AH2 Cumulative Quizzes Questions With Complete
Solutions
A client has chest pain rated at 8 on a scale of 0-10. The 12-lead
EKG reveals ST elevation in the inferior leads, and lab results
show elevated troponin levels. Which takes precedence as the
nurse's highest priority? Correct Answer Reducing angina and
myocardial oxygen demand
A client who weighs 198 lbs. experienced an acute myocardial
infarction (MI) at 0900 this morning. It is now 1200 noon.
Which current assessment finding(s) indicate to the nurse that a
significant complication is occurring? Correct Answer Weak
peripheral pulses x 4 and cool skin
A client with permanent paralysis of the trunk, arms, and legs is
experiencing which condition? Correct Answer Quadriplegia
A nurse cares for a client with right-sided heart failure (HF). The
client asks, "Why do I need to weigh myself every day?" Which
is the correct nursing response? Correct Answer "Weighing
daily provides the best indication of fluid gains and losses."
A nurse reviews a patient's electrolyte laboratory report and
notes that the Sodium level is 130 mEq/L. What electrolyte
disorder will the nurse identify? Correct Answer
Hyponatremia
A nurse reviews the electrolyte results of an assigned patient and
notes that the potassium level is 5.4 mEq/L. Which electrolyte
, imbalance will the nurse identify? Correct Answer
Hyperkalemia
A patient presents with muscle weakness, increased confusion,
and diarrhea. Lab results show a serum sodium level of 128
mEq/L. Which of the following conditions is the patient most
likely experiencing? Correct Answer Hyponatremia
A patient's most recent arterial blood gas (ABG) report indicates
that they are experiencing Respiratory Alkalosis. Which ABG
result matches this acid-base imbalance? Correct Answer pH
7.60, CO2 32 mm Hg, HCO3 25 mEq/L
A patient's most recent arterial blood gas (ABG) report indicates
they are experiencing Metabolic Acidosis. Which ABG result
matches this acid-base imbalance, and is the correct associated
cause? Correct Answer pH 7.32, CO2 37 mm Hg, HCO3 20
mEq/L; Diabetic Ketoacidosis (DKA).
Administer Kayexalate Correct Answer Provide passive ROM
exercises and encourage fluid intake.
After administering the first dose of an angiotensin-converting
enzyme (ACE) Inhibitor to a client with heart failure (HF), the
nurse implements interventions to decrease complications.
Which is the correct intervention for the nurse to implement?
Correct Answer Instruct the client to ask for assistance before
rising from bed.
Based on the etiology and main cause of heart failure, the nurse
knows that which client has the greatest need for health
Solutions
A client has chest pain rated at 8 on a scale of 0-10. The 12-lead
EKG reveals ST elevation in the inferior leads, and lab results
show elevated troponin levels. Which takes precedence as the
nurse's highest priority? Correct Answer Reducing angina and
myocardial oxygen demand
A client who weighs 198 lbs. experienced an acute myocardial
infarction (MI) at 0900 this morning. It is now 1200 noon.
Which current assessment finding(s) indicate to the nurse that a
significant complication is occurring? Correct Answer Weak
peripheral pulses x 4 and cool skin
A client with permanent paralysis of the trunk, arms, and legs is
experiencing which condition? Correct Answer Quadriplegia
A nurse cares for a client with right-sided heart failure (HF). The
client asks, "Why do I need to weigh myself every day?" Which
is the correct nursing response? Correct Answer "Weighing
daily provides the best indication of fluid gains and losses."
A nurse reviews a patient's electrolyte laboratory report and
notes that the Sodium level is 130 mEq/L. What electrolyte
disorder will the nurse identify? Correct Answer
Hyponatremia
A nurse reviews the electrolyte results of an assigned patient and
notes that the potassium level is 5.4 mEq/L. Which electrolyte
, imbalance will the nurse identify? Correct Answer
Hyperkalemia
A patient presents with muscle weakness, increased confusion,
and diarrhea. Lab results show a serum sodium level of 128
mEq/L. Which of the following conditions is the patient most
likely experiencing? Correct Answer Hyponatremia
A patient's most recent arterial blood gas (ABG) report indicates
that they are experiencing Respiratory Alkalosis. Which ABG
result matches this acid-base imbalance? Correct Answer pH
7.60, CO2 32 mm Hg, HCO3 25 mEq/L
A patient's most recent arterial blood gas (ABG) report indicates
they are experiencing Metabolic Acidosis. Which ABG result
matches this acid-base imbalance, and is the correct associated
cause? Correct Answer pH 7.32, CO2 37 mm Hg, HCO3 20
mEq/L; Diabetic Ketoacidosis (DKA).
Administer Kayexalate Correct Answer Provide passive ROM
exercises and encourage fluid intake.
After administering the first dose of an angiotensin-converting
enzyme (ACE) Inhibitor to a client with heart failure (HF), the
nurse implements interventions to decrease complications.
Which is the correct intervention for the nurse to implement?
Correct Answer Instruct the client to ask for assistance before
rising from bed.
Based on the etiology and main cause of heart failure, the nurse
knows that which client has the greatest need for health
