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Exam 1
1. The nurse assigned to the newborn nursery is conducting shift assessments. While assessing one newborn, the
nurse notes that the respiratory rate is 52 breaths/per minute. Which action by the nurse is appropriate?
Pearson Module 15- Oxygenation
a. Continue to monitor newborn per facility policy.
b. Notify the healthcare provider of this assessment finding.
c. Begin monitoring every 5 minutes.
d. Obtain an arterial blood gas for further respiratory assessment.
2. A nurse evaluates the following arterial blood gas values: pH 7.48, PaO2 of 98%, PaCO2 of 28, HCO2 of 22.
Which patient condition correlates with the result?
a. Diarrhea and vomiting.
b. Diabetic Ketoacidosis with emphysema.
c. COPD.
d. Anxiety induced Hyperventilation.
Medsurg- Colab-care Q#10
3. The registered nurse is to administer Epoetin alpha for a client with chronic renal failure. Which of the
following lab values should the nurse monitor for the effectiveness of epoetin alpha?
a. Serum creatinine levels.
b. Leukocytes.
c. Blood urea levels.
d. Hemoglobin.
4. An adult client is admitted to the surgical unit with acute renal failure. Which of the following findings is
consistent with the diagnosis?
a. Creatinine of 1.2.
b. Temp of 100.2.
c. Urine output of 750mL/24 hours.
d. Creatinine of 2.5.
https://quizlet.com/415804203/chapter-26-acute-kidney-injury-and-chronic-kidney-disease-flash-cards/
5. A client with end stage renal disease (ESRD) receives hemodialysis 3xs per week, via an arteriovenous fistula
in the left arm. Which of the following should be included in the care plan?
a. Auscultate for thrill.
b. Palpate for thrill.
c. Compare blood pressure in both arms.
d. Keep the AV fistula site dry.
https://quizlet.com/336877240/complex-exam-3-flash-cards/
6. The nurse performing a blood draw for ABGs, first performs a modified Allen’s test for what purpose?
a. To determine the pressure of blood in the artery.
b. To determine the oxygen saturation of blood in the artery.
c. To determine if the ulnar artery is patent.
d. To reduce the risk of bleeding or bruising of the arm.
7. The nurse is caring for a client at risk for atelectasis. For which of the following interventions would be
appropriate for the client to prevent atelectasis. Select all that apply.
a. Encourage activity as tolerated.
b. Encourage use of incentive spirometry.
c. Encourage the client to ambulate.
d. Maintain bed rest.
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e. Perform postural drainage every 24/hours.
8. A patient is diagnosed with postrenal acute kidney injury. Which of the following can contribute to the
development of postrenal kidney injury?
a. Benign Prostatic Hyperplasia.
b. Sepsis.
c. Drug toxicity.
d. Hypovolemia.
https://quizlet.com/488182477/pearson-flashcards-acute-kidney-injury-flash-cards/
9. The nurse is evaluating the effectiveness of dietary teaching provided to a patient with Chronic Kidney Disease
(CKD). Which menu choice indicates that the patient understands the dietary regimen?
a. Two bananas for breakfast, rice and beans for lunch, fruit salad, green beans, and 8 oz steak for dinner.
b. Apple and oatmeal for breakfast, peanut butter sandwich for lunch, pasta with fish for dinner.
c. Bacon and eggs for breakfast, hotdog with sauerkraut for lunch, baked canned ham and green peas for
dinner.
d. Half a cantaloupe and three eggs for breakfast, a baked potato with processed cheese, bread and
broccoli for lunch, chicken, pinto beans, squash, and pecan pie for dinner.
https://quizlet.com/439084676/ch-28-nursing-care-of-patient-w-kidney-disorder-flash-cards/
10. The nurse is caring for a client admitted with septic shock. Which early clinical manifestation might indicate the
development of ARDS syndrome?
a. Tachycardia.
b. Intercostal retractions.
c. Tachypnea.
d. Cyanosis.
PEARSON MOD 15 OXYGENATION Q#9
11. The nurse is teaching a patient about hemodialysis. How should the nurse explain this process?
a. It moves blood through a semipermeable membrane into a dialyzer that is used to remove waste
products, as well as correct fluid and electrolyte imbalance.
b. Will add electrolytes and water to the blood when passing through a semipermeable membrane to
correct electrolyte imbalance.
c. It adds potassium to the blood when passing through the dialyzer and works on the principles of
diffusion.
d. It allows the choice of either diffusion, osmosis, or ultrafiltration to remove excess water from the
body.
https://quizlet.com/560643538/chapter-54-management-of-patients-with-kidney-disorders-flash-cards/
^^ Hemodialysis questions.
12. An adult client presents to the emergency department with respiratory distress and subsequently diagnosed with
spontaneous pneumothorax. Which of the following interventions is indicated for this client? Select all that
apply.
a. Administer a prescribed antihypertensive medication.
b. Prepare for a chest tube insertion.
c. Administer oxygen.
d. Place client in high-fowlers position.
