Nurs 6201 Adults 1 Exam 1 Questions With Complete
Solutions
A pt who has a serum Ca level of 12.3 mg/dl, should have which
expect finding?
A: lethargy
B: hyperactive deep tendon reflexes
C: ventricular tachy
Lethargy
(Ca levels > 10.5 mg/dl = hypercalcemia)
- hypercalcemia causes reduced excitability of muscles & nerves
Which is a manifestation of hypokalemia?
A: Shallow resps
B: leg cramps
C: hyperreflexia
D: HTN
Shallow resps
- hypokalemia may cause hypotension, dysrhythmias, skeletal
muscle weakness/paralysis and hyporeflexia
Which of these would be expected findings in a pt with fluid
overload?
Increased HR, increased BP, increased RR, pallor, nausea, poor
skin turgor, & increased temp
Increased HR, increased BP, increased RR, nausea
(other findings may include edema, JVD & confusion)
,A pt with acute kidney injury (AKI) is expected to have which
electrolyte imbalance?
A: hypernatremia
B: hypercalcemia
C: hyperkalemia
D: hypophosphatemia
hyperkalemia
A pt with COPD complains of lung congestion and chronic
cough with inability to cough up sputum. What teaching is most
appropriate to encourage sputum expectoration?
A: teach about a low-sodium diet
B: encourage pt to drink 3L of water p/day
C: administer oxygen via nasal cannula at 2L/min
D: encourage pt to be in Semi-Fowlers position as much as
possible
encourage pt to drink 3L of water p/day
For a pt with COPD, which intervention is important to include
in their plan of care?
A: fluid restriction
B: low-protein, low-sodium diet
C: bed rest
D: pursed-lip breathing
pursed-lip breathing
A nurse is assessing a pt with late-stage COPD. Upon inspecting
the pts chest, which shape should the the nurse expect to see?
Barrel Shape Chest (increased anteroposterior diameter of chest)
, A patient with COPD who is on O2 at 2L/min complains of
SOB. What is the nurses priority?
A: complete a resp assessment
B: increase O2 to 3L/min
C: Call 911
D: encourage the pt to cough to expectorate sputum
complete a resp assessment
- If indicated, then the nurse may increase O2 flow
Upon auscultation of a COPD pt, what may a nurse expect to
hear?
Wheezing and/or crackles
During late stage COPD, what might a nurse expect to find
when assessing respirations?
A: Kyphosis
B: normal breathing while supine
C: clubbing of fingers
D: use of accessory muscles
Use of accessory muscles while breathing
- you may see clubbing of fingers, but this is not apart of a
respiratory assessment
- COPD pts commonly have orthopnea (difficulty breathing
while lying flat/sleeping)
What is the #1 risk factor for COPD?
Smoking
- nurses should teach their pt w/ COPD about smoking cessation
Solutions
A pt who has a serum Ca level of 12.3 mg/dl, should have which
expect finding?
A: lethargy
B: hyperactive deep tendon reflexes
C: ventricular tachy
Lethargy
(Ca levels > 10.5 mg/dl = hypercalcemia)
- hypercalcemia causes reduced excitability of muscles & nerves
Which is a manifestation of hypokalemia?
A: Shallow resps
B: leg cramps
C: hyperreflexia
D: HTN
Shallow resps
- hypokalemia may cause hypotension, dysrhythmias, skeletal
muscle weakness/paralysis and hyporeflexia
Which of these would be expected findings in a pt with fluid
overload?
Increased HR, increased BP, increased RR, pallor, nausea, poor
skin turgor, & increased temp
Increased HR, increased BP, increased RR, nausea
(other findings may include edema, JVD & confusion)
,A pt with acute kidney injury (AKI) is expected to have which
electrolyte imbalance?
A: hypernatremia
B: hypercalcemia
C: hyperkalemia
D: hypophosphatemia
hyperkalemia
A pt with COPD complains of lung congestion and chronic
cough with inability to cough up sputum. What teaching is most
appropriate to encourage sputum expectoration?
A: teach about a low-sodium diet
B: encourage pt to drink 3L of water p/day
C: administer oxygen via nasal cannula at 2L/min
D: encourage pt to be in Semi-Fowlers position as much as
possible
encourage pt to drink 3L of water p/day
For a pt with COPD, which intervention is important to include
in their plan of care?
A: fluid restriction
B: low-protein, low-sodium diet
C: bed rest
D: pursed-lip breathing
pursed-lip breathing
A nurse is assessing a pt with late-stage COPD. Upon inspecting
the pts chest, which shape should the the nurse expect to see?
Barrel Shape Chest (increased anteroposterior diameter of chest)
, A patient with COPD who is on O2 at 2L/min complains of
SOB. What is the nurses priority?
A: complete a resp assessment
B: increase O2 to 3L/min
C: Call 911
D: encourage the pt to cough to expectorate sputum
complete a resp assessment
- If indicated, then the nurse may increase O2 flow
Upon auscultation of a COPD pt, what may a nurse expect to
hear?
Wheezing and/or crackles
During late stage COPD, what might a nurse expect to find
when assessing respirations?
A: Kyphosis
B: normal breathing while supine
C: clubbing of fingers
D: use of accessory muscles
Use of accessory muscles while breathing
- you may see clubbing of fingers, but this is not apart of a
respiratory assessment
- COPD pts commonly have orthopnea (difficulty breathing
while lying flat/sleeping)
What is the #1 risk factor for COPD?
Smoking
- nurses should teach their pt w/ COPD about smoking cessation
