MDC2 Exam 1 Review QUESTIONS |\ |\ |\ |\ |\
WITH ANSWERS |\
1. You are caring for a 68-year-old male client who was
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
admitted to your unit with fever and cough for the last
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
couple of days. He has a history of COPD and diabetes.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Assessment findings are HR: 128 BPM, BP: 80/50, and his |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
mucous membranes are dry and patient only voided
|\ |\ |\ |\ |\ |\ |\ |\
100cc all day. Which of the following conditions is the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient exhibiting? |\
A. Hypervolemia
|\
B. Sepsis
|\
C. Hypovolemia
|\
D. Acute renal failure - CORRECT ANSWERS ✔✔C.
|\ |\ |\ |\ |\ |\ |\ |\
Hypovolemia
2. 36 y/o female presents to the ED w/ complained of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
abdominal pain and diarrhea for the past 3 days. She has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a history of IBS. Her lab values revealed a magnesium
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
level of 1.4. Your patient has been diagnosed with
|\ |\ |\ |\ |\ |\ |\ |\ |\
hypomagnesemia. Which assessment finding would you |\ |\ |\ |\ |\ |\
expect to observe? |\ |\
A. hypotension
|\
,B. bradycardia
|\
C. Trousseau's sign
|\ |\
D. bone pain - CORRECT ANSWERS ✔✔C. Trousseau's sign
|\ |\ |\ |\ |\ |\ |\ |\
3. A client has CHF and renal failure. Which of these
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
statements by the client requires further education of the
|\ |\ |\ |\ |\ |\ |\ |\ |\
client to assist the client in avoiding hypervolemia
|\ |\ |\ |\ |\ |\ |\ |\
episodes?
A. I will eat foods low in salt
|\ |\ |\ |\ |\ |\ |\
B. I will monitor my weight daily
|\ |\ |\ |\ |\ |\
C. I will eat ham instead of chicken
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D. I will go to the ER if I have difficulty breathing -
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CORRECT ANSWERS ✔✔C. I will eat ham instead of
|\ |\ |\ |\ |\ |\ |\ |\ |\
chicken
4. A client has a sodium of 131 mEq/L. What does the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse anticipate the physician will order?
|\ |\ |\ |\ |\
A. FR
|\
B. Sodium IV Push
|\ |\ |\
C. Free water
|\ |\
D. banana - CORRECT ANSWERS ✔✔A. FR
|\ |\ |\ |\ |\ |\
, 5. A client has the following ABG results. How does the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse interpret these results?
|\ |\ |\
pH: 7.45|\
PaCO2: 50 |\
HCO3: 30 |\
A. fully comp metabolic alkalosis
|\ |\ |\ |\
B. Partially Comp metabolic alkalosis
|\ |\ |\ |\
C. uncomp. Resp alkalosis
|\ |\ |\
D. normal - CORRECT ANSWERS ✔✔A. fully comp
|\ |\ |\ |\ |\ |\ |\ |\
metabolic alkalosis |\
6. A client has the following ABG results. How does the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse interpret these results?
|\ |\ |\
pH: 7.36|\
PaCO2: 60 |\
HC03: 38 |\
A. fully comp metabolic alkalosis
|\ |\ |\ |\
B. Part. Comp metabolic alkalosis
|\ |\ |\ |\
C. fully comp resp acidosis
|\ |\ |\ |\
D. part comp resp acidosis - CORRECT ANSWERS ✔✔C.
|\ |\ |\ |\ |\ |\ |\ |\ |\
fully comp resp acidosis
|\ |\ |\
WITH ANSWERS |\
1. You are caring for a 68-year-old male client who was
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
admitted to your unit with fever and cough for the last
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
couple of days. He has a history of COPD and diabetes.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Assessment findings are HR: 128 BPM, BP: 80/50, and his |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
mucous membranes are dry and patient only voided
|\ |\ |\ |\ |\ |\ |\ |\
100cc all day. Which of the following conditions is the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient exhibiting? |\
A. Hypervolemia
|\
B. Sepsis
|\
C. Hypovolemia
|\
D. Acute renal failure - CORRECT ANSWERS ✔✔C.
|\ |\ |\ |\ |\ |\ |\ |\
Hypovolemia
2. 36 y/o female presents to the ED w/ complained of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
abdominal pain and diarrhea for the past 3 days. She has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a history of IBS. Her lab values revealed a magnesium
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
level of 1.4. Your patient has been diagnosed with
|\ |\ |\ |\ |\ |\ |\ |\ |\
hypomagnesemia. Which assessment finding would you |\ |\ |\ |\ |\ |\
expect to observe? |\ |\
A. hypotension
|\
,B. bradycardia
|\
C. Trousseau's sign
|\ |\
D. bone pain - CORRECT ANSWERS ✔✔C. Trousseau's sign
|\ |\ |\ |\ |\ |\ |\ |\
3. A client has CHF and renal failure. Which of these
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
statements by the client requires further education of the
|\ |\ |\ |\ |\ |\ |\ |\ |\
client to assist the client in avoiding hypervolemia
|\ |\ |\ |\ |\ |\ |\ |\
episodes?
A. I will eat foods low in salt
|\ |\ |\ |\ |\ |\ |\
B. I will monitor my weight daily
|\ |\ |\ |\ |\ |\
C. I will eat ham instead of chicken
|\ |\ |\ |\ |\ |\ |\
D. I will go to the ER if I have difficulty breathing -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔C. I will eat ham instead of
|\ |\ |\ |\ |\ |\ |\ |\ |\
chicken
4. A client has a sodium of 131 mEq/L. What does the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse anticipate the physician will order?
|\ |\ |\ |\ |\
A. FR
|\
B. Sodium IV Push
|\ |\ |\
C. Free water
|\ |\
D. banana - CORRECT ANSWERS ✔✔A. FR
|\ |\ |\ |\ |\ |\
, 5. A client has the following ABG results. How does the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse interpret these results?
|\ |\ |\
pH: 7.45|\
PaCO2: 50 |\
HCO3: 30 |\
A. fully comp metabolic alkalosis
|\ |\ |\ |\
B. Partially Comp metabolic alkalosis
|\ |\ |\ |\
C. uncomp. Resp alkalosis
|\ |\ |\
D. normal - CORRECT ANSWERS ✔✔A. fully comp
|\ |\ |\ |\ |\ |\ |\ |\
metabolic alkalosis |\
6. A client has the following ABG results. How does the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse interpret these results?
|\ |\ |\
pH: 7.36|\
PaCO2: 60 |\
HC03: 38 |\
A. fully comp metabolic alkalosis
|\ |\ |\ |\
B. Part. Comp metabolic alkalosis
|\ |\ |\ |\
C. fully comp resp acidosis
|\ |\ |\ |\
D. part comp resp acidosis - CORRECT ANSWERS ✔✔C.
|\ |\ |\ |\ |\ |\ |\ |\ |\
fully comp resp acidosis
|\ |\ |\
