TEST BANK EXAM 1 CH 16-
QUESTIONS WITH CORRECT
ANSWERS
A patient receives 3% NaCl solution for correction of hyponatremia. Which
assessment is most important for the nurse to monitor for while the patient is
receiving this infusion?
a. Lung sounds c. Peripheral pulses
b. Urinary output d. Peripheral edema - Answer-a. Lung sounds
The long-term care nurse is evaluating the effectiveness of protein supplements for
an older resident who has a low serum total protein level. Which assessment finding
indicates that the patient's condition has improved?
a. Hematocrit 28% c. Decreased peripheral edema
b. Absence of skin tenting d. Blood pressure 110/72 mm Hg - Answer-c. Decreased
peripheral edema
A patient who is lethargic and exhibits deep, rapid respirations has the following
arterial blood gas (ABG) results: pH 7.32, PaO2 88 mm Hg, PaCO2 37 mm Hg, and
HCO3 16 mEq/L. How should the nurse interpret these results?
a. Metabolic acidosis c. Respiratory acidosis
b. Metabolic alkalosis d. Respiratory alkalosis - Answer-a. Metabolic acidosis
A patient who has been receiving diuretic therapy is admitted to the emergency
department with a serum potassium level of 3.0 mEq/L. The nurse should alert the
health care provider immediately that the patient is on which medication?
a. Digoxin (Lanoxin) 0.25 mg/day
b. Metoprolol (Lopressor) 12.5 mg/day
c. Ibuprofen (Motrin) 400 mg every 6 hours
d. Lantus insulin 24 U subcutaneously every evening - Answer-a. Digoxin (Lanoxin)
0.25 mg/day
The nurse is caring for a patient who has a calcium level of 12.1 mg/dL. Which
nursing action should the nurse include on the care plan?
a. Maintain the patient on bed rest.
b. Auscultate lung sounds every 4 hours.
c. Monitor for Trousseau's and Chvostek's signs.
d. Encourage fluid intake up to 4000 mL every day. - Answer-d. Encourage fluid
intake up to 4000 mL every day.
, When caring for a patient with renal failure on a low phosphate diet, the nurse will
inform unlicensed assistive personnel (UAP) to remove which food from the patient's
food tray?
a. Skim milk c. Mixed green salad
b. Grape juice d. Fried chicken breast - Answer-a. Skim milk
A patient has a magnesium level of 1.3 mg/dL. Which assessment would help the
nurse identify a likely cause of this value?
a. Daily alcohol intake
b. Dietary protein intake
c. Multivitamin/mineral use
d. Over-the-counter (OTC) laxative use - Answer-a. Daily alcohol intake
A patient with new-onset confusion and hyponatremia is being admitted. When
making room assignments, the charge nurse should take which action?
a. Assign the patient to a semi-private room.
b. Assign the patient to a room near the nurse's station.
c. Place the patient in a room nearest to the water fountain.
d. Place the patient on telemetry to monitor for peaked T waves.. - Answer-b. Assign
the patient to a room near the nurse's station.
IV potassium chloride (KCl) 60 mEq is prescribed for treatment of a patient with
severe hypokalemia. Which action should the nurse take?
a. Administer the KCl as a rapid IV bolus.
b. Infuse the KCl at a rate of 10 mEq/hour.
c. Only give the KCl through a central venous line.
d. Discontinue cardiac monitoring during the infusion. - Answer-b. Infuse the KCl at a
rate of 10 mEq/hour.
A postoperative patient who had surgery for a perforated gastric ulcer has been
receiving nasogastric suction for 3 days. The patient now has a serum sodium level
of 127 mEq/L (127mmol/L). Which prescribed therapy should the nurse question?
a. Infuse 5% dextrose in water at 125 mL/hr.
b. Administer 3% saline at 50 mL/hr for a total of 200 mL.
c. Administer IV morphine sulfate 4 mg every 2 hours PRN.
d. Give IV metoclopramide (Reglan) 10 mg every 6 hours PRN for nausea. - Answer-
a. Infuse 5% dextrose in water at 125 mL/hr.
