AACN CSC- COMPLICATIONS COMPREHENSIVE TEST BANK
FINAL EXAM 2026-2027 || WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS||VERIFIED 100%
(RATIONALES) ALREADY GRADED A+ (Verified
Answers) Already Graded A+ | Guaranteed Success!! |
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To successfully correct calcium levels in the presence of hypocalcemia,
the nurse should anticipate also administering replacement of which of
the following?
A) potassium
B) sodium bicarbonate
C) magnesium
D) phosphorus
C) magnesium
Hypocalcemia can be difficult to correct if serum magnesium levels are
low. Magnesium has an effect on the release of parathyroid hormone,
thereby affecting calcium levels. Potassium, phosphorus and sodium
bicarbonate will not impact the responsiveness to calcium infusions.
,A patient underwent cardiac surgery. Succinylcholine (Anectine),
enflurane (Ethrane) and fentanyl (Sublimaze) were used during
anesthesia. Postoperatively, the patient develops a fever of 105.8
degrees F (41 degrees C). Which of the following should the nurse
expect?
A) flushed skin and respiratory alkalosis
B) HR 120 and RR 28
C) potassium 3.0 mEq/L and decreased creatine phosphokinase
D) sodium 150 mEq/L and metabolic alkalosis
B) HR 120 and RR 28. Patients with malignant hyperthermia will manifest
tachycardia and tachypnea. Malignant hyperthermia is a life-threatening
disorder that is triggered by some anesthetic agents, nondepolarizing
neuromuscular blockers and stress. It is also associated with
hyperkalemia, respiratory acidosis and increased creatine
phosphokinase.
,Two days post-CABG, a patient is agitated, moaning, and attempting to
crawl out of bed. The patient has bilateral crackles audible in the bases
with diminished lung sounds. Data are:
BP 110/67
HR 122 RR 24
T 98.8 degrees F (37.1 degrees C)
SpO2 88%
EtCO2 55
pH 7.31
PaCO2 57 mm Hg
PaO2 78 mm Hg
HCO3 19 mEq/L
The nurse recognizes that the patient's delirium is MOST LIKELY a result
of
A) hypoxia, hypercapnia, and postoperative pain.
B) hypoxia, postoperative pain and reduced cerebral perfusion.
C) hypoxia, metabolic acidosis, and infection.
D) hypoxia, respiratory acidosis, and electrolyte imbalance.
a) hypoxia, hypercapnia, and postoperative pain.
View Details
Delirium, characterized by an acute onset and fluctuating course of
inattention accompanied by a change in cognition and/or a perceptual
disturbance, can be caused by hypoxia, hypercapnia, and pain. This
patient is hypoxic (SpO2 88% and PaO2 78 mm Hg) and hypercapnic
(EtCO2 55 and PaCO2 57 mm Hg). The nurse can deduce the patient is
also experiencing postoperative pain due to their characteristic
, moaning, and tachycardia, tachypnea, and crackles in the bases
indicating the patient is not taking deep breaths.
Older patients undergoing CABG are MOST susceptible to which of the
following complications?
a) atrial dysrhythmias that are best prevented with prophylactic ACE
inhibitors
b) atrial dysrhythmias that are best prevented with prophylactic beta-
blockers
c) ventricular dysrhythmias that are best prevented with prophylactic
beta-blockers
d) ventricular dysrhythmias that are best prevented with prophylactic
antidysrhythmics
a) atrial dysrhythmias that are best prevented with prophylactic beta-
blockers
View Details
Advanced age is a risk factor for atrial fibrillation, due to enlargement
and remodeling of the atria that occur with age. Prophylactic therapy
can reduce the risk of atrial fibrillation by approximately 50%, but does
not eliminate its occurrence. ACE inhibitors are not the first line for atrial
fibrillation prevention. Beta-blockers are not used prophylactically post-
cardiac surgery. Ventricular dysrhythmias are not related to advanced
age and are usually caused by ischemia, reperfusion or electrolyte
disorders.
