BSNC 2000 FINAL EXAM ACTUAL QUESTIONS AND
SOLUTIONS GRADED A+
✔✔A red blood cell is placed in a hypotonic solution. The red blood cell will:
A) lose water.
B) gain water.
C) gain solutes.
D) shrink.
E) not change shape - ✔✔B
✔✔A hypertonic solution has a(n) ___________ osmolality compared to the ICF.
A) higher
B) lower
C) equal - ✔✔A
✔✔The primary goal of nursing care for a client with stress incontinence is to:
A.Help the client adjust to the frequent episodes of incontinence.
B.Prevent the development of UTI's.
C.Eliminate all episodes of incontinence
D.Decrease the number of incontinence episodes - ✔✔D
✔✔Toilet seeking occurs when there is 100mL of urine in the bladder.
A. True
B. False - ✔✔B
150-250mL
✔✔Sympathetic innervation of the bladder dominates during bladder filling.
A. True
B. False - ✔✔A
no peeing = sympathetic
peeing = parasympathetic
✔✔The external urethral sphincter is smooth muscle and involuntary
A. True
B. False - ✔✔B
,Skeletal muscle- somatic, voluntary control
✔✔When the bladder contracts the external urethral sphincter relaxes.
A. True
B. Falser - ✔✔A
✔✔What is Chronic Pain?
A.Pain lasting longer than 3 weeks
B.Pain lasting longer than 1 year
C.Pain lasting longer than 3 months
D.Pain lasting longer than 9 months - ✔✔C
✔✔The nurse notices a patient grimacing as he moves from the bed to the chair. The
patient tells the nurse that he is not experiencing any pain. The nurse's response is to:
A. Clarify the patient's report by addressing the patient's nonverbal behavior
B. Confront the patient's denial of pain
C. Obtain an order for pain medication
D. Support the patient's stoic behavior - ✔✔A
✔✔In liver failure, the synthesis of plasma proteins is impaired. Edema is caused by a
decrease in:
A. capillary hydrostatic
B. blood colloid osmotic pressure
C. interstitial hydrostatic pressure
D. interstitial colloid osmotic pressure - ✔✔B
-blood colloid osmotic pressure will decrease
- less pressure pulling fluid from the tissue space back into the blood
-decrease in reabsorption causing edema
✔✔A client with right-sided heart failure is experiencing ankle edema. Edema is caused
by an increase in:
A. capillary hyrdostatic pressure
B. blood colloid osmotic pressure
C. interstitial hydrostatic pressure
D. interstitial colloid osmotic pressure - ✔✔A
An ECV excess causes edema by increasing capillary hydrostatic pressure such that
fluid shifts from the intravascular to interstitial spaces
, back up of blood from right side of heart into systemic venous system results in an
increase in capillary hydrostatic pressure, which favours filtration causing edema
release of aldosterone in response to decreased CO causes fluid retention and
increases capillary hydrostatic pressure, which favours filtration causing edema
✔✔Which IV fluid is appropriate for a client who is vomiting and cannot take in food or
fluids?
A. Isotonic
B. Hypotonic
C. Hypertonic - ✔✔A
Loosing H2O and Na equally
✔✔Which IV fluid is appropriate for a client who has exercised strenuously on a hot day
without drinking sufficient fluids and now appears confused?
A. Isotonic
B. Hypotonic
C. Hypertonic - ✔✔B
they have hypertonic dehydration (hypernatiermic)
hypnotic fluid will push water into cells
✔✔Which IV fluid is appropriate for a client who has been in a car accident and has lost
blood through an open leg wound. Due to a relatively small amount of blood loss this
client does not require blood transfusion.
A. Isotonic
B. Hypotonic
C. Hypertonic - ✔✔A
Loss of blood volume (plasma and RBC lost at same time)
✔✔Which IV fluid is appropriate for a client presenting with altered level of
consciousness and confusion. The client has been diagnosed with cerebral edema.
A. Isotonic
B. Hypotonic
C. Hypertonic - ✔✔C
Helps to draw out extra fluid from cells to ECF.
