Exam 3 Adult 1 Questions With Complete Solutions
A diabetic patients arterial blood gas (ABG) results are pH 7.28;
PaCO2 34 mmHg; PaO2 85 mmHg; HCO3 18 mEq/L. The
nurse should expect which findings? Correct Answers
Kussmaul respirations
A diabetic patients arterial blood gas (ABG) results are pH 7.28;
PaCO2 34mm Hg; PaO2 85 mm Hg; HCO3- 18 mEq/L. The
nurse would expect which finding?
A. Intercostal retractions
B. Kussmaul respirations
C. Low oxygen saturation (SpO2)
D. Decreased venous O2 pressure Correct Answers B.Kussmaul
respirations
Rationale: Kussmaul (deep and rapid) respirations are a
compensatory mechanism for metabolic acidosis. The low pH
and low bicarbonate result indicate metabolic acidosis.
Intercostal retractions, a low oxygen saturation rate, and a
decrease in venous O2 pressure would not be caused by
acidosis.
A lobectomy is scheduled for a patient with statge 1 nonsmall
cell lung cancer. The patient tells the nurse, "I would rather have
chemotherapy than surgery." Which response by the nurs eis
most appropriate? Correct Answers "Tell me what you know
about the various treatments available"
A nurse reviews the laboratory data for an older patient. The
nurse would be most concerned about which finding?
A. Hematocrit of 35%
,B. Hemoglobin of 11.8 g/dL
C. Platelet count of 400,000/uL
D. White blood cell (WBC) count of 2800/uL Correct Answers
D. White blood cell (WBC) count of 2800/uL
Rationale: Becuase the total WBC count is not usually affected
by aging, the low WBC count in this person would indicate the
patient's immune function may be compromised and the
underlying cause of the problem needs to be investigated. The
platelet count is normal. The slight decrease in hemoglobin and
hematocrit are not unusual for an older patient.
A patient experiences a chest wall contusion as a result of being
struck in th chest with a baseball bat. The ER nurse would be
most concerned if which finding is observed during the initial
assessment? Correct Answers Paradoxic chest movement
A patient has acute bronchitis with a nonproductive cough and
wheezes. Which topic should the nurse plan to incude in the
teahcing plan? Correct Answers Appropriate use of cough
suppressants
A patient has just been admitted with probable bacterial
pneumonia and sepsis. Which order should the nurse implement
first? Correct Answers Blood cultures from two sites
A patient in metabolic alkalosis admitted to the ER and pulse
oximetry (SpO2) indicates that the O2 saturation is 94%. Which
action should the nurse take next? Correct Answers Place the
patient on high-flow oxygen
, A patient is admitted to the emergency department complaining
of sudden onset shortness of breath and is diagnosed with a
possible pulmonary embolus. How should the nurse prepare the
patient for diagnostic testing to confirm the diagnosis? Correct
Answers Start an IV so contrast media may be given
A patient is admitted to the ER with an open stab would to the
left chest. What is the first action that the nurse should take?
Correct Answers Take a nonporous dressing on three sides over
the chest would
A patient is admitted with active tuberculosis (TB). The nurse
should question a health care providers order to discontinue
airborne precautions unless which assessment finding is
documented? Correct Answers Three sputum smears for acid-
fast bacilli are negative
A patient is diagnosed with both human immunodeficiency virus
(HIV) and active tuberculosis (TB) disease. Which information
obtained by the nurse is most important to communicate to the
HCP? Correct Answers The patient is being treated with
antiretroviral for HIV infection
A patient is scheduled for a CT of the chest with contrast media.
Which assessment findings should the nurse immediatly report
to the HCP? Correct Answers Patient allergic to shellfish
Blood urea nitrogen (BUN) and serum creatinine levels are
elevated
A patient who has a history of chronic obstructive pulmonary
disease (COPD) was hospitalized for increasing shortness of
A diabetic patients arterial blood gas (ABG) results are pH 7.28;
PaCO2 34 mmHg; PaO2 85 mmHg; HCO3 18 mEq/L. The
nurse should expect which findings? Correct Answers
Kussmaul respirations
A diabetic patients arterial blood gas (ABG) results are pH 7.28;
PaCO2 34mm Hg; PaO2 85 mm Hg; HCO3- 18 mEq/L. The
nurse would expect which finding?
A. Intercostal retractions
B. Kussmaul respirations
C. Low oxygen saturation (SpO2)
D. Decreased venous O2 pressure Correct Answers B.Kussmaul
respirations
Rationale: Kussmaul (deep and rapid) respirations are a
compensatory mechanism for metabolic acidosis. The low pH
and low bicarbonate result indicate metabolic acidosis.
Intercostal retractions, a low oxygen saturation rate, and a
decrease in venous O2 pressure would not be caused by
acidosis.
A lobectomy is scheduled for a patient with statge 1 nonsmall
cell lung cancer. The patient tells the nurse, "I would rather have
chemotherapy than surgery." Which response by the nurs eis
most appropriate? Correct Answers "Tell me what you know
about the various treatments available"
A nurse reviews the laboratory data for an older patient. The
nurse would be most concerned about which finding?
A. Hematocrit of 35%
,B. Hemoglobin of 11.8 g/dL
C. Platelet count of 400,000/uL
D. White blood cell (WBC) count of 2800/uL Correct Answers
D. White blood cell (WBC) count of 2800/uL
Rationale: Becuase the total WBC count is not usually affected
by aging, the low WBC count in this person would indicate the
patient's immune function may be compromised and the
underlying cause of the problem needs to be investigated. The
platelet count is normal. The slight decrease in hemoglobin and
hematocrit are not unusual for an older patient.
A patient experiences a chest wall contusion as a result of being
struck in th chest with a baseball bat. The ER nurse would be
most concerned if which finding is observed during the initial
assessment? Correct Answers Paradoxic chest movement
A patient has acute bronchitis with a nonproductive cough and
wheezes. Which topic should the nurse plan to incude in the
teahcing plan? Correct Answers Appropriate use of cough
suppressants
A patient has just been admitted with probable bacterial
pneumonia and sepsis. Which order should the nurse implement
first? Correct Answers Blood cultures from two sites
A patient in metabolic alkalosis admitted to the ER and pulse
oximetry (SpO2) indicates that the O2 saturation is 94%. Which
action should the nurse take next? Correct Answers Place the
patient on high-flow oxygen
, A patient is admitted to the emergency department complaining
of sudden onset shortness of breath and is diagnosed with a
possible pulmonary embolus. How should the nurse prepare the
patient for diagnostic testing to confirm the diagnosis? Correct
Answers Start an IV so contrast media may be given
A patient is admitted to the ER with an open stab would to the
left chest. What is the first action that the nurse should take?
Correct Answers Take a nonporous dressing on three sides over
the chest would
A patient is admitted with active tuberculosis (TB). The nurse
should question a health care providers order to discontinue
airborne precautions unless which assessment finding is
documented? Correct Answers Three sputum smears for acid-
fast bacilli are negative
A patient is diagnosed with both human immunodeficiency virus
(HIV) and active tuberculosis (TB) disease. Which information
obtained by the nurse is most important to communicate to the
HCP? Correct Answers The patient is being treated with
antiretroviral for HIV infection
A patient is scheduled for a CT of the chest with contrast media.
Which assessment findings should the nurse immediatly report
to the HCP? Correct Answers Patient allergic to shellfish
Blood urea nitrogen (BUN) and serum creatinine levels are
elevated
A patient who has a history of chronic obstructive pulmonary
disease (COPD) was hospitalized for increasing shortness of
