NRSG exam 2 questions with
complete solutions6
When evaluating arterial blood gases (ABGs), which value is consistent with metabolic alkalosis?
PaCO 36
pH 7.48
O saturation 95%
HCO 21 mEq/L - ANSWERS-pH 7.48
The nurse is assessing a hospital client who has severe obesity. The nurse's review of the client's
latest arterial blood gases reveals PaCO2 of 48 mm Hg and PaO2 of 76 mm Hg. Inspection
reveals a respiratory rate of 22 breaths per minute with shallow ventilation. What intervention
should be included in the client's plan of care?
Ambulate the client at least every 2 hours
Keep the head of the client's bed at a 90-degree angle
Keep the client in a low Fowler position when in bed
Keep physical activity to a minimum - ANSWERS-Keep the client in a low Fowler position when
in bed
The nurse is caring for a client with shock. The nurse is concerned about hypoxemia and
metabolic acidosis with the client. What finding should the nurse analyze for evidence of
hypoxemia and metabolic acidosis in a client with shock?
Arterial blood gas (ABG) findings
White blood cell count findings
Red blood cells (RBCs) and hemoglobin count findings
Serum thyroid level findings - ANSWERS-Arterial blood gas (ABG) findings
, A client has a serum calcium level of 7.2 mg/dl (1.8 mmol/L). During the physical examination,
the nurse expects to assess:
Hegar's sign.
Homans' sign.
Trousseau's sign.
Goodell's sign. - ANSWERS-Trousseau's sign.
The nurse knows which is the normal serum value for potassium?
96-106 mEq/L (96-106 mmol/L).
3.5-5.0 mEq/L (3.5-5.0 mmol/L).
8.5-10.5 mg/dL (2.13-2.63 mmol/L).
135-145 mEq/L (135-145 mmol/L). - ANSWERS-3.5-5.0 mEq/L (3.5-5.0 mmol/L).
A client with severe hypervolemia is prescribed a loop diuretic and the nurse is concerned with
the client experiencing significant sodium and potassium losses. What drug was most likely
prescribed?
spironolactone
furosemide
hydrochlorothiazide
metolazone - ANSWERS-furosemide
Which nerve is implicated in the Chvostek's sign?
Facial
Hypoglossal
Spinal accessory
Optic - ANSWERS-Facial
complete solutions6
When evaluating arterial blood gases (ABGs), which value is consistent with metabolic alkalosis?
PaCO 36
pH 7.48
O saturation 95%
HCO 21 mEq/L - ANSWERS-pH 7.48
The nurse is assessing a hospital client who has severe obesity. The nurse's review of the client's
latest arterial blood gases reveals PaCO2 of 48 mm Hg and PaO2 of 76 mm Hg. Inspection
reveals a respiratory rate of 22 breaths per minute with shallow ventilation. What intervention
should be included in the client's plan of care?
Ambulate the client at least every 2 hours
Keep the head of the client's bed at a 90-degree angle
Keep the client in a low Fowler position when in bed
Keep physical activity to a minimum - ANSWERS-Keep the client in a low Fowler position when
in bed
The nurse is caring for a client with shock. The nurse is concerned about hypoxemia and
metabolic acidosis with the client. What finding should the nurse analyze for evidence of
hypoxemia and metabolic acidosis in a client with shock?
Arterial blood gas (ABG) findings
White blood cell count findings
Red blood cells (RBCs) and hemoglobin count findings
Serum thyroid level findings - ANSWERS-Arterial blood gas (ABG) findings
, A client has a serum calcium level of 7.2 mg/dl (1.8 mmol/L). During the physical examination,
the nurse expects to assess:
Hegar's sign.
Homans' sign.
Trousseau's sign.
Goodell's sign. - ANSWERS-Trousseau's sign.
The nurse knows which is the normal serum value for potassium?
96-106 mEq/L (96-106 mmol/L).
3.5-5.0 mEq/L (3.5-5.0 mmol/L).
8.5-10.5 mg/dL (2.13-2.63 mmol/L).
135-145 mEq/L (135-145 mmol/L). - ANSWERS-3.5-5.0 mEq/L (3.5-5.0 mmol/L).
A client with severe hypervolemia is prescribed a loop diuretic and the nurse is concerned with
the client experiencing significant sodium and potassium losses. What drug was most likely
prescribed?
spironolactone
furosemide
hydrochlorothiazide
metolazone - ANSWERS-furosemide
Which nerve is implicated in the Chvostek's sign?
Facial
Hypoglossal
Spinal accessory
Optic - ANSWERS-Facial