Salty solution, water pulled out of cells to ECF, excess fluid lost in urine
SOLUTIONS GRADED A+
✔✔A red blood cell is placed in a hypotonic solution. The red blood cell will:
A) lose water.
B) gain water.
C) gain solutes.
D) shrink.
E) not change shape - ✔✔B
✔✔A hypertonic solution has a(n) ___________ osmolality compared to the ICF.
A) higher
B) lower
C) equal - ✔✔A
✔✔The primary goal of nursing care for a client with stress incontinence is to:
A.Help the client adjust to the frequent episodes of incontinence.
B.Prevent the development of UTI's.
C.Eliminate all episodes of incontinence
D.Decrease the number of incontinence episodes - ✔✔D
✔✔Toilet seeking occurs when there is 100mL of urine in the bladder.
A. True
B. False - ✔✔B
150-250mL
✔✔Sympathetic innervation of the bladder dominates during bladder filling.
A. True
B. False - ✔✔A
no peeing = sympathetic
peeing = parasympathetic
✔✔The external urethral sphincter is smooth muscle and involuntary
A. True
B. False - ✔✔B
,Skeletal muscle- somatic, voluntary control
✔✔When the bladder contracts the external urethral sphincter relaxes.
A. True
B. Falser - ✔✔A
✔✔What is Chronic Pain?
A.Pain lasting longer than 3 weeks
B.Pain lasting longer than 1 year
C.Pain lasting longer than 3 months
D.Pain lasting longer than 9 months - ✔✔C
✔✔The nurse notices a patient grimacing as he moves from the bed to the chair. The
patient tells the nurse that he is not experiencing any pain. The nurse's response is to:
A. Clarify the patient's report by addressing the patient's nonverbal behavior
B. Confront the patient's denial of pain
C. Obtain an order for pain medication
D. Support the patient's stoic behavior - ✔✔A
✔✔In liver failure, the synthesis of plasma proteins is impaired. Edema is caused by a
decrease in:
A. capillary hydrostatic
B. blood colloid osmotic pressure
C. interstitial hydrostatic pressure
D. interstitial colloid osmotic pressure - ✔✔B
-blood colloid osmotic pressure will decrease
- less pressure pulling fluid from the tissue space back into the blood
-decrease in reabsorption causing edema
✔✔A client with right-sided heart failure is experiencing ankle edema. Edema is caused
by an increase in:
A. capillary hyrdostatic pressure
B. blood colloid osmotic pressure
C. interstitial hydrostatic pressure
D. interstitial colloid osmotic pressure - ✔✔A
An ECV excess causes edema by increasing capillary hydrostatic pressure such that
fluid shifts from the intravascular to interstitial spaces
, back up of blood from right side of heart into systemic venous system results in an
increase in capillary hydrostatic pressure, which favours filtration causing edema
release of aldosterone in response to decreased CO causes fluid retention and
increases capillary hydrostatic pressure, which favours filtration causing edema
✔✔Which IV fluid is appropriate for a client who is vomiting and cannot take in food or
fluids?
A. Isotonic
B. Hypotonic
C. Hypertonic - ✔✔A
Loosing H2O and Na equally
✔✔Which IV fluid is appropriate for a client who has exercised strenuously on a hot day
without drinking sufficient fluids and now appears confused?
A. Isotonic
B. Hypotonic
C. Hypertonic - ✔✔B
they have hypertonic dehydration (hypernatiermic)
hypnotic fluid will push water into cells
✔✔Which IV fluid is appropriate for a client who has been in a car accident and has lost
blood through an open leg wound. Due to a relatively small amount of blood loss this
client does not require blood transfusion.
A. Isotonic
B. Hypotonic
C. Hypertonic - ✔✔A
Loss of blood volume (plasma and RBC lost at same time)
✔✔Which IV fluid is appropriate for a client presenting with altered level of
consciousness and confusion. The client has been diagnosed with cerebral edema.
A. Isotonic
B. Hypotonic
C. Hypertonic - ✔✔C
Helps to draw out extra fluid from cells to ECF.
Salty solution, water pulled out of cells to ECF, excess fluid lost in urine
