3/23/26, 9:26 AM NUR 2243 Exam 2 Questions & Answers Test QUESTIONS AND VERIFIED SOLUTIONS |2026| ELABORATED &DETAILED ANS…
NUR 2243 Exam 2 Questions & Answers Test
QUESTIONS AND VERIFIED SOLUTIONS |2026|
ELABORATED &DETAILED ANSWERS!!
Save
Terms in this set (137)
A nurse assesses a client with ANS: A
diabetes mellitus who is admitted This client has metabolic acidosis. The respiratory
with an acid-base imbalance. The system compensates by increasing its activity and
clients arterial blood gas values are blowing off excess carbon dioxide. Increased
pH 7.36, PaO2 98 mm Hg, PaCO2 33 urinary output, thirst, and hunger are manifestations
mm Hg, and HCO3 18 mEq/L. Which of hyperglycemia but are not compensatory
manifestation should the nurse mechanisms for acid-base imbalances. The kidneys
identify as an example of the clients do not release acids
compensation mechanism?
a. Increased rate and depth of
respirations
b. Increased urinary output
c. Increased thirst and hunger
d. Increased release of acids from
the kidneys
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,3/23/26, 9:26 AM NUR 2243 Exam 2 Questions & Answers Test QUESTIONS AND VERIFIED SOLUTIONS |2026| ELABORATED &DETAILED ANS…
A nurse assesses a client who is ANS: A
experiencing an acid-base Early cardiovascular changes for a client
imbalance. The clients arterial blood experiencing moderate acidosis include increased
gas values are pH 7.34, PaO2 88 mm heart rate and cardiac output. As the acidosis
Hg, PaCO2 38 mm Hg, and HCO3 19 worsens, the heart rate decreases and
mEq/L. Which assessment should the electrocardiographic changes will be present.
nurse perform first? Central nervous system and neuromuscular system
a. Cardiac rate and rhythm changes do not occur with mild acidosis and
b. Skin and mucous membranes should be monitored if the acidosis worsens. Skin
c. Musculoskeletal strength and mucous membrane assessment is not a priority
d. Level of orientation now, but will change as acidosis worsens.
A nurse assesses a client who is ANS: D
prescribed furosemide (Lasix) for Many diuretics, especially loop diuretics, increase
hypertension. For which acid-base the excretion of hydrogen ions, leading to excess
imbalance should the nurse assess to acid loss through the renal system. This situation is
prevent complications of this an acid deficit of metabolic origin.
therapy?
a. Respiratory acidosis
b. Respiratory alkalosis
c. Metabolic acidosis
d. Metabolic alkalosis
A nurse is caring for a client who is ANS: D
experiencing moderate metabolic The priority nursing care for a client who is
alkalosis. Which action should the experiencing moderate metabolic alkalosis is
nurse take? providing client safety. Clients with metabolic
a. Monitor daily hemoglobin and alkalosis have muscle weakness and are at risk for
hematocrit values. falling. The other nursing interventions are not
b. Administer furosemide (Lasix) appropriate for metabolic alkalosis
intravenously.
c. Encourage the client to take deep
breaths.
d. Teach the client fall prevention
measures.
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,3/23/26, 9:26 AM NUR 2243 Exam 2 Questions & Answers Test QUESTIONS AND VERIFIED SOLUTIONS |2026| ELABORATED &DETAILED ANS…
A nurse assesses a client who is ANS: A
admitted with an acid-base Progressive skeletal muscle weakness is associated
imbalance. The clients arterial blood with increasing severity of acidosis. Muscle
gas values are pH 7.32, PaO2 85 mm weakness can lead to severe respiratory
Hg, PaCO2 34 mm Hg, and HCO3 16 insufficiency. Acidosis does lead to dysrhythmias
mEq/L. What action should the nurse (due to hyperkalemia), but these would best be
take next? assessed with cardiac monitoring. Findings should
a. Assess clients rate, rhythm, and be documented, but simply continuing to monitor
depth of respiration. is not sufficient. Before notifying the physician, the
b. Measure the clients pulse and nurse must have more data to report
blood pressure.
c. Document the findings and
continue to monitor.
d. Notify the physician as soon as
possible.