A patient who was involved in a motor vehicle crash has had a tracheostomy placed
to allow for continued mechanical ventilation. How should the nurse interpret the
following arterial blood gas results: pH 7.48, PaO2 85 mm Hg, PaCO2 32 mm Hg,
and HCO3 25 mEq/L?
a. Metabolic acidosis c. Respiratory acidosis
b. Metabolic alkalosis d. Respiratory alkalosis - Answer-d. Respiratory alkalosis
QUESTIONS WITH CORRECT
ANSWERS
A patient receives 3% NaCl solution for correction of hyponatremia. Which
assessment is most important for the nurse to monitor for while the patient is
receiving this infusion?
a. Lung sounds c. Peripheral pulses
b. Urinary output d. Peripheral edema - Answer-a. Lung sounds
The long-term care nurse is evaluating the effectiveness of protein supplements for
an older resident who has a low serum total protein level. Which assessment finding
indicates that the patient's condition has improved?
a. Hematocrit 28% c. Decreased peripheral edema
b. Absence of skin tenting d. Blood pressure 110/72 mm Hg - Answer-c. Decreased
peripheral edema
A patient who is lethargic and exhibits deep, rapid respirations has the following
arterial blood gas (ABG) results: pH 7.32, PaO2 88 mm Hg, PaCO2 37 mm Hg, and
HCO3 16 mEq/L. How should the nurse interpret these results?
a. Metabolic acidosis c. Respiratory acidosis
b. Metabolic alkalosis d. Respiratory alkalosis - Answer-a. Metabolic acidosis
A patient who has been receiving diuretic therapy is admitted to the emergency
department with a serum potassium level of 3.0 mEq/L. The nurse should alert the
health care provider immediately that the patient is on which medication?
a. Digoxin (Lanoxin) 0.25 mg/day
b. Metoprolol (Lopressor) 12.5 mg/day
c. Ibuprofen (Motrin) 400 mg every 6 hours
d. Lantus insulin 24 U subcutaneously every evening - Answer-a. Digoxin (Lanoxin)
0.25 mg/day
The nurse is caring for a patient who has a calcium level of 12.1 mg/dL. Which
nursing action should the nurse include on the care plan?
a. Maintain the patient on bed rest.
b. Auscultate lung sounds every 4 hours.
c. Monitor for Trousseau's and Chvostek's signs.
d. Encourage fluid intake up to 4000 mL every day. - Answer-d. Encourage fluid
intake up to 4000 mL every day.
, When caring for a patient with renal failure on a low phosphate diet, the nurse will
inform unlicensed assistive personnel (UAP) to remove which food from the patient's
food tray?
a. Skim milk c. Mixed green salad
b. Grape juice d. Fried chicken breast - Answer-a. Skim milk
A patient has a magnesium level of 1.3 mg/dL. Which assessment would help the
nurse identify a likely cause of this value?
a. Daily alcohol intake
b. Dietary protein intake
c. Multivitamin/mineral use
d. Over-the-counter (OTC) laxative use - Answer-a. Daily alcohol intake
A patient with new-onset confusion and hyponatremia is being admitted. When
making room assignments, the charge nurse should take which action?
a. Assign the patient to a semi-private room.
b. Assign the patient to a room near the nurse's station.
c. Place the patient in a room nearest to the water fountain.
d. Place the patient on telemetry to monitor for peaked T waves.. - Answer-b. Assign
the patient to a room near the nurse's station.
IV potassium chloride (KCl) 60 mEq is prescribed for treatment of a patient with
severe hypokalemia. Which action should the nurse take?
a. Administer the KCl as a rapid IV bolus.
b. Infuse the KCl at a rate of 10 mEq/hour.
c. Only give the KCl through a central venous line.
d. Discontinue cardiac monitoring during the infusion. - Answer-b. Infuse the KCl at a
rate of 10 mEq/hour.
A postoperative patient who had surgery for a perforated gastric ulcer has been
receiving nasogastric suction for 3 days. The patient now has a serum sodium level
of 127 mEq/L (127mmol/L). Which prescribed therapy should the nurse question?
a. Infuse 5% dextrose in water at 125 mL/hr.
b. Administer 3% saline at 50 mL/hr for a total of 200 mL.
c. Administer IV morphine sulfate 4 mg every 2 hours PRN.
d. Give IV metoclopramide (Reglan) 10 mg every 6 hours PRN for nausea. - Answer-
a. Infuse 5% dextrose in water at 125 mL/hr.
A patient who was involved in a motor vehicle crash has had a tracheostomy placed
to allow for continued mechanical ventilation. How should the nurse interpret the
following arterial blood gas results: pH 7.48, PaO2 85 mm Hg, PaCO2 32 mm Hg,
and HCO3 25 mEq/L?
a. Metabolic acidosis c. Respiratory acidosis
b. Metabolic alkalosis d. Respiratory alkalosis - Answer-d. Respiratory alkalosis
