NSG 3800 (AHII) Exam 1 UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
You are caring for a pt. who has a diagnosis of syndrome of if inappropriate antipyretic
hormone secretion (SIADH). Your pt.'s plan of care includes assessment of specific gravity
every 4 hours. The results of this test will allow the nurse to assess what aspect of the pt's
health?
a. nutritional status
b. potassium balance
c. calcium balance
d. fluid volume status - CORRECT ANSWER D
You are caring for a pt. admitted w/ a diagnosis of acute kidney injury. When you review
your pt.'s most recent lab reports, you note that the pt.'s magnesium levels are high. You
should prioritize assessment for which of the following health problems?
a. diminished deep tendon reflexes
b. tachycardia
c. cool, clammy skin
d. acute flank pain - CORRECT ANSWER A
You are working on a burns unit and one of your acutely ill pt's is exhibiting s/s of third
spacing. Based on this change in status, you should expect the pt. to exhibit s/s of what
imbalance?
a. metabolic alkalosis
b. hypermagnesemia
c. hypercalcemia
d. hypovolemia - CORRECT ANSWER D
A pt with a long-standing diagnosis of generalized anxiety disorder presents to the emergency
room. The triage nurse notes upon assessment that the pt is hyperventilating. The triage nurse
is aware that hyperventilation is the most common cause of which acid base imabalace?
a. respiratory acidosis
, b. respiratory alkalosis
c. increased PaCO2
d. CNS disturbances - CORRECT ANSWER B
You are making initial shift assessments on your patients. While assessing one patients
peripheral IV site, you note edema around the insertion site. How should you document this
complications elated to IV therapy?
a. air emboli
b. phlebitis
c. infiltration
d. fluid overload - CORRECT ANSWER C
You are performing an admission assessment on an older adult pt newly admitted fo end-
stage liver ds. What principle should guide your assessment on the pt.;s skin turgor?
a. over hydration is common among healthy older adults
b. dehydration causes the skin to appear spongy
c. inelastic skin turgor is a normal part of aging
d. skin turgor cannot be assessed in patient over 70 - CORRECT ANSWER C
The physician has ordered a peripheral IV to be inserted before the pt goes for a computed
tomography. What should the nurse do when selecting a site on the hand or arm for insertion
of an IV catheter?
a. choose a hairless site if available
b. consider potential effects not he pt's mobility when selecting a site
c. have the pt briefly hold his arm over his head before insertion
d. leave the tourniquet on for at least 3 minutes - CORRECT ANSWER B
A nurse int hen urologic ICU has orders to infuse a hypertonic solution into a pt w/ increased
intracranial pressure. This solution will increase the number of dissolved particles in the pt's
blood, creating pressure for fluids in the tissues to shift into the capillaries and increase the
blood volume. This process is best described as which of the following?
QUESTIONS AND CORRECT ANSWERS
You are caring for a pt. who has a diagnosis of syndrome of if inappropriate antipyretic
hormone secretion (SIADH). Your pt.'s plan of care includes assessment of specific gravity
every 4 hours. The results of this test will allow the nurse to assess what aspect of the pt's
health?
a. nutritional status
b. potassium balance
c. calcium balance
d. fluid volume status - CORRECT ANSWER D
You are caring for a pt. admitted w/ a diagnosis of acute kidney injury. When you review
your pt.'s most recent lab reports, you note that the pt.'s magnesium levels are high. You
should prioritize assessment for which of the following health problems?
a. diminished deep tendon reflexes
b. tachycardia
c. cool, clammy skin
d. acute flank pain - CORRECT ANSWER A
You are working on a burns unit and one of your acutely ill pt's is exhibiting s/s of third
spacing. Based on this change in status, you should expect the pt. to exhibit s/s of what
imbalance?
a. metabolic alkalosis
b. hypermagnesemia
c. hypercalcemia
d. hypovolemia - CORRECT ANSWER D
A pt with a long-standing diagnosis of generalized anxiety disorder presents to the emergency
room. The triage nurse notes upon assessment that the pt is hyperventilating. The triage nurse
is aware that hyperventilation is the most common cause of which acid base imabalace?
a. respiratory acidosis
, b. respiratory alkalosis
c. increased PaCO2
d. CNS disturbances - CORRECT ANSWER B
You are making initial shift assessments on your patients. While assessing one patients
peripheral IV site, you note edema around the insertion site. How should you document this
complications elated to IV therapy?
a. air emboli
b. phlebitis
c. infiltration
d. fluid overload - CORRECT ANSWER C
You are performing an admission assessment on an older adult pt newly admitted fo end-
stage liver ds. What principle should guide your assessment on the pt.;s skin turgor?
a. over hydration is common among healthy older adults
b. dehydration causes the skin to appear spongy
c. inelastic skin turgor is a normal part of aging
d. skin turgor cannot be assessed in patient over 70 - CORRECT ANSWER C
The physician has ordered a peripheral IV to be inserted before the pt goes for a computed
tomography. What should the nurse do when selecting a site on the hand or arm for insertion
of an IV catheter?
a. choose a hairless site if available
b. consider potential effects not he pt's mobility when selecting a site
c. have the pt briefly hold his arm over his head before insertion
d. leave the tourniquet on for at least 3 minutes - CORRECT ANSWER B
A nurse int hen urologic ICU has orders to infuse a hypertonic solution into a pt w/ increased
intracranial pressure. This solution will increase the number of dissolved particles in the pt's
blood, creating pressure for fluids in the tissues to shift into the capillaries and increase the
blood volume. This process is best described as which of the following?
