
respirations to retain CO2
Acute respiratory alkalosis can be caused by: - Answers :all of the above
ANXIETY
PAIN
CNS lesion
ABG results are pH 7.4, PaCO2 60 mmHg, HCO3 36 mEq/L. This indicates: - Answers
:fully compensated respiratory acidosis or metabolic alkalosis
ABGs are pH 7.4, CO2 40 mmHg and HCO3 22mEq/L. This indicates: - Answers
:normal balance
A patient's ABG results are pH 7.2, PaCO2 64 mmHg, HCO3 30 mEq/L. This indicates:
- Answers :partially compensated respiratory acidosis
Acute metabolic acidosis can be precipitated by: - Answers :DKA
In fully compensated respiratory acidosis, pH is between: - Answers :7.35 and 7.45
An arterial blood gas with a pH of 7.48 indicates: - Answers :alkalosis
Signs and symptoms of acute respiratory alkalosis include: - Answers :a & b
A.)cardiac arrhythmias
B.)tingling of hands and feet
To compensate for a PaCO2 of 24 mm Hg, what will occur? - Answers :excretion of
bicarbonate
The client is diagnosed with hypothyroidism. Which signs/symptoms should the nurse
expect the client to exhibit?
a.)complaints of profusde sweating and flushed skin
b.)complaints of extreme fatigue and hair loss
c.)tetany and complaints of stiffness of the hands
d.)exopthalmos and complaints of nervousness - Answers :b.)complaints of extreme
fatigue and hair loss
The client is admitted to the intensive care department diagnosed with myxedema
coma. Which assessment data warrant immediate intervention by the nurse?
a.)pulse oximeter reading of 90%
b.)serum blood glucose level of 74 mg/dL
, c.)telemetary reading showing sinus bradycardia
d.)the client is lethargic and sleeps all the time - Answers :a.)pulse oximeter reading of
90%
Which signs/symptoms should make the nurse suspect the client is experiencing a
thyroid storm?
a.)decreased respirations and hypoxia
b.)obstipation and hypoactive bowel sounds
c.)hypotension and bradycardia
d.)hyperpyrexia and extreme tachycardia - Answers :d.)hyperpyrexia and extreme
tachycardia
Which laboratory value should be monitored by the nurse for the client diagnosed with
diabetes insipidus?
a.)serum sodium
b.)serum calcium
c.)urine WBCs
d.)urine glucose - Answers :a.)serum sodium
The nurse is planning the care of a client diagnosed with SIADH. Which interventions
should be implemented? Select all that apply. One, some, or all responses may be
correct.
a.)monitor urine and serum osmolarity
b.)assess LOC every 2 hrs
c.)weight the client every 3 days
d.)provide an atmosphere of stimulation
e.)restrict fluids per HCP order - Answers :a.)monitor urine and serum osmolarity
b.)assess LOC every 2 hrs
e.)restrict fluids per HCP order
The nurse is admitting a client diagnosed with SIADH. Which clinical manifestations
should be reported to the HCP?
a.)serum calcium of 10 mg/dL and tented tissue turgor
b.)serum potassium of 5.0 mEq/L and a heightened awareness
c.)serum sodium of 112 mEq/L and a headache
d.)serum magnesium of 1.2mg/dL and large urinary output - Answers :c.)serum sodium
of 112 mEq/L and a headache
The nurse is admitting a client to the neurological intensive care unit who is
postoperative transsphenoidal hypophysectomy. Which data warrant immediate
intervention?
a.)the client has an output of 2.500mL since surgery and an intake of 100 mL
b.)the clients vital signs are T 97.6 degrees F,P88,R20 and BP 130/80
c.)the client is alert to name buyt in unable to tell the nurse the location
