MCD2 Exam 2
1. Aclient has the following arterial blood gas (ABG) results. How would the nurse interpret
these results?
pH 7.42,
PaCO2 55 mm Hg
and HCO3 32 mEq/L.
A. Metabolic alkalosis with partial respiratory compensation
D. Respiratory alkalosis with partial respiratory compensation
2. The nurse is caring for a client that presented with an asthma attack. The client was working
out and forgot to take an inhaler. The respiratory rate is 38 breaths per minute. The pulse
oximeter is 85% on room air. The arterial blood gas (ABG) is as follows: pH:7.35, PaCO2: 50
mm Hg, pa02: 70 mm Hg, HCO3: 32 mEq/L. What acid-base deficit is the client experiencing?
A. Respiratory acidosis with partial metabolic compensation
D. Metabolic alkalosis without compensation
3. The nurse is caring for an 80-year-old client diagnosed with gastric cancer three months ago.
The client has undergone chemotherapy and radiation and recently had surgery to remove
cancer. During the surgical procedure, the surgeon discovered that the cancer had spread to
other organs. The client’s family is having difficulty deciding treatment options. Which of the
following interventions are appropriate for the RN in providing the client's care?
A. Schedule client for additional chemotherapy
B. Schedule client for additional radiation therapy
,. Request a consult for palliative care services
D. Discharge client to hospice
4. Which of the following conditions would result in respiratory acidosis?
A. Diabetic ketoacidosis
B. Hypoglycemia
C.
Chronic obstructive pulmonary disease
D. Salicylate toxicity
5. Anurse is providing discharge instructions to a client recently diagnosed with peptic ulcer
disease. Which of the following should not be part of the discharge instructions?
D. Signs and symptoms to report
6. The provider ordered clindamycin 800 mg PO twice daily. Available is clindamycin oral
suspension 100 mg/2mL. How many mL will the nurse administer per dose?
1(?
7. The nurse is providing education for a client recently diagnosed with gastroesophageal reflux
disease (GERD). Which of the following foods should the client avoid?
A. Low-fat foods
B. Salad
, MCD2 Exam 2
A11EC ALlEU DEeEvVEel o
D. White bread
8. What is the nurse’s priority to include when educating a client with esophageal cancer about
their plan of care?
A. “Oneof the most important things we need to monitor is weight loss. Please weigt
r |
B. "Esophageal dilation is only used once during the course of your treatment when your
side effects are too severe to tolerate.”
C. “Ifyou get tired in the afternoon, it's good idea to take a nap after lunch to reenergize.”
D. "Hospice care might be needed towards the end, but you can still have chemotherapy at
the same time.”
9. The following arterial blood gas reflects which of the following acid-base imbalance?
pH 7.38, PaCO2 40 mm Hg, pa0O2 94 mm Hg and HCO3 26mEq/L.
A. Respiratory acidosis fully compensated
B. Metabolic acidosis partially compensated
10. Which of the following clients is an example of developing secondary stomatitis?
A. 67-year-old client presenting with herpes stomatitis reports being stressed at work for the
last two weeks
B. 25-year-old client presenting with aphthous stomatitis that reports anxiety preparing for a
test
C. 16-yeat-old client that reports accidentally biting the inside of his buccal mucosa
. 64-year-old client with a history of metastatic breast cancer receiving chemotherz
r ing wi iti
11. The client is at risk for acid-base imbalance. Which laboratory value indicates that the client
IS acidotic?
A. paCO2=55 mm Hg
B. HCO3=25 mEq/L
C. Lactate =2.5 mmol/L
12. A nurse is caring for a client who identities as Native American and is being treated for
metabolic alkalosis. Before discharge, which of the following will address the multidimensional
needs of the client? (Select all that apply.)
A. Provide emotional support
E. Provide eaucatiofl
C. Conduct a cultural assessment
D. Consult the dietician
E. Ensure the client is on strict bed rest
13. A nurse is caring for a client diagnosed with oral cancer who recently underwent surgery.
which of the following is a post-operative nursing priority?
