Care of the Adult Exam #1 Questions With Complete
Solutions
_____ loss from breathing keeps pace and H+ production
Correct Answers CO2
*depression of HCO- or an increase in non carbonic acids
Correct Answers Metabolic Acidosis
*depression of pCO2 as a result of alveolar hyperventilation or
hyperventilation Correct Answers Respiratory Alkalosis
*elevation of HCO- usually caused by a excessive loss of
metabolic acids Correct Answers Metabolic Alkalosis
*elevation of pCO2 as a result of ventilation depression Correct
Answers Respiratory Acidosis
6 P's Correct Answers *Pain
*Pallor
*Pulseless
*Paresthesia
*Paralysis
*Poikilothermia (cool)
A 56-year-old patient who has no previous history of
hypertension or other health problems suddenly develops a
blood pressure (BP) of 198/110 mm Hg. After reconfirming the
BP, it is appropriate for the nurse to tell the patient that
A. a BP recheck should be scheduled in a few weeks.
,B. dietary sodium and fat content should be decreased.
C. there is an immediate danger of a stroke and hospitalization
will be required.
D. diagnosis of a possible cause, treatment, and ongoing
monitoring will be needed. Correct Answers D. diagnosis of a
possible cause, treatment, and ongoing monitoring will be
needed
A 73-year-old patient with chronic atrial fibrillation develops
sudden severe pain, pulselessness, pallor, and coolness in the
right leg. The nurse should notify the health care provider and
immediately
A. apply a compression stocking to the leg.
B. elevate the leg above the level of the heart.
C. assist the patient in gently exercising the leg.
D. keep the patient in bed in the supine position. Correct
Answers D. keep the patient in bed in the supine position
A decrease in the release of CO2, retained CO2, decrease in pH
Correct Answers Respiratory Acidosis
A patient at the clinic says, "I have always taken a walk after
dinner, but lately my leg cramps and hurts after just a few
minutes of starting. The pain goes away after I stop walking,
though." The nurse should
A. check for the presence of tortuous veins bilaterally on the
legs.
B. ask about any skin color changes that occur in response to
cold.
, C. assess for unilateral swelling, redness, and tenderness of
either leg.
D. assess for the presence of the dorsalis pedis and posterior
tibial pulses. Correct Answers D. assess for the presence of the
dorsalis pedis and posterior tibial pulses.
A patient has pneumonia with a nursing diagnosis of impaired
gas exchange, which of the following is evidence of this...
A. SpO2 is at 86%
B. Crackles heard in lower lobes
C. Temp. 101.4
D. Greenish purulent sputum Correct Answers A. SpO2 is at
86%
A patient who has had chest pain for several hours is admitted
with a diagnosis of rule out acute myocardial infarction (AMI).
Which laboratory test should the nurse monitor to help
determine whether the patient has had an AMI?
A. Myoglobin
B. Homocysteine
C. C-reactive protein
D. Cardiac-specific troponin Correct Answers D. Cardiac-
specific troponin
A patient with ST-segment elevation in three contiguous
electrocardiographic (ECG) leads is admitted to the emergency
department (ED) and diagnosed as having an ST-segment-
elevation myocardial infarction (STEMI). Which question
Solutions
_____ loss from breathing keeps pace and H+ production
Correct Answers CO2
*depression of HCO- or an increase in non carbonic acids
Correct Answers Metabolic Acidosis
*depression of pCO2 as a result of alveolar hyperventilation or
hyperventilation Correct Answers Respiratory Alkalosis
*elevation of HCO- usually caused by a excessive loss of
metabolic acids Correct Answers Metabolic Alkalosis
*elevation of pCO2 as a result of ventilation depression Correct
Answers Respiratory Acidosis
6 P's Correct Answers *Pain
*Pallor
*Pulseless
*Paresthesia
*Paralysis
*Poikilothermia (cool)
A 56-year-old patient who has no previous history of
hypertension or other health problems suddenly develops a
blood pressure (BP) of 198/110 mm Hg. After reconfirming the
BP, it is appropriate for the nurse to tell the patient that
A. a BP recheck should be scheduled in a few weeks.
,B. dietary sodium and fat content should be decreased.
C. there is an immediate danger of a stroke and hospitalization
will be required.
D. diagnosis of a possible cause, treatment, and ongoing
monitoring will be needed. Correct Answers D. diagnosis of a
possible cause, treatment, and ongoing monitoring will be
needed
A 73-year-old patient with chronic atrial fibrillation develops
sudden severe pain, pulselessness, pallor, and coolness in the
right leg. The nurse should notify the health care provider and
immediately
A. apply a compression stocking to the leg.
B. elevate the leg above the level of the heart.
C. assist the patient in gently exercising the leg.
D. keep the patient in bed in the supine position. Correct
Answers D. keep the patient in bed in the supine position
A decrease in the release of CO2, retained CO2, decrease in pH
Correct Answers Respiratory Acidosis
A patient at the clinic says, "I have always taken a walk after
dinner, but lately my leg cramps and hurts after just a few
minutes of starting. The pain goes away after I stop walking,
though." The nurse should
A. check for the presence of tortuous veins bilaterally on the
legs.
B. ask about any skin color changes that occur in response to
cold.
, C. assess for unilateral swelling, redness, and tenderness of
either leg.
D. assess for the presence of the dorsalis pedis and posterior
tibial pulses. Correct Answers D. assess for the presence of the
dorsalis pedis and posterior tibial pulses.
A patient has pneumonia with a nursing diagnosis of impaired
gas exchange, which of the following is evidence of this...
A. SpO2 is at 86%
B. Crackles heard in lower lobes
C. Temp. 101.4
D. Greenish purulent sputum Correct Answers A. SpO2 is at
86%
A patient who has had chest pain for several hours is admitted
with a diagnosis of rule out acute myocardial infarction (AMI).
Which laboratory test should the nurse monitor to help
determine whether the patient has had an AMI?
A. Myoglobin
B. Homocysteine
C. C-reactive protein
D. Cardiac-specific troponin Correct Answers D. Cardiac-
specific troponin
A patient with ST-segment elevation in three contiguous
electrocardiographic (ECG) leads is admitted to the emergency
department (ED) and diagnosed as having an ST-segment-
elevation myocardial infarction (STEMI). Which question
