BSNC 2000 EVALUATION EXAM ACTUAL QUESTIONS
AND SOLUTIONS GRADED A+
✔✔Malnutrition is not something that is considered common in the general population in
the United States. However, certain populations are more prone to malnutrition than
others. One of these populations is hospitalized patients. Why is this true?
a. Appetites are increased by fever and pain
b. Special diets can increase appetite
c. Pain and medications can decrease appetite
d. Only healthy diets are served in hospitals. - ✔✔C
✔✔Edema is an excess in the interstitial fluid volume. What mechanisms play a part in
the formation of edema? (Mark all that apply.)
a. Mechanisms that increase capillary permeability
b. Mechanisms that increase capillary filtration pressure
c. Mechanisms that increase capillary colloidal osmotic pressure
d. Mechanisms that produce obstruction to the flow of lymph
e. Mechanisms that decrease capillary colloidal osmotic pressure - ✔✔A,B,D,E
✔✔The effective circulating volume is the major regulator of water balance in the body.
What else does it regulate?
a. Sodium
b. Magnesium
c. Calcium
d. Potassium - ✔✔A
✔✔The nurse is teaching an older female patient how to manage stress incontinence at
home. She instructs her to contract her pelvic floor muscles for at least 10 seconds
followed by a brief period of relaxation. What is this intervention called?
1) Prompted voiding
2) Crede technique
3) Valsalva maneuver
4) Kegel exercises - ✔✔4
✔✔What should the nurse teach the client to do to prevent stress incontinence? Select
all that apply.
A) Use techniques that strengthen the sphincter and structural supports of the bladder,
such as Kegel exercises.
B) Avoid dietary irritants (e.g., caffeine, alcoholic beverages).
C) Not to laugh when in social gatherings.
, D) Carry an extra incontinence pad when away from home
E) Obtain a fluid intake of 500 mL/ day. - ✔✔A,B
✔✔The physician prescribes the patient a thiazide diuretic. The patient is experiencing
increased urination. As the nurse you know that this medication causes this type of
affect by how it affects the nephron. It does this by?
A. inhibiting the sodium-potassium-chloride cotransporter in the distal convoluted tubule
B. inhibiting the sodium-chloride cotransporter in the distal convoluted tubule
C. inhibiting the water reabsorption in the distal convoluted tubule
D. inhibiting the sodium-potassium transporter in the distal convoluted tubule - ✔✔B
✔✔When the cell presents with the same concentration on the inside and outside with
no shifting of fluids this is called?
A. Hypotonic
B. Hypertonic
C. Isotonic
D. Osmosis - ✔✔C
✔✔What type of fluid would a patient with severe hyponatremia most likely be started
on?
A. Hypotonic
B. Hypertonic
C. Isotonic
D. Colloid - ✔✔B
✔✔_______ solutions cause cell dehydration and help increase fluid in the extracellular
space.
A. Hypotonic
B. Osmosis
C. Isotonic
D. Hypertonic - ✔✔D
✔✔________ fluids remove water from the extracellular space into the intracellular
space.
A. Hypotonic
B. Hypertonic
C. Isotonic
D. Colloids - ✔✔A
AND SOLUTIONS GRADED A+
✔✔Malnutrition is not something that is considered common in the general population in
the United States. However, certain populations are more prone to malnutrition than
others. One of these populations is hospitalized patients. Why is this true?
a. Appetites are increased by fever and pain
b. Special diets can increase appetite
c. Pain and medications can decrease appetite
d. Only healthy diets are served in hospitals. - ✔✔C
✔✔Edema is an excess in the interstitial fluid volume. What mechanisms play a part in
the formation of edema? (Mark all that apply.)
a. Mechanisms that increase capillary permeability
b. Mechanisms that increase capillary filtration pressure
c. Mechanisms that increase capillary colloidal osmotic pressure
d. Mechanisms that produce obstruction to the flow of lymph
e. Mechanisms that decrease capillary colloidal osmotic pressure - ✔✔A,B,D,E
✔✔The effective circulating volume is the major regulator of water balance in the body.
What else does it regulate?
a. Sodium
b. Magnesium
c. Calcium
d. Potassium - ✔✔A
✔✔The nurse is teaching an older female patient how to manage stress incontinence at
home. She instructs her to contract her pelvic floor muscles for at least 10 seconds
followed by a brief period of relaxation. What is this intervention called?
1) Prompted voiding
2) Crede technique
3) Valsalva maneuver
4) Kegel exercises - ✔✔4
✔✔What should the nurse teach the client to do to prevent stress incontinence? Select
all that apply.
A) Use techniques that strengthen the sphincter and structural supports of the bladder,
such as Kegel exercises.
B) Avoid dietary irritants (e.g., caffeine, alcoholic beverages).
C) Not to laugh when in social gatherings.
, D) Carry an extra incontinence pad when away from home
E) Obtain a fluid intake of 500 mL/ day. - ✔✔A,B
✔✔The physician prescribes the patient a thiazide diuretic. The patient is experiencing
increased urination. As the nurse you know that this medication causes this type of
affect by how it affects the nephron. It does this by?
A. inhibiting the sodium-potassium-chloride cotransporter in the distal convoluted tubule
B. inhibiting the sodium-chloride cotransporter in the distal convoluted tubule
C. inhibiting the water reabsorption in the distal convoluted tubule
D. inhibiting the sodium-potassium transporter in the distal convoluted tubule - ✔✔B
✔✔When the cell presents with the same concentration on the inside and outside with
no shifting of fluids this is called?
A. Hypotonic
B. Hypertonic
C. Isotonic
D. Osmosis - ✔✔C
✔✔What type of fluid would a patient with severe hyponatremia most likely be started
on?
A. Hypotonic
B. Hypertonic
C. Isotonic
D. Colloid - ✔✔B
✔✔_______ solutions cause cell dehydration and help increase fluid in the extracellular
space.
A. Hypotonic
B. Osmosis
C. Isotonic
D. Hypertonic - ✔✔D
✔✔________ fluids remove water from the extracellular space into the intracellular
space.
A. Hypotonic
B. Hypertonic
C. Isotonic
D. Colloids - ✔✔A