13. A patient is scheduled to have an arteriovenous fistula created for hemodialysis. What should the nurse include
when teaching the patient about the fistula. Select all that apply.
a. Avoid using the arm with the fistula for blood pressure readings.
b. Venipuncture should be performed on the arm with the fistula.
c. The fistula can be used immediately after its creation.
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d. The functioning fistula has a palpable pulse and bruit can be auscultated.
e. The fistula only allows for temporary access.
https://quizlet.com/439084676/ch-28-nursing-care-of-patient-w-kidney-disorder-flash-cards/
14. The client with chronic renal failure is receiving calcium acetate. She asks the registered nurse, “Why
do I need to take this medication?” The nurse explains to the client that the calcium acetate will:
a. Bind with phosphorus in your food and be eliminated in your stool.
b. Bind with potassium in your body.
c. Prevent you from getting constipated.
d. Prevent you from developing ulcers.
15. A 75-year-old client with history of renal disease is receiving a dose of potentially nephrotic
medication. Which of the following would the nurse include in the plan of care?
a. Assess the skin color and nail beds.
b. Check for thrill and bruit daily.
c. Monitor client’s fluid intake.
d. Monitor creatinine and blood urea nitrogen.
16. The nurse notes a client with no history of respiratory disease is anxious and dizzy following a
traumatic experience. The arterial blood gas is a pH of 7.48, PaCO2 of 25, PaO2 of 100%, and an
HCO3 of 24. Which order should the nurse anticipate?
a. Administer oxygen via face mask.
b. Administer intravenous sodium bicarbonate.
c. Begin intravenous bolus of isotonic fluids.
d. Have the patient breathe in a paper bag.
https://quizlet.com/310960829/abg-study-questions-flash-cards/
17. Which assessment finding indicates that the client who has undergone a renal transplant may be
experiencing organ rejection?
a. Fever of a 101 F.
b. Diuresis.
c. Weight loss.
d. Decreased creatinine levels.
18. A postoperative patient’s nasogastric drainage has been 500mL in the last 8 hours. The nurse would
assess this patient for findings associated with which acid-base imbalance?
a. Respiratory acidosis.
b. Respiratory alkalosis.
c. Metabolic acidosis.
d. Metabolic alkalosis.
https://quizlet.com/345613226/ha-final-flash-cards/
19. A client is admitted with manifestations of metabolic alkalosis. Which diagnostic test findings
support the admitting diagnosis?
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Exam 1
1. The nurse assigned to the newborn nursery is conducting shift assessments. While assessing one newborn, the
nurse notes that the respiratory rate is 52 breaths/per minute. Which action by the nurse is appropriate?
Pearson Module 15- Oxygenation
a. Continue to monitor newborn per facility policy.
b. Notify the healthcare provider of this assessment finding.
c. Begin monitoring every 5 minutes.
d. Obtain an arterial blood gas for further respiratory assessment.
2. A nurse evaluates the following arterial blood gas values: pH 7.48, PaO2 of 98%, PaCO2 of 28, HCO2 of 22.
Which patient condition correlates with the result?
a. Diarrhea and vomiting.
b. Diabetic Ketoacidosis with emphysema.
c. COPD.
d. Anxiety induced Hyperventilation.
Medsurg- Colab-care Q#10
3. The registered nurse is to administer Epoetin alpha for a client with chronic renal failure. Which of the
following lab values should the nurse monitor for the effectiveness of epoetin alpha?
a. Serum creatinine levels.
b. Leukocytes.
c. Blood urea levels.
d. Hemoglobin.
4. An adult client is admitted to the surgical unit with acute renal failure. Which of the following findings is
consistent with the diagnosis?
a. Creatinine of 1.2.
b. Temp of 100.2.
c. Urine output of 750mL/24 hours.
d. Creatinine of 2.5.
https://quizlet.com/415804203/chapter-26-acute-kidney-injury-and-chronic-kidney-disease-flash-cards/
5. A client with end stage renal disease (ESRD) receives hemodialysis 3xs per week, via an arteriovenous fistula
in the left arm. Which of the following should be included in the care plan?
a. Auscultate for thrill.
b. Palpate for thrill.
c. Compare blood pressure in both arms.
d. Keep the AV fistula site dry.
https://quizlet.com/336877240/complex-exam-3-flash-cards/
6. The nurse performing a blood draw for ABGs, first performs a modified Allen’s test for what purpose?
a. To determine the pressure of blood in the artery.
b. To determine the oxygen saturation of blood in the artery.
c. To determine if the ulnar artery is patent.
d. To reduce the risk of bleeding or bruising of the arm.
7. The nurse is caring for a client at risk for atelectasis. For which of the following interventions would be
appropriate for the client to prevent atelectasis. Select all that apply.
a. Encourage activity as tolerated.
b. Encourage use of incentive spirometry.
c. Encourage the client to ambulate.
d. Maintain bed rest.