A. Airway managemer
B. Advance diet
C. Monitor vital signs
1. Aclient has the following arterial blood gas (ABG) results. How would the nurse interpret
these results?
pH 7.42,
PaCO2 55 mm Hg
and HCO3 32 mEq/L.
A. Metabolic alkalosis with partial respiratory compensation
D. Respiratory alkalosis with partial respiratory compensation
2. The nurse is caring for a client that presented with an asthma attack. The client was working
out and forgot to take an inhaler. The respiratory rate is 38 breaths per minute. The pulse
oximeter is 85% on room air. The arterial blood gas (ABG) is as follows: pH:7.35, PaCO2: 50
mm Hg, pa02: 70 mm Hg, HCO3: 32 mEq/L. What acid-base deficit is the client experiencing?
A. Respiratory acidosis with partial metabolic compensation
D. Metabolic alkalosis without compensation
3. The nurse is caring for an 80-year-old client diagnosed with gastric cancer three months ago.
The client has undergone chemotherapy and radiation and recently had surgery to remove
cancer. During the surgical procedure, the surgeon discovered that the cancer had spread to
other organs. The client’s family is having difficulty deciding treatment options. Which of the
following interventions are appropriate for the RN in providing the client's care?
A. Schedule client for additional chemotherapy
B. Schedule client for additional radiation therapy
,. Request a consult for palliative care services
D. Discharge client to hospice
4. Which of the following conditions would result in respiratory acidosis?
A. Diabetic ketoacidosis
B. Hypoglycemia
C.
Chronic obstructive pulmonary disease
D. Salicylate toxicity
5. Anurse is providing discharge instructions to a client recently diagnosed with peptic ulcer
disease. Which of the following should not be part of the discharge instructions?
D. Signs and symptoms to report
6. The provider ordered clindamycin 800 mg PO twice daily. Available is clindamycin oral
suspension 100 mg/2mL. How many mL will the nurse administer per dose?
1(?
7. The nurse is providing education for a client recently diagnosed with gastroesophageal reflux
disease (GERD). Which of the following foods should the client avoid?
A. Low-fat foods
B. Salad
, MCD2 Exam 2
A11EC ALlEU DEeEvVEel o
D. White bread
8. What is the nurse’s priority to include when educating a client with esophageal cancer about
their plan of care?
A. “Oneof the most important things we need to monitor is weight loss. Please weigt
r |
B. "Esophageal dilation is only used once during the course of your treatment when your
side effects are too severe to tolerate.”
C. “Ifyou get tired in the afternoon, it's good idea to take a nap after lunch to reenergize.”
D. "Hospice care might be needed towards the end, but you can still have chemotherapy at
the same time.”
9. The following arterial blood gas reflects which of the following acid-base imbalance?
pH 7.38, PaCO2 40 mm Hg, pa0O2 94 mm Hg and HCO3 26mEq/L.
A. Respiratory acidosis fully compensated
B. Metabolic acidosis partially compensated
10. Which of the following clients is an example of developing secondary stomatitis?
A. 67-year-old client presenting with herpes stomatitis reports being stressed at work for the
last two weeks
B. 25-year-old client presenting with aphthous stomatitis that reports anxiety preparing for a
test
C. 16-yeat-old client that reports accidentally biting the inside of his buccal mucosa
. 64-year-old client with a history of metastatic breast cancer receiving chemotherz
r ing wi iti
11. The client is at risk for acid-base imbalance. Which laboratory value indicates that the client
IS acidotic?
A. paCO2=55 mm Hg
B. HCO3=25 mEq/L
C. Lactate =2.5 mmol/L
12. A nurse is caring for a client who identities as Native American and is being treated for
metabolic alkalosis. Before discharge, which of the following will address the multidimensional
needs of the client? (Select all that apply.)
A. Provide emotional support
E. Provide eaucatiofl
C. Conduct a cultural assessment
D. Consult the dietician
E. Ensure the client is on strict bed rest
13. A nurse is caring for a client diagnosed with oral cancer who recently underwent surgery.
which of the following is a post-operative nursing priority?
A. Airway managemer
B. Advance diet
C. Monitor vital signs
