MDC2 EXAM2 - mdc 2 exam 2
1) When assessing arterial blood gas (ABG) results, after labeling the pH. What is the next step
that the nurse should take for ABG Interpretation?
a) Check for compensation
b) Notify the healthcare provider
c)Determine the primary cause.
d)Determine oxygenation.
2) A nurse is performing discharge teaching for a client who was recently diagnosed with
gastritis. Which of the following should be included in the teaching?
a) Limit Exercise
b) Eat three large meals each day
c) Limit alcohol intake
d) Take nonsteroidal anti-inflammatory drugs (NSAIDs) as prescribed.
3) Which of the following clients is an example of developing secondary stomatitis?
a) 67-vear-old client presenting with herpes stomatitis reports being stressed at work for the last
two weeks.
b) 25-year-old client presenting with aphthous stomatitis that reports anxiety preparing for a test.
c)16-vear-old client that reports accidentally biting the inside of his buccal mucosa.
d)64-year-old client with a history of metastatic breast cancer receiving chemotherapy presenting
with stomatitis.
4) Which of these is the priority goal for the nurse taking care or a client after an
esophagogastroduodenoscopy?
a) Monitor for rectal bleeding
b) Educate about a high fiber diet
c) Prevent and monitor for aspiration.
d)Administer oral analgesics.
5) A nurse is caring for a client who presented to the emergency department with an acute
asthma exacerbation. The respiratory rate is 36 breaths/min. and a pause oximeter is 85% on
room air with accessory muscle use to breathe. The nurse placed the client on oxygen 4 liters
nasal cannula. The arterial blood gas (ABG) is as follows: pH: 7.28, PaCO2: 50 mm Hg, Pa02:
75 mm Hg, and HCO3: 26 mEq/L. Which of the following treatments is the nurse's highest
priority?
a) Administer bronchodilators
b) Administer sodium bicarbonate
c)Administer methylprednisolone.
d)Perform a chest x-ray.
Downloaded by Robert Kinuthia ()
,6) A nurse Is caring for a 56-vear-old client who presented to the emergency department
with a feeling of abdominal fullness and dyspepsia. The client reports a recent bloody emesis and
long-term Ibuprofen use. Which of the following conditions could the client be exhibiting based
on the symptoms?
a) Peptic ulcer disease
b) Gastritis
c) Hiatal hernia
d)Uvulitis
7) What condition(S) does the nurse anticipate In a client with metabolic acidosis? (Select
all that apply.)
a) Diabetic ketoacidosis
b) Seizure activity
c)Starvation
d) Kidney failure
e) Airway obstruction
8) A client has the following arterial blood gas (ABG) results. How does the nurse interpret these
results?
pH 7.28
PaCO2 28 mm Hg
HCO3 18 mEq/L
a) Metabolic acidosis without compensation
b) Respiratory alkalosis without compensation
c)Metabolic alkalosis with partial respirator compensation
d)Metabolic acidosis with partial respirator compensation
9) A nurse is caring for a client admitted with a fever, cough, and body aches with a
positive influenza A screening. The client states the sickness started last week but could not
afford to miss work with a new job and no health insurance. The client expresses financial
concern with the hospital stay. Which of the following interventions would the
nurse Implement to support the care or the client? (Select all that apply.)
a) Consult social worker
b) Notify the client's employer
c) Notify the dietician.
d) Consult client financial services.
e) Nurse requests a psychiatric consult
10) The nurse is caring for a client that presented with an asthma attack. The client was working
out and forgot to take an inhaler. The respiratory rate is 24 breaths per minute. The pulse
oximeter is 85% on room air. The arterial blood gas (pH) is as follows: pH:7.33 PaCO2: 50 mm
Hg, Pa02: 70 mm Hg, HCO3: 26 mEq/L. What acid-base deficit is the client experiencing?
a) Respiratory acidosis with partial metabolic compensation
b) Respiratory acidosis without compensation
c)Metabolic acidosis with full respiratory compensation
d)Metabolic alkalosis without compensation
Downloaded by Robert Kinuthia ()
, 11) Which or the following clients are at risk for developing stomatitis?
a) A 48-year-old client diagnosed with osteoarthritis
b) A 70-year-old client diagnosed with diabetes
c) A 25. year old client with herpes simplex
d) A 55-year-old client diagnosed with coronary artery disease
12) The nurse is caring for an 80-year-old client diagnosed with gastric cancer three months ago.
