NCLEX Review questions (Mark K)
1. Your pt has respiratory acidosis your pt has <Ans>
(select all that apply)
a) +1 reflexes
b) diarrhea
c) a dynamic ileus
d) spasm
e) urinary retention
f) paraxysmol atrial tachycardia
e) 2nd degree, mobitz, type 2 heart block
g) hypokalemia <Ans> a) +1 reflexes
c) a dynamic ileus
e) urinary retention
g) 2nd degree, mobitz, type 2 heart block
2. A pt has pneumonia present in 4 lobes, they have a RR of 52, and a SpO2 of
78. What acid-base imbalance is the patient exhibiting?
a) respiratory alkalosis
b) metabolic alkalosis
c) respiratory acidosis
d) metabolic acidosis <Ans> c) respiratory acidosis
-the rate is less important than the gas exchange, if the SpO2 is 78 then gas
,exchange is not good and shows acidosis
-they are under ventilating, under = acidosis
-not about rate about SaO2 or SpO2
3. If your pt is on a PCA pump, what acid-base imbalance will cause you to take them
off of it?
a) respiratory alkalosis
b) metabolic alkalosis
c) respiratory acidosis
d) metabolic acidosis <Ans> c) respiratory acidosis
-PCA pumps depress respirations = underventilation
4. If your male pt comes in with hyper-emesis what acid-base imbalance would he
have?
a) respiratory alkalosis
b) metabolic alkalosis
c) respiratory acidosis
d) metabolic acidosis <Ans> b) metabolic alkalosis
-vomiting or suctioning = met alkalosis
-losing acid
,5. If a male pt comes in with prolonged hyper-emesis that has lead to dehydra- tion
what acid-base imbalance would they have?
a) respiratory alkalosis
b) metabolic alkalosis
c) respiratory acidosis
d) metabolic acidosis <Ans> d) metabolic acidosis
-even though the pt is vomiting, they are now dehydrated which is the main take
away from the question, dehydration = acidosis
6. If an infant comes in with diarrhea, what acid-base imbalance is anticipat- ed?
a) respiratory alkalosis
b) metabolic alkalosis
c) respiratory acidosis
d) metabolic acidosis <Ans> d) metabolic acidosis
-diarrhea is not vomiting or suctioning so it is not alkalosis
-diarrhea leads to dehydration = acidosis
7. If your pt is in kidney failure, what acid-base imbalance do you expect to see?
a) respiratory alkalosis
b) metabolic alkalosis
c) respiratory acidosis
d) metabolic acidosis <Ans> d) metabolic acidosis
-not a lung issue
-not due to vomiting or suctioning
, 8. If a pt has third degree (full thickness) burns over 60% of their body in the first
phase, what acid-base imbalance do you expect to see?
a) respiratory alkalosis
b) metabolic alkalosis
c) respiratory acidosis
d) metabolic acidosis <Ans> d) metabolic acidosis
-not a lung issue
-not due to vomiting or suctioning
9. How often do you suction pts?
a) every 2 hrs
b) every 15 min
c) every hour
d) every 4 hours
e) none of the above <Ans> e) none of the above
-suction as needed only
1. Your pt has respiratory acidosis your pt has <Ans>
(select all that apply)
a) +1 reflexes
b) diarrhea
c) a dynamic ileus
d) spasm
e) urinary retention
f) paraxysmol atrial tachycardia
e) 2nd degree, mobitz, type 2 heart block
g) hypokalemia <Ans> a) +1 reflexes
c) a dynamic ileus
e) urinary retention
g) 2nd degree, mobitz, type 2 heart block
2. A pt has pneumonia present in 4 lobes, they have a RR of 52, and a SpO2 of
78. What acid-base imbalance is the patient exhibiting?
a) respiratory alkalosis
b) metabolic alkalosis
c) respiratory acidosis
d) metabolic acidosis <Ans> c) respiratory acidosis
-the rate is less important than the gas exchange, if the SpO2 is 78 then gas
,exchange is not good and shows acidosis
-they are under ventilating, under = acidosis
-not about rate about SaO2 or SpO2
3. If your pt is on a PCA pump, what acid-base imbalance will cause you to take them
off of it?
a) respiratory alkalosis
b) metabolic alkalosis
c) respiratory acidosis
d) metabolic acidosis <Ans> c) respiratory acidosis
-PCA pumps depress respirations = underventilation
4. If your male pt comes in with hyper-emesis what acid-base imbalance would he
have?
a) respiratory alkalosis
b) metabolic alkalosis
c) respiratory acidosis
d) metabolic acidosis <Ans> b) metabolic alkalosis
-vomiting or suctioning = met alkalosis
-losing acid
,5. If a male pt comes in with prolonged hyper-emesis that has lead to dehydra- tion
what acid-base imbalance would they have?
a) respiratory alkalosis
b) metabolic alkalosis
c) respiratory acidosis
d) metabolic acidosis <Ans> d) metabolic acidosis
-even though the pt is vomiting, they are now dehydrated which is the main take
away from the question, dehydration = acidosis
6. If an infant comes in with diarrhea, what acid-base imbalance is anticipat- ed?
a) respiratory alkalosis
b) metabolic alkalosis
c) respiratory acidosis
d) metabolic acidosis <Ans> d) metabolic acidosis
-diarrhea is not vomiting or suctioning so it is not alkalosis
-diarrhea leads to dehydration = acidosis
7. If your pt is in kidney failure, what acid-base imbalance do you expect to see?
a) respiratory alkalosis
b) metabolic alkalosis
c) respiratory acidosis
d) metabolic acidosis <Ans> d) metabolic acidosis
-not a lung issue
-not due to vomiting or suctioning
, 8. If a pt has third degree (full thickness) burns over 60% of their body in the first
phase, what acid-base imbalance do you expect to see?
a) respiratory alkalosis
b) metabolic alkalosis
c) respiratory acidosis
d) metabolic acidosis <Ans> d) metabolic acidosis
-not a lung issue
-not due to vomiting or suctioning
9. How often do you suction pts?
a) every 2 hrs
b) every 15 min
c) every hour
d) every 4 hours
e) none of the above <Ans> e) none of the above
-suction as needed only
