Galen College of Nursing Fundamental Concepts and
Skills for Nursing Practice I.
When the client's serum sodium level is 120 mEq/L, the priority nursing assessment is to
monitor the status of which body system? - CORRRECT ANS>>Neurological
While assisting the client with meal selection, the nurse realizes that clients who practice Islam
or Judaism share an avoidance of: - CORRRECT ANS>>pork products.
The client wants to increase intake of an antioxidant in her diet. The nurse recommends
including vitamin C, which is best found in: - CORRRECT ANS>>
tomatoes.
For a child who has ingested the remaining contents of an aspirin bottle, the nurse suspects
signs and symptoms consistent with: - CORRRECT ANS>> metabolic acidosis.
Which of the following techniques used by the new staff nurse for administering medications via
an enteral tube requires correction by the charge nurse? - CORRRECT ANS>>
Adding the medications to the tube feeding
After a surgical procedure, the client is advanced to a full liquid diet. The nurse is able to
recommend which one of the following foods for this client? - CORRRECT ANS>>
Yogurt
While doing a nutritional assessment of a low-income family, the community health nurse
determines that the family's diet is inadequate in protein content. The nurse suggests which of
the following lower-cost foods to increase protein content? - Correct Answer-Correct Answer:
Beans
The client has had throat surgery and is placed on a clear liquid diet. The nurse should offer the
patient: - CORRRECT ANS>>
apple juice.
The majority of body fluid is located in which area? - CORRRECT ANS>> Intracellular
The nurse recognizes that the client, on the basis of the imbalance that is present, will require
fluid replacement with isotonic solution. One of the isotonic solutions that may be ordered by the
physician is: - CORRRECT ANS>> Lactated Ringer solution.
One of the first indications of fluid volume deficit is: - CORRRECT ANS>> tachycardia.
For the client with a vitamin D deficiency and inadequate calcium intake, the nurse observes for:
- CORRRECT ANS>>
Chvostek sign
Chvostek sign - CORRRECT ANS>>an abnormal reaction to the stimulation of the facial nerve.
A nasogastric tube is inserted in order for the client to receive intermittent tube feedings. The
action by the nurse that requires correction by the unit manager is: - CORRRECT ANS>>
, instilling air into the NG tube to check for placement.
The mucous membranes of a normally hydrated individual are: - CORRRECT ANS>> moist.
Of the following clients, the nurse recognizes that the individual who is most at risk for a fluid
volume deficit is: - CORRRECT ANS>>
42-year-old with severe vomiting.
The single best indicator of fluid status is the nurse's assessment of the client's: - CORRRECT
ANS>>
daily body weight
The nurse is inserting a nasogastric tube. During the insertion, the client starts to gag and
becomes dyspneic. Which action should the nurse take? - CORRRECT ANS>>
Withdraw the tube and start again.
It is recommended that adults consume approximately how much of their diet from
carbohydrates? - CORRRECT ANS>> 50%
A critical measure for clients with hypocalcemia and hypomagnesemia is: - CORRRECT ANS>>
implementing seizure precautions.
For the client who needs fluid replacement, which of the following should be avoided? - Correct
Answer-Coffee
Albumin levels indicate prolonged malnutrition. - CORRRECT ANS>>True
Causes of hyponatremia include - CORRRECT ANS>>Excessive diaphoresis Diuretics
Wound drainage
Hyponatremia - CORRRECT ANS>>low sodium
causes of hypernatremia - CORRRECT ANS>>Fever Diarrhea
Excessive sodium intake
Hypernatremia - CORRRECT ANS>>high sodium
An example of hemoconcentration seen in dehydration is increased hematocrit levels. T or F -
CORRRECT ANS>>True
Signs of fluid overload - CORRRECT ANS>>High BP Pitting edema in lower extremities
Mental confusion Moist crackles
Which is a sign/symptom of hypernatremia? - CORRRECT ANS>>Thirst
hypokalemia - CORRRECT ANS>>low potassium
Causes of hypokalemia - CORRRECT ANS>>Prolonged NGT suction Heavy perspiration
Diarrhea
Potassium must always be diluted appropriately and never given IV push. T or F - CORRRECT