A nurse is caring for a client who has ANS: B
the following arterial blood values: Arterial blood gas values indicate that the client
pH 7.12, PaO2 56 mm Hg, PaCO2 65 has acidosis with normal levels of bicarbonate,
mm Hg, and HCO3 22 mEq/L. Which suggesting that the problem is not metabolic.
clinical situation should the nurse Arterial concentrations of oxygen and carbon
correlate with these values? dioxide are abnormal, with low oxygen and high
a. Diabetic ketoacidosis in a person carbon dioxide levels. Thus, this client has
with emphysema respiratory acidosis from inadequate gas exchange.
b. Bronchial obstruction related to The fact that the bicarbonate level is normal
aspiration of a hot dog indicates that this is an acute respiratory problem
c. Anxiety-induced hyperventilation rather than a chronic problem, because no renal
in an adolescent compensation has occurred.
d. Diarrhea for 36 hours in an older,
frail woman
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, 3/23/26, 9:26 AM NUR 2243 Exam 2 Questions & Answers Test QUESTIONS AND VERIFIED SOLUTIONS |2026| ELABORATED &DETAILED ANS…
A nurse is caring for a client who has ANS: A
just experienced a 90-second tonic- The client has experienced a combination of
clonic seizure. The clients arterial metabolic and acute respiratory acidosis through
blood gas values are pH 6.88, PaO2 heavy skeletal muscle contractions and no gas
50 mm Hg, PaCO2 60 mm Hg, and exchange. When the seizures have stopped and
HCO3 22 mEq/L. Which action the client can breathe again, the fastest way to
should the nurse take first? return acid-base balance is to administer oxygen.
a. Apply oxygen by mask or nasal Applying a paper bag over the clients nose and
cannula. mouth would worsen the acidosis. Sodium
b. Apply a paper bag over the clients bicarbonate should not be administered because
nose and mouth. the clients arterial bicarbonate level is normal.
c. Administer 50 mL of sodium Glucose and insulin are administered together to
bicarbonate intravenously. decrease serum potassium levels. This action is not
d. Administer 50 mL of 20% glucose appropriate based on the information provided
and 20 units of regular insulin.
After teaching a client who was ANS: B
malnourished and is being Starvation or a diet with too few carbohydrates can
discharged, a nurse assesses the lead to metabolic acidosis by forcing cells to
clients understanding. Which switch to using fats for fuel and by creating
statement indicates the client ketoacids as a by-product of excessive fat
correctly understood teaching to metabolism. Eating sufficient calories from all food
decrease risk for the development of groups helps reduce this risk.
metabolic acidosis?
a. I will drink at least three glasses of
milk each day.
b. I will eat three well-balanced
meals and a snack daily.
c. I will not take pain medication and
antihistamines together.
d. I will avoid salting my food when
cooking or during meals.
https://quizlet.com/1159124226/nur-2243-exam-2-questions-answers-test-questions-and-verified-solutions-2026-elaborated-detailed-answers-flash-c… 4/71
NUR 2243 Exam 2 Questions & Answers Test
QUESTIONS AND VERIFIED SOLUTIONS |2026|
ELABORATED &DETAILED ANSWERS!!
Save
Terms in this set (137)
A nurse assesses a client with ANS: A
diabetes mellitus who is admitted This client has metabolic acidosis. The respiratory
with an acid-base imbalance. The system compensates by increasing its activity and
clients arterial blood gas values are blowing off excess carbon dioxide. Increased
pH 7.36, PaO2 98 mm Hg, PaCO2 33 urinary output, thirst, and hunger are manifestations
mm Hg, and HCO3 18 mEq/L. Which of hyperglycemia but are not compensatory
manifestation should the nurse mechanisms for acid-base imbalances. The kidneys
identify as an example of the clients do not release acids
compensation mechanism?
a. Increased rate and depth of
respirations
b. Increased urinary output
c. Increased thirst and hunger
d. Increased release of acids from
the kidneys
https://quizlet.com/1159124226/nur-2243-exam-2-questions-answers-test-questions-and-verified-solutions-2026-elaborated-detailed-answers-flash-c… 1/71
,3/23/26, 9:26 AM NUR 2243 Exam 2 Questions & Answers Test QUESTIONS AND VERIFIED SOLUTIONS |2026| ELABORATED &DETAILED ANS…
A nurse assesses a client who is ANS: A
experiencing an acid-base Early cardiovascular changes for a client
imbalance. The clients arterial blood experiencing moderate acidosis include increased
gas values are pH 7.34, PaO2 88 mm heart rate and cardiac output. As the acidosis
Hg, PaCO2 38 mm Hg, and HCO3 19 worsens, the heart rate decreases and
mEq/L. Which assessment should the electrocardiographic changes will be present.
nurse perform first? Central nervous system and neuromuscular system
a. Cardiac rate and rhythm changes do not occur with mild acidosis and
b. Skin and mucous membranes should be monitored if the acidosis worsens. Skin
c. Musculoskeletal strength and mucous membrane assessment is not a priority
d. Level of orientation now, but will change as acidosis worsens.
