Adult Health 1: Acid-Base Balance - Questions and Answers Acid-Base Balance 1. A patient with a longstanding diagnosis of generalized anxiety disorder presents to the emergency room. The triage nurse notes upon assessment that the patient is hyperventilating. The triage nurse is aware that hyperventilation is the most common cause of which acid-base imbalance? A. C. Respiratory acidosis Increased PaCO2 CNS disturbances

Adult Health Exam 1-Fluid & Electrolyte Balance, Questions & Answers Fluid & Electrolyte Balance 1. You are caring for a patient admitted with a diagnosis of acute kidney injury. When you review your patients most recent laboratory reports, you note that the patient’s magnesium levels are high. You should prioritize assessment for which of the following health problems? B. Tachycardia C. Cool, clammy skin D. Acute flank pain

Adult Health Exam 1: Skin Integrity & Burns- Questions and Answers Skin Integrity & Burns 1. A patient is brought to the emergency department from the site of a chemical fire, where he suffered a burn that involves the epidermis, dermis, and the muscle and bone of the right arm. On inspection, the skin appears charred. Based on these assessment findings, what is the depth of the burn on the patients arm? A. Superficial partial-thickness B. Deep partial- thickness C. Full partial- thickness...

Adult Health Exam 1: Preoperative Care Questions and Answers Perioperative Care 1. The nurse is performing a preoperative assessment on a patient going to surgery. The patient informs the nurse that he drinks approximately two bottles of wine each day and has for the last several years. What postoperative difficulties can the nurse anticipate for this patient? A. C. Alcohol withdrawal syndrome immediately following surgery Alcohol withdrawal syndrome upon administration of general anesthe...

Adult Health Exam 1: Ethical Reasoning- Questions and Answers Ethical Reasoning 1. A nursing instructor delivers a lecture to nursing students regarding the issue of client's rights and asks a nursing student to identify a situation that represents an example of invasion of client privacy. Which situation, if identified by the student, indicates an understanding of a violation of this client right? A. Performing a procedure without consent B. Threatening to give a client a medication C. T...

Adult Health Exam 1: Acute Pain Questions and Answers Acute Pain 1. The nurse who is a member of the palliative care team is assessing a patient. The patient indicates that he has been saving his PRN analgesics until the pain is intense because his pain control has been inadequate. What teaching should the nurse do with this patient? B. Pain medication can be increased when the pain becomes intense. C. It is difficult to control chronic pain, so this is an inevitable part of the disease pro...

Adult Health 1: Diabetes/ Hypoglycemia- Questions and Answers Diabetes/Hypoglycemia 1. A patient with type 1 diabetes has told the nurse that his most recent urine test for ketones was positive. What is the nurses most plausible conclusion based on this assessment finding? A. The patient should withhold his next scheduled dose of insulin. B. The patient should promptly eat some protein and carbohydrates. D. The patient would benefit from a dose of metformin (Glucophage).

Adult Health 1: Care of the Older Adult- Questions and Answers Care of the Older Adult 1. You are performing an admission assessment on an older adult patient newly admitted for end-stage liver disease. What principle should guide your assessment of the patients skin turgor? A. Overhydration is common among healthy older adults. B. Dehydration causes the skin to appear spongy. D. Skin turgor cannot be assessed in patients over 70.