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e. Perform postural drainage every 24/hours.
8. A patient is diagnosed with postrenal acute kidney injury. Which of the following can contribute to the
development of postrenal kidney injury?
a. Benign Prostatic Hyperplasia.
b. Sepsis.
c. Drug toxicity.
d. Hypovolemia.
https://quizlet.com/488182477/pearson-flashcards-acute-kidney-injury-flash-cards/
9. The nurse is evaluating the effectiveness of dietary teaching provided to a patient with Chronic Kidney Disease
(CKD). Which menu choice indicates that the patient understands the dietary regimen?
a. Two bananas for breakfast, rice and beans for lunch, fruit salad, green beans, and 8 oz steak for dinner.
b. Apple and oatmeal for breakfast, peanut butter sandwich for lunch, pasta with fish for dinner.
c. Bacon and eggs for breakfast, hotdog with sauerkraut for lunch, baked canned ham and green peas for
dinner.
d. Half a cantaloupe and three eggs for breakfast, a baked potato with processed cheese, bread and
broccoli for lunch, chicken, pinto beans, squash, and pecan pie for dinner.
https://quizlet.com/439084676/ch-28-nursing-care-of-patient-w-kidney-disorder-flash-cards/
10. The nurse is caring for a client admitted with septic shock. Which early clinical manifestation might indicate the
development of ARDS syndrome?
a. Tachycardia.
b. Intercostal retractions.
c. Tachypnea.
d. Cyanosis.
PEARSON MOD 15 OXYGENATION Q#9
11. The nurse is teaching a patient about hemodialysis. How should the nurse explain this process?
a. It moves blood through a semipermeable membrane into a dialyzer that is used to remove waste
products, as well as correct fluid and electrolyte imbalance.
b. Will add electrolytes and water to the blood when passing through a semipermeable membrane to
correct electrolyte imbalance.
c. It adds potassium to the blood when passing through the dialyzer and works on the principles of
diffusion.
d. It allows the choice of either diffusion, osmosis, or ultrafiltration to remove excess water from the
body.
https://quizlet.com/560643538/chapter-54-management-of-patients-with-kidney-disorders-flash-cards/
^^ Hemodialysis questions.
12. An adult client presents to the emergency department with respiratory distress and subsequently diagnosed with
spontaneous pneumothorax. Which of the following interventions is indicated for this client? Select all that
apply.
a. Administer a prescribed antihypertensive medication.
b. Prepare for a chest tube insertion.
c. Administer oxygen.
d. Place client in high-fowlers position.
13. A patient is scheduled to have an arteriovenous fistula created for hemodialysis. What should the nurse include
when teaching the patient about the fistula. Select all that apply.
a. Avoid using the arm with the fistula for blood pressure readings.
b. Venipuncture should be performed on the arm with the fistula.
c. The fistula can be used immediately after its creation.
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d. The functioning fistula has a palpable pulse and bruit can be auscultated.
e. The fistula only allows for temporary access.
https://quizlet.com/439084676/ch-28-nursing-care-of-patient-w-kidney-disorder-flash-cards/
14. The client with chronic renal failure is receiving calcium acetate. She asks the registered nurse, “Why
do I need to take this medication?” The nurse explains to the client that the calcium acetate will:
a. Bind with phosphorus in your food and be eliminated in your stool.
b. Bind with potassium in your body.
c. Prevent you from getting constipated.
d. Prevent you from developing ulcers.
15. A 75-year-old client with history of renal disease is receiving a dose of potentially nephrotic
medication. Which of the following would the nurse include in the plan of care?
a. Assess the skin color and nail beds.
b. Check for thrill and bruit daily.
c. Monitor client’s fluid intake.
d. Monitor creatinine and blood urea nitrogen.
16. The nurse notes a client with no history of respiratory disease is anxious and dizzy following a
traumatic experience. The arterial blood gas is a pH of 7.48, PaCO2 of 25, PaO2 of 100%, and an
HCO3 of 24. Which order should the nurse anticipate?
a. Administer oxygen via face mask.
b. Administer intravenous sodium bicarbonate.
c. Begin intravenous bolus of isotonic fluids.
d. Have the patient breathe in a paper bag.
https://quizlet.com/310960829/abg-study-questions-flash-cards/
17. Which assessment finding indicates that the client who has undergone a renal transplant may be
experiencing organ rejection?
a. Fever of a 101 F.
b. Diuresis.
c. Weight loss.
d. Decreased creatinine levels.
18. A postoperative patient’s nasogastric drainage has been 500mL in the last 8 hours. The nurse would
assess this patient for findings associated with which acid-base imbalance?
a. Respiratory acidosis.
b. Respiratory alkalosis.
c. Metabolic acidosis.
d. Metabolic alkalosis.
https://quizlet.com/345613226/ha-final-flash-cards/
19. A client is admitted with manifestations of metabolic alkalosis. Which diagnostic test findings
support the admitting diagnosis?
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