FINAL EXAM 2026-2027 || WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS||VERIFIED 100%
(RATIONALES) ALREADY GRADED A+ (Verified
Answers) Already Graded A+ | Guaranteed Success!! |
Newest Exam | Just Released!!! BEST DOCUMENT FOR
FINAL EXAM PREP
To successfully correct calcium levels in the presence of hypocalcemia,
the nurse should anticipate also administering replacement of which of
the following?
A) potassium
B) sodium bicarbonate
C) magnesium
D) phosphorus
C) magnesium
Hypocalcemia can be difficult to correct if serum magnesium levels are
low. Magnesium has an effect on the release of parathyroid hormone,
thereby affecting calcium levels. Potassium, phosphorus and sodium
bicarbonate will not impact the responsiveness to calcium infusions.
,A patient underwent cardiac surgery. Succinylcholine (Anectine),
enflurane (Ethrane) and fentanyl (Sublimaze) were used during
anesthesia. Postoperatively, the patient develops a fever of 105.8
degrees F (41 degrees C). Which of the following should the nurse
expect?
A) flushed skin and respiratory alkalosis
B) HR 120 and RR 28
C) potassium 3.0 mEq/L and decreased creatine phosphokinase
D) sodium 150 mEq/L and metabolic alkalosis
B) HR 120 and RR 28. Patients with malignant hyperthermia will manifest
tachycardia and tachypnea. Malignant hyperthermia is a life-threatening
disorder that is triggered by some anesthetic agents, nondepolarizing
neuromuscular blockers and stress. It is also associated with
hyperkalemia, respiratory acidosis and increased creatine
phosphokinase.
,Two days post-CABG, a patient is agitated, moaning, and attempting to
crawl out of bed. The patient has bilateral crackles audible in the bases
with diminished lung sounds. Data are:
BP 110/67
HR 122 RR 24
T 98.8 degrees F (37.1 degrees C)
SpO2 88%
EtCO2 55
pH 7.31
PaCO2 57 mm Hg
PaO2 78 mm Hg
HCO3 19 mEq/L
The nurse recognizes that the patient's delirium is MOST LIKELY a result
of
A) hypoxia, hypercapnia, and postoperative pain.
B) hypoxia, postoperative pain and reduced cerebral perfusion.
C) hypoxia, metabolic acidosis, and infection.
D) hypoxia, respiratory acidosis, and electrolyte imbalance.
a) hypoxia, hypercapnia, and postoperative pain.
View Details
Delirium, characterized by an acute onset and fluctuating course of
inattention accompanied by a change in cognition and/or a perceptual
disturbance, can be caused by hypoxia, hypercapnia, and pain. This
patient is hypoxic (SpO2 88% and PaO2 78 mm Hg) and hypercapnic
(EtCO2 55 and PaCO2 57 mm Hg). The nurse can deduce the patient is
also experiencing postoperative pain due to their characteristic
, moaning, and tachycardia, tachypnea, and crackles in the bases
indicating the patient is not taking deep breaths.
Older patients undergoing CABG are MOST susceptible to which of the
following complications?
a) atrial dysrhythmias that are best prevented with prophylactic ACE
inhibitors
b) atrial dysrhythmias that are best prevented with prophylactic beta-
blockers
c) ventricular dysrhythmias that are best prevented with prophylactic
beta-blockers
d) ventricular dysrhythmias that are best prevented with prophylactic
antidysrhythmics
a) atrial dysrhythmias that are best prevented with prophylactic beta-
blockers
View Details
Advanced age is a risk factor for atrial fibrillation, due to enlargement
and remodeling of the atria that occur with age. Prophylactic therapy
can reduce the risk of atrial fibrillation by approximately 50%, but does
not eliminate its occurrence. ACE inhibitors are not the first line for atrial
fibrillation prevention. Beta-blockers are not used prophylactically post-
cardiac surgery. Ventricular dysrhythmias are not related to advanced
age and are usually caused by ischemia, reperfusion or electrolyte
disorders.
