MCA 1 - Cline - Exam 1 Samuel Merritt
University MCA 1 - Test #1 Inflamation,
immune response, infection, fluid &
electrolytes, diabetes, delegation
Questions With Complete Solutions
1. A patient presents with confusion, muscle twitching, and a serum sodium level of 125
mEq/L. Which condition is the patient most likely experiencing?
a. Hypernatremia
b. Hyponatremia
c. Hyperkalemia
d. Hypokalemia
Answer: b
2. Which serum potassium level would the nurse expect to see in a patient with
metabolic alkalosis?
a. 5.0 mEq/L
, b. 4.5 mEq/L
c. 3.2 mEq/L
d. 5.5 mEq/L
Answer: c
3. A patient with renal failure has a serum potassium of 6.2 mEq/L. Which ECG change
would the nurse expect to observe?
a. Flattened T waves
b. Peaked T waves
c. ST depression
d. U waves
Answer: b
4. A patient with heart failure is placed on a fluid restriction. Which lab value would be
most helpful in monitoring fluid status?
a. Serum sodium
b. BUN
c. Creatinine
d. Daily weight
Answer: d
5. The renin-angiotensin-aldosterone system (RAAS) is activated in response to:
a. Increased blood pressure
b. Decreased renal perfusion
c. Hypervolemia
d. Increased sodium intake
, Answer: b
6. A patient has a serum sodium of 160 mEq/L with signs of confusion and restlessness.
Which condition is most likely?
a. Hyponatremia
b. Hypernatremia
c. Hyperkalemia
d. Hypokalemia
Answer: b
7. A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which of the
following tasks is appropriate to delegate?
a. Assessing a patient's lung sounds
b. Administering oral medications
c. Measuring intake and output
d. Developing a plan of care
Answer: c
8. The "5 Rights" of delegation include all of the following EXCEPT:
a. Right task
b. Right circumstances
c. Right person
d. Right diagnosis
Answer: d
University MCA 1 - Test #1 Inflamation,
immune response, infection, fluid &
electrolytes, diabetes, delegation
Questions With Complete Solutions
1. A patient presents with confusion, muscle twitching, and a serum sodium level of 125
mEq/L. Which condition is the patient most likely experiencing?
a. Hypernatremia
b. Hyponatremia
c. Hyperkalemia
d. Hypokalemia
Answer: b
2. Which serum potassium level would the nurse expect to see in a patient with
metabolic alkalosis?
a. 5.0 mEq/L
, b. 4.5 mEq/L
c. 3.2 mEq/L
d. 5.5 mEq/L
Answer: c
3. A patient with renal failure has a serum potassium of 6.2 mEq/L. Which ECG change
would the nurse expect to observe?
a. Flattened T waves
b. Peaked T waves
c. ST depression
d. U waves
Answer: b
4. A patient with heart failure is placed on a fluid restriction. Which lab value would be
most helpful in monitoring fluid status?
a. Serum sodium
b. BUN
c. Creatinine
d. Daily weight
Answer: d
5. The renin-angiotensin-aldosterone system (RAAS) is activated in response to:
a. Increased blood pressure
b. Decreased renal perfusion
c. Hypervolemia
d. Increased sodium intake
, Answer: b
6. A patient has a serum sodium of 160 mEq/L with signs of confusion and restlessness.
Which condition is most likely?
a. Hyponatremia
b. Hypernatremia
c. Hyperkalemia
d. Hypokalemia
Answer: b
7. A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which of the
following tasks is appropriate to delegate?
a. Assessing a patient's lung sounds
b. Administering oral medications
c. Measuring intake and output
d. Developing a plan of care
Answer: c
8. The "5 Rights" of delegation include all of the following EXCEPT:
a. Right task
b. Right circumstances
c. Right person
d. Right diagnosis
Answer: d