A nurse assesses a client who is ANS: D
prescribed furosemide (Lasix) for Many diuretics, especially loop diuretics, increase
hypertension. For which acid-base the excretion of hydrogen ions, leading to excess
imbalance should the nurse assess to acid loss through the renal system. This situation is
prevent complications of this an acid deficit of metabolic origin.
therapy?
a. Respiratory acidosis
b. Respiratory alkalosis
c. Metabolic acidosis
d. Metabolic alkalosis
A nurse is caring for a client who is ANS: D
experiencing moderate metabolic The priority nursing care for a client who is
alkalosis. Which action should the experiencing moderate metabolic alkalosis is
nurse take? providing client safety. Clients with metabolic
a. Monitor daily hemoglobin and alkalosis have muscle weakness and are at risk for
hematocrit values. falling. The other nursing interventions are not
b. Administer furosemide (Lasix) appropriate for metabolic alkalosis
intravenously.
c. Encourage the client to take deep
breaths.
d. Teach the client fall prevention
measures.
https://quizlet.com/1159124226/nur-2243-exam-2-questions-answers-test-questions-and-verified-solutions-2026-elaborated-detailed-answers-flash-c… 2/71
,3/23/26, 9:26 AM NUR 2243 Exam 2 Questions & Answers Test QUESTIONS AND VERIFIED SOLUTIONS |2026| ELABORATED &DETAILED ANS…
A nurse assesses a client who is ANS: A
admitted with an acid-base Progressive skeletal muscle weakness is associated
imbalance. The clients arterial blood with increasing severity of acidosis. Muscle
gas values are pH 7.32, PaO2 85 mm weakness can lead to severe respiratory
Hg, PaCO2 34 mm Hg, and HCO3 16 insufficiency. Acidosis does lead to dysrhythmias
mEq/L. What action should the nurse (due to hyperkalemia), but these would best be
take next? assessed with cardiac monitoring. Findings should
a. Assess clients rate, rhythm, and be documented, but simply continuing to monitor
depth of respiration. is not sufficient. Before notifying the physician, the
b. Measure the clients pulse and nurse must have more data to report
blood pressure.
c. Document the findings and
continue to monitor.
d. Notify the physician as soon as
possible.
A nurse is caring for a client who has ANS: B
the following arterial blood values: Arterial blood gas values indicate that the client
pH 7.12, PaO2 56 mm Hg, PaCO2 65 has acidosis with normal levels of bicarbonate,
mm Hg, and HCO3 22 mEq/L. Which suggesting that the problem is not metabolic.
clinical situation should the nurse Arterial concentrations of oxygen and carbon
correlate with these values? dioxide are abnormal, with low oxygen and high
a. Diabetic ketoacidosis in a person carbon dioxide levels. Thus, this client has
with emphysema respiratory acidosis from inadequate gas exchange.
b. Bronchial obstruction related to The fact that the bicarbonate level is normal
aspiration of a hot dog indicates that this is an acute respiratory problem
c. Anxiety-induced hyperventilation rather than a chronic problem, because no renal
in an adolescent compensation has occurred.
d. Diarrhea for 36 hours in an older,
frail woman
https://quizlet.com/1159124226/nur-2243-exam-2-questions-answers-test-questions-and-verified-solutions-2026-elaborated-detailed-answers-flash-c… 3/71
, 3/23/26, 9:26 AM NUR 2243 Exam 2 Questions & Answers Test QUESTIONS AND VERIFIED SOLUTIONS |2026| ELABORATED &DETAILED ANS…
A nurse is caring for a client who has ANS: A
just experienced a 90-second tonic- The client has experienced a combination of
clonic seizure. The clients arterial metabolic and acute respiratory acidosis through
blood gas values are pH 6.88, PaO2 heavy skeletal muscle contractions and no gas
50 mm Hg, PaCO2 60 mm Hg, and exchange. When the seizures have stopped and
HCO3 22 mEq/L. Which action the client can breathe again, the fastest way to
should the nurse take first? return acid-base balance is to administer oxygen.
a. Apply oxygen by mask or nasal Applying a paper bag over the clients nose and
cannula. mouth would worsen the acidosis. Sodium
b. Apply a paper bag over the clients bicarbonate should not be administered because
nose and mouth. the clients arterial bicarbonate level is normal.
c. Administer 50 mL of sodium Glucose and insulin are administered together to
bicarbonate intravenously. decrease serum potassium levels. This action is not
d. Administer 50 mL of 20% glucose appropriate based on the information provided
and 20 units of regular insulin.
After teaching a client who was ANS: B
malnourished and is being Starvation or a diet with too few carbohydrates can
discharged, a nurse assesses the lead to metabolic acidosis by forcing cells to
clients understanding. Which switch to using fats for fuel and by creating
statement indicates the client ketoacids as a by-product of excessive fat
correctly understood teaching to metabolism. Eating sufficient calories from all food
decrease risk for the development of groups helps reduce this risk.
metabolic acidosis?
a. I will drink at least three glasses of
milk each day.
b. I will eat three well-balanced
meals and a snack daily.
c. I will not take pain medication and
antihistamines together.
d. I will avoid salting my food when
cooking or during meals.
https://quizlet.com/1159124226/nur-2243-exam-2-questions-answers-test-questions-and-verified-solutions-2026-elaborated-detailed-answers-flash-c… 4/71
