NUR 2571 EXAM 1 PROFESSIONAL NURSING II / PN2 EXAM 1
NEWEST!! 2024/2025 ACTUAL COMPLETE 100 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A client admitted to the hospital has these arterial blood gas (ABG)
results: pH 7.50; PaCO 2 PaCO2 40; HCO
− 3 HCO3− 29. Which question should the nurse ask the client to
help determine an etiology for these results?
a. "Have you had
diarrhea lately?"
b. "Do you have a
history of COPD?"
c. "How long have you had
nausea and vomiting?"
d. "Do you smoke?" - ANSWER -Answer: C; ABG results reflect
elevated pH, indicating alkalosis, and normal
PaCO 2 PaCO2 and an increased HCO − 3 , HCO3−, indicating
metabolic alkalosis. Vomiting is a common
cause of this condition. The presence of diarrhea is associated
with metabolic acidosis. COPD is associated
with respiratory acidosis. Smoking can be associated with
respiratory acidosis if it leads to respiratory disease.
,A client's arterial blood gas (ABG) results are pH 7.36; PaCO 2
PaCO2 50; HCO − 3 HCO3− 28. What should these results indicate
to the nurse?
a. Compensated respiratory acidosis
b. Compensated metabolic acidosis
c. Uncompensated metabolic acidosis
d. Uncompensated respiratory acidosis - ANSWER -Answer: A;
The pH is just within normal range, so the blood gas results are
either normal or compensated. However, the PaCO 2 PaCO2 is
high, indicating a respiratory problem, and thus the ABGs
cannot be normal. The HCO − 3 HCO3− is also high, which along
with a normal pH indicates complete compensation. The
metabolic acidosis options (compensated or uncompensated)
are incorrect because the primary disturbance is respiratory, as
reflected by the correlation between an elevated PaCO 2 PaCO2
and a pH toward the low end of normal. Uncompensated
respiratory acidosis is incorrect because the HCO − 3 HCO3−
level would be normal if no compensation is taking place.
A client asks the nurse why beclomethasone was prescribed
for his chronic obstructive pulmonary disease (COPD). Which
statement by the nurse is most appropriate? a.
"Beclomethasone prevents airway dilation."
b. "Beclomethasone decreases inflammation, and makes it easier
to breathe."
, c. "Beclomethasone suppresses the immune response."
d. "Beclomethasone decreases responsiveness to medications
that dilate the airway." - ANSWER -Answer: B; Beclomethasone
is an inhaled corticosteroid that is thought to decrease
inflammation and dilate the airway. Preventing airway dilation is
undesirable for this client, and the exact opposite action of
beclomethasone. The exact mechanism of action is unknown.
Beclomethasone, like any other corticosteroid, does suppress
the immune response, but this is not the rationale for
administration of the medication. Inhaled corticosteroids are
thought to increase responsiveness of bronchial smooth
muscle to beta-agonist drugs.
Asthma - ANSWER -Chronic inflammatory disorder characterized
by episodes of airway inflammation.
Status Asthmaticus - ANSWER -Severe asthma attack that
does not respond to standard treatment.
Medical
emergency!!
Asthma (Assessment) - ANSWER -Wheezing
Cough
Dyspnea
Chest tightness
NEWEST!! 2024/2025 ACTUAL COMPLETE 100 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A client admitted to the hospital has these arterial blood gas (ABG)
results: pH 7.50; PaCO 2 PaCO2 40; HCO
− 3 HCO3− 29. Which question should the nurse ask the client to
help determine an etiology for these results?
a. "Have you had
diarrhea lately?"
b. "Do you have a
history of COPD?"
c. "How long have you had
nausea and vomiting?"
d. "Do you smoke?" - ANSWER -Answer: C; ABG results reflect
elevated pH, indicating alkalosis, and normal
PaCO 2 PaCO2 and an increased HCO − 3 , HCO3−, indicating
metabolic alkalosis. Vomiting is a common
cause of this condition. The presence of diarrhea is associated
with metabolic acidosis. COPD is associated
with respiratory acidosis. Smoking can be associated with
respiratory acidosis if it leads to respiratory disease.
,A client's arterial blood gas (ABG) results are pH 7.36; PaCO 2
PaCO2 50; HCO − 3 HCO3− 28. What should these results indicate
to the nurse?
a. Compensated respiratory acidosis
b. Compensated metabolic acidosis
c. Uncompensated metabolic acidosis
d. Uncompensated respiratory acidosis - ANSWER -Answer: A;
The pH is just within normal range, so the blood gas results are
either normal or compensated. However, the PaCO 2 PaCO2 is
high, indicating a respiratory problem, and thus the ABGs
cannot be normal. The HCO − 3 HCO3− is also high, which along
with a normal pH indicates complete compensation. The
metabolic acidosis options (compensated or uncompensated)
are incorrect because the primary disturbance is respiratory, as
reflected by the correlation between an elevated PaCO 2 PaCO2
and a pH toward the low end of normal. Uncompensated
respiratory acidosis is incorrect because the HCO − 3 HCO3−
level would be normal if no compensation is taking place.
A client asks the nurse why beclomethasone was prescribed
for his chronic obstructive pulmonary disease (COPD). Which
statement by the nurse is most appropriate? a.
"Beclomethasone prevents airway dilation."
b. "Beclomethasone decreases inflammation, and makes it easier
to breathe."
, c. "Beclomethasone suppresses the immune response."
d. "Beclomethasone decreases responsiveness to medications
that dilate the airway." - ANSWER -Answer: B; Beclomethasone
is an inhaled corticosteroid that is thought to decrease
inflammation and dilate the airway. Preventing airway dilation is
undesirable for this client, and the exact opposite action of
beclomethasone. The exact mechanism of action is unknown.
Beclomethasone, like any other corticosteroid, does suppress
the immune response, but this is not the rationale for
administration of the medication. Inhaled corticosteroids are
thought to increase responsiveness of bronchial smooth
muscle to beta-agonist drugs.
Asthma - ANSWER -Chronic inflammatory disorder characterized
by episodes of airway inflammation.
Status Asthmaticus - ANSWER -Severe asthma attack that
does not respond to standard treatment.
Medical
emergency!!
Asthma (Assessment) - ANSWER -Wheezing
Cough
Dyspnea
Chest tightness