The client has undergone chemotherapy and radiation and recently had surgery to remove the
cancer. During the surgical procedure, the surgeon discovered that the cancer had spread to
other organs. The client's family is having difficulty deciding treatment options. Which of the
following interventions are appropriate for the RN in providing the client's care?
a) Schedule client for additional chemotherapy
b) Schedule client for additional radiation therapy
c) Request a consult for palliative care services.
d)Discharge client to hospice
13) A nurse is educating a type 1 diabetic client diagnosed with metabolic acidosis. Which of
the following statements indicates the teaching has been effective on the cause of metabolic
acidosis?
a) "Metabolic acidosis can occur due to diabetic ketoacidosis."
b)"Metabolic acidosis can occur due to excessive vomiting.'
c)“Metabolic acidosis can occur due to excessive urination
d)"Metabolic acidosis can occur due to overhydration”
14) A client has the following arterial blood gas (ABG) results. How does the nurse interpret
these results?
OH 7.50 PaCO2 30 mm Hg HCO3 20 mEa/l
a) Metabolic acidosis with partial respiratory compensation
b) Respiratory alkalosis with partial metabolic compensation
c)Respiratory alkalosis with full metabolic compensation
d)Metabolic alkalosis with partial respiratory compensation
15) The provider ordered famotidine 80 mg PO daily at bedtime. Available is famotidine 20
mg/tablet. How many tablets would the nurse administer per day? (Record answer as a
Whole number. Do not use a trailing zero.)
4
16) The nurse provides discharge instructions to a client recently diagnosed with a hiatal
hernia. The client also has a history of gastroesophageal reflux disease. Which or the
Following should be included in the client and family education?
a) Remain in an upright position one to two hours after eating
b) Take antacids before eating
c) Drink a carbonated beverage before meals.
d) Sleep with the head of the bed flat
Downloaded by Robert Kinuthia ()
1) When assessing arterial blood gas (ABG) results, after labeling the pH. What is the next step
that the nurse should take for ABG Interpretation?
a) Check for compensation
b) Notify the healthcare provider
c)Determine the primary cause.
d)Determine oxygenation.
2) A nurse is performing discharge teaching for a client who was recently diagnosed with
gastritis. Which of the following should be included in the teaching?
a) Limit Exercise
b) Eat three large meals each day
c) Limit alcohol intake
d) Take nonsteroidal anti-inflammatory drugs (NSAIDs) as prescribed.
3) Which of the following clients is an example of developing secondary stomatitis?
a) 67-vear-old client presenting with herpes stomatitis reports being stressed at work for the last
two weeks.
b) 25-year-old client presenting with aphthous stomatitis that reports anxiety preparing for a test.
c)16-vear-old client that reports accidentally biting the inside of his buccal mucosa.
d)64-year-old client with a history of metastatic breast cancer receiving chemotherapy presenting
with stomatitis.
4) Which of these is the priority goal for the nurse taking care or a client after an
esophagogastroduodenoscopy?
a) Monitor for rectal bleeding
b) Educate about a high fiber diet
c) Prevent and monitor for aspiration.
d)Administer oral analgesics.
5) A nurse is caring for a client who presented to the emergency department with an acute
asthma exacerbation. The respiratory rate is 36 breaths/min. and a pause oximeter is 85% on
room air with accessory muscle use to breathe. The nurse placed the client on oxygen 4 liters
nasal cannula. The arterial blood gas (ABG) is as follows: pH: 7.28, PaCO2: 50 mm Hg, Pa02:
75 mm Hg, and HCO3: 26 mEq/L. Which of the following treatments is the nurse's highest
priority?
a) Administer bronchodilators
b) Administer sodium bicarbonate
c)Administer methylprednisolone.
d)Perform a chest x-ray.
