NR 324 Comprehensive Exam with
Complete Solutions
Arterial blood gases are obtained for the client. The client's results (pH, 7.48; CO2, 42 mm Hg;
HCO3, 32 mmol/L) indicate which one of the following acid-base imbalances? - ✔✔Metabolic
alkalosis
The nurse is admitting a patient who has a diagnosis of an acute asthma attack. Which
information obtained by the nurse indicates that the patient may need teaching regarding
medication use? - ✔✔The patient has been using the albuterol (Proventil) inhaler more
frequently over the last 4 days
When a deficit of body fluid exists in the intravascular compartment, which of the following
signs can be expected? - ✔✔An elevated hematocrit level
A client has intravenous (IV) therapy for the administration of antibiotics and is stating that the
IV site "hurts and is swollen." Which of the following information assessed on the client
indicates the presence of phlebitis, as opposed to infiltration? - ✔✔Warmth of integument
surrounding the IV site
Which action will the nurse plan to take for a patient who is scheduled for pulmonary function
testing (PFT)? - ✔✔Teach deep inhalation and forceful exhalation
A client with a colostomy is complaining of gas building up in the colostomy bag. The nurse
instructs the client that which of the following food items can be consumed to best prevent this
problem? - ✔✔yogurt
The nurse is caring for a client with chest pain, who states pain started after shoveling snow. He
rested which usually relieves his pain, but there was no relief after rest. Pain was relieved in the
ED with 2 ntgl tablets. The nurse draws which conclusion about the client? - ✔✔Client most
likely has unstable angina.
Complete Solutions
Arterial blood gases are obtained for the client. The client's results (pH, 7.48; CO2, 42 mm Hg;
HCO3, 32 mmol/L) indicate which one of the following acid-base imbalances? - ✔✔Metabolic
alkalosis
The nurse is admitting a patient who has a diagnosis of an acute asthma attack. Which
information obtained by the nurse indicates that the patient may need teaching regarding
medication use? - ✔✔The patient has been using the albuterol (Proventil) inhaler more
frequently over the last 4 days
When a deficit of body fluid exists in the intravascular compartment, which of the following
signs can be expected? - ✔✔An elevated hematocrit level
A client has intravenous (IV) therapy for the administration of antibiotics and is stating that the
IV site "hurts and is swollen." Which of the following information assessed on the client
indicates the presence of phlebitis, as opposed to infiltration? - ✔✔Warmth of integument
surrounding the IV site
Which action will the nurse plan to take for a patient who is scheduled for pulmonary function
testing (PFT)? - ✔✔Teach deep inhalation and forceful exhalation
A client with a colostomy is complaining of gas building up in the colostomy bag. The nurse
instructs the client that which of the following food items can be consumed to best prevent this
problem? - ✔✔yogurt
The nurse is caring for a client with chest pain, who states pain started after shoveling snow. He
rested which usually relieves his pain, but there was no relief after rest. Pain was relieved in the
ED with 2 ntgl tablets. The nurse draws which conclusion about the client? - ✔✔Client most
likely has unstable angina.
