PN 4006 Midterm g2 q based Questions With Complete
Solutions
A 64-year-old client is seen in the emergency department for
palpitations and mild shortness of breath. The ECG reveals a
normal P wave, P-R interval, and QRS complex with a regular
rhythm and a rate of 108 beats per minute. The nurse should
recognize this as which type of cardiac dysrhythmia?
Select one:
a. Sinus dysrhythmia
b. Sinus tachycardia
c. Supraventricular tachycardia
d. Ventricular tachycardia Correct Answers b. Sinus tachycardia
A child having an asthma attack has presented to the emergency
department. He is breathing rapidly and has a blood pH of 7.47,
signs and symptoms that the nurse suspects are consistent with
which of the following conditions?
Select one:
a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Respiratory alkalosis Correct Answers d. Respiratory
alkalosis
A client complains of a headache and chills during a blood
transfusion. Which one of the following actions should the nurse
take immediately?
Select one:
a. Check the vital signs.
b. Stop the blood transfusion.
c. Slow the rate of blood flow.
,d. Notify the physician and blood bank personnel. Correct
Answers b. Stop the blood transfusion.
A client experiences a loss of intracellular fluid. The nurse
anticipates that which of the following IV therapies will be used
to replace this type of fluid loss?
Select one:
a. 0.45% normal saline (NS)
b. 10% dextrose
c. 5% dextrose in lactated Ringer's
d. Dextrose 5% in 1/2 NS Correct Answers a. 0.45% normal
saline (NS)
A client has a healing abdominal wound. The wound has
minimal exudate and collagen formation. The wound is
identified by the nurse as being in which phase of healing?
Select one:
a. Primary intention
b. Inflammatory phase
c. Proliferative phase
d. Secondary intention Correct Answers c. Proliferative phase
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?
Select one:
a. Intensity of the pain
b. Warmth of integument surrounding the IV site
c. Amount of subcutaneous edema
d. Skin discoloration of a bruised nature Correct Answers b.
Warmth of integument surrounding the IV site
, A client has pneumonia. Which of the following evaluations
does the nurse make about the effectiveness of the client's
cough?
Select one:
a. The client has a frequent, dry cough.
b. The client has decreased adventitious sounds on auscultation.
c. The client is breathing with deeper inhalation.
d. The client's oxygen saturation is improved. Correct Answers
b. The client has decreased adventitious sounds on auscultation.
A client requires wound debridement. The nurse is aware that
which of the following statements is correct regarding this
procedure?
Select one:
a. This procedure involves flushing debris from wounds.
b. This procedure involves the removal of nonviable necrotic
tissue.
c. Mechanical methods involve direct surgical removal of the
eschar layer of the wound.
d. Enzymatic debridement may be implemented independently
by the nurse whenever it is required. Correct Answers a. This
procedure involves flushing debris from wounds.
A homeless client is brought into the emergency department
with indications of extremely poor nutrition. Arterial blood
gases are assessed and the nurse anticipates that this client will
demonstrate which of the following results?
Select one:
a. pH, 7.3; PaCO2, 38 mm Hg; HCO3, 19 mmol/L
b. pH, 7.5; PaCO2, 34 mm Hg; HCO3, 20 mmol/L
c. pH, 7.35; PaCO2, 35 mm Hg; HCO3, 24 mmol/L
Solutions
A 64-year-old client is seen in the emergency department for
palpitations and mild shortness of breath. The ECG reveals a
normal P wave, P-R interval, and QRS complex with a regular
rhythm and a rate of 108 beats per minute. The nurse should
recognize this as which type of cardiac dysrhythmia?
Select one:
a. Sinus dysrhythmia
b. Sinus tachycardia
c. Supraventricular tachycardia
d. Ventricular tachycardia Correct Answers b. Sinus tachycardia
A child having an asthma attack has presented to the emergency
department. He is breathing rapidly and has a blood pH of 7.47,
signs and symptoms that the nurse suspects are consistent with
which of the following conditions?
Select one:
a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Respiratory alkalosis Correct Answers d. Respiratory
alkalosis
A client complains of a headache and chills during a blood
transfusion. Which one of the following actions should the nurse
take immediately?
Select one:
a. Check the vital signs.
b. Stop the blood transfusion.
c. Slow the rate of blood flow.
,d. Notify the physician and blood bank personnel. Correct
Answers b. Stop the blood transfusion.
A client experiences a loss of intracellular fluid. The nurse
anticipates that which of the following IV therapies will be used
to replace this type of fluid loss?
Select one:
a. 0.45% normal saline (NS)
b. 10% dextrose
c. 5% dextrose in lactated Ringer's
d. Dextrose 5% in 1/2 NS Correct Answers a. 0.45% normal
saline (NS)
A client has a healing abdominal wound. The wound has
minimal exudate and collagen formation. The wound is
identified by the nurse as being in which phase of healing?
Select one:
a. Primary intention
b. Inflammatory phase
c. Proliferative phase
d. Secondary intention Correct Answers c. Proliferative phase
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?
Select one:
a. Intensity of the pain
b. Warmth of integument surrounding the IV site
c. Amount of subcutaneous edema
d. Skin discoloration of a bruised nature Correct Answers b.
Warmth of integument surrounding the IV site
, A client has pneumonia. Which of the following evaluations
does the nurse make about the effectiveness of the client's
cough?
Select one:
a. The client has a frequent, dry cough.
b. The client has decreased adventitious sounds on auscultation.
c. The client is breathing with deeper inhalation.
d. The client's oxygen saturation is improved. Correct Answers
b. The client has decreased adventitious sounds on auscultation.
A client requires wound debridement. The nurse is aware that
which of the following statements is correct regarding this
procedure?
Select one:
a. This procedure involves flushing debris from wounds.
b. This procedure involves the removal of nonviable necrotic
tissue.
c. Mechanical methods involve direct surgical removal of the
eschar layer of the wound.
d. Enzymatic debridement may be implemented independently
by the nurse whenever it is required. Correct Answers a. This
procedure involves flushing debris from wounds.
A homeless client is brought into the emergency department
with indications of extremely poor nutrition. Arterial blood
gases are assessed and the nurse anticipates that this client will
demonstrate which of the following results?
Select one:
a. pH, 7.3; PaCO2, 38 mm Hg; HCO3, 19 mmol/L
b. pH, 7.5; PaCO2, 34 mm Hg; HCO3, 20 mmol/L
c. pH, 7.35; PaCO2, 35 mm Hg; HCO3, 24 mmol/L
