NR 224 EXAM 2 PRACTICE QUESTION & ANSWER (50 Q/A)
1. What is included in screening for cardiovascular health risks related to diet and weight?
- Cholesterol panel
Cholesterol panel includes cholesterol, lipid, and triglyceride levels, each of which can signal
health risks for a client who is obese
2. Which metabolic acid does the kidney not excrete?
- Carbonic acid (excreted by the lungs during respiration)
3. A client scheduled for an abdominal ultrasound is concerned about the test. Which is the best
response from the nurse?
-Ultrasound uses sonic imaging
4. Following a client’s seizure the nurse reviews new lab results and finds which electrolyte
value indicates a possible reason for the seizure?
-Serum magnesium 1.4 mEq/L
5. A nurse is caring for a client with ECG changes that suggest hypokalemia. Which assessment
finding does the nurse expect?
-Muscle weakness
6. The provider orders blood to be drawn from the client’s central venous catheter. Who can
collect the specimen?
-Licensed RN
7. The nurse administers a hypertonic intravenous (IV) solution to a client. In which direction
will the fluid shift?
-Intracellular to extracellular
8. A nurse is reviewing the client’s arterial blood gases. Choose the results that would indicate
respiratory alkalosis.
, - pH 7.53, PaCO2 30 mmHG, HCO3-24 mEq/L
9. The nurse treats a pediatric client for dehydration with intravenous isotonic fluid. The
prescriptions read 2mL fluid/kg/hr. If the child weighs 22 lbs how much IV fluids should they
receive each hour?
- 20 mL
22lb/2.2kg = 10 kg
10 kg x 2 mL/kg/hr
10. The nurse anticipates which diagnostic test will be prescribed for a client having black tarry
stools?
-Upper endoscopy
11. The nurse admits a client with a diagnosis of pathological fracture. The nurse reviews this lab
result which could explain the cause of the fracture.
- Serum Calcium 10.8 mg/dL
12. A client is admitted with muscle cramps, hyperactive deep tendon reflexes and dysphagia.
The client has a history of alcoholism. The nurse understands these are symptoms of:
- Hypomagnesium
13. The client is on a regular diet but has been kept NPO since midnight last night for fasting
blood work this morning. What is the first action the nurse takes after the blood has been
collected?
-Notify dietary to resume their diet
14. The nurse is caring for a client with suspected thyroid disease. The nurse understands this test
indicated pituitary function pertaining to the thyroid.
-Thyroid stimulating hormone (TSH)
1. What is included in screening for cardiovascular health risks related to diet and weight?
- Cholesterol panel
Cholesterol panel includes cholesterol, lipid, and triglyceride levels, each of which can signal
health risks for a client who is obese
2. Which metabolic acid does the kidney not excrete?
- Carbonic acid (excreted by the lungs during respiration)
3. A client scheduled for an abdominal ultrasound is concerned about the test. Which is the best
response from the nurse?
-Ultrasound uses sonic imaging
4. Following a client’s seizure the nurse reviews new lab results and finds which electrolyte
value indicates a possible reason for the seizure?
-Serum magnesium 1.4 mEq/L
5. A nurse is caring for a client with ECG changes that suggest hypokalemia. Which assessment
finding does the nurse expect?
-Muscle weakness
6. The provider orders blood to be drawn from the client’s central venous catheter. Who can
collect the specimen?
-Licensed RN
7. The nurse administers a hypertonic intravenous (IV) solution to a client. In which direction
will the fluid shift?
-Intracellular to extracellular
8. A nurse is reviewing the client’s arterial blood gases. Choose the results that would indicate
respiratory alkalosis.
, - pH 7.53, PaCO2 30 mmHG, HCO3-24 mEq/L
9. The nurse treats a pediatric client for dehydration with intravenous isotonic fluid. The
prescriptions read 2mL fluid/kg/hr. If the child weighs 22 lbs how much IV fluids should they
receive each hour?
- 20 mL
22lb/2.2kg = 10 kg
10 kg x 2 mL/kg/hr
10. The nurse anticipates which diagnostic test will be prescribed for a client having black tarry
stools?
-Upper endoscopy
11. The nurse admits a client with a diagnosis of pathological fracture. The nurse reviews this lab
result which could explain the cause of the fracture.
- Serum Calcium 10.8 mg/dL
12. A client is admitted with muscle cramps, hyperactive deep tendon reflexes and dysphagia.
The client has a history of alcoholism. The nurse understands these are symptoms of:
- Hypomagnesium
13. The client is on a regular diet but has been kept NPO since midnight last night for fasting
blood work this morning. What is the first action the nurse takes after the blood has been
collected?
-Notify dietary to resume their diet
14. The nurse is caring for a client with suspected thyroid disease. The nurse understands this test
indicated pituitary function pertaining to the thyroid.
-Thyroid stimulating hormone (TSH)