Downloaded by Robert Kinuthia ()
,6) A nurse Is caring for a 56-vear-old client who presented to the emergency department
with a feeling of abdominal fullness and dyspepsia. The client reports a recent bloody emesis and
long-term Ibuprofen use. Which of the following conditions could the client be exhibiting based
on the symptoms?
a) Peptic ulcer disease
b) Gastritis
c) Hiatal hernia
d)Uvulitis
7) What condition(S) does the nurse anticipate In a client with metabolic acidosis? (Select
all that apply.)
a) Diabetic ketoacidosis
b) Seizure activity
c)Starvation
d) Kidney failure
e) Airway obstruction
8) A client has the following arterial blood gas (ABG) results. How does the nurse interpret these
results?
pH 7.28
PaCO2 28 mm Hg
HCO3 18 mEq/L
a) Metabolic acidosis without compensation
b) Respiratory alkalosis without compensation
c)Metabolic alkalosis with partial respirator compensation
d)Metabolic acidosis with partial respirator compensation
9) A nurse is caring for a client admitted with a fever, cough, and body aches with a
positive influenza A screening. The client states the sickness started last week but could not
afford to miss work with a new job and no health insurance. The client expresses financial
concern with the hospital stay. Which of the following interventions would the
nurse Implement to support the care or the client? (Select all that apply.)
a) Consult social worker
b) Notify the client's employer
c) Notify the dietician.
d) Consult client financial services.
e) Nurse requests a psychiatric consult
10) The nurse is caring for a client that presented with an asthma attack. The client was working
out and forgot to take an inhaler. The respiratory rate is 24 breaths per minute. The pulse
oximeter is 85% on room air. The arterial blood gas (pH) is as follows: pH:7.33 PaCO2: 50 mm
Hg, Pa02: 70 mm Hg, HCO3: 26 mEq/L. What acid-base deficit is the client experiencing?
a) Respiratory acidosis with partial metabolic compensation
b) Respiratory acidosis without compensation
c)Metabolic acidosis with full respiratory compensation
d)Metabolic alkalosis without compensation
Downloaded by Robert Kinuthia ()
, 11) Which or the following clients are at risk for developing stomatitis?
a) A 48-year-old client diagnosed with osteoarthritis
b) A 70-year-old client diagnosed with diabetes
c) A 25. year old client with herpes simplex
d) A 55-year-old client diagnosed with coronary artery disease
12) The nurse is caring for an 80-year-old client diagnosed with gastric cancer three months ago.
The client has undergone chemotherapy and radiation and recently had surgery to remove the
cancer. During the surgical procedure, the surgeon discovered that the cancer had spread to
other organs. The client's family is having difficulty deciding treatment options. Which of the
following interventions are appropriate for the RN in providing the client's care?
a) Schedule client for additional chemotherapy
b) Schedule client for additional radiation therapy
c) Request a consult for palliative care services.
d)Discharge client to hospice
13) A nurse is educating a type 1 diabetic client diagnosed with metabolic acidosis. Which of
the following statements indicates the teaching has been effective on the cause of metabolic
acidosis?
a) "Metabolic acidosis can occur due to diabetic ketoacidosis."
b)"Metabolic acidosis can occur due to excessive vomiting.'
c)“Metabolic acidosis can occur due to excessive urination
d)"Metabolic acidosis can occur due to overhydration”
14) A client has the following arterial blood gas (ABG) results. How does the nurse interpret
these results?
OH 7.50 PaCO2 30 mm Hg HCO3 20 mEa/l
a) Metabolic acidosis with partial respiratory compensation
b) Respiratory alkalosis with partial metabolic compensation
c)Respiratory alkalosis with full metabolic compensation
d)Metabolic alkalosis with partial respiratory compensation
15) The provider ordered famotidine 80 mg PO daily at bedtime. Available is famotidine 20
mg/tablet. How many tablets would the nurse administer per day? (Record answer as a
Whole number. Do not use a trailing zero.)
4
16) The nurse provides discharge instructions to a client recently diagnosed with a hiatal
hernia. The client also has a history of gastroesophageal reflux disease. Which or the
Following should be included in the client and family education?
a) Remain in an upright position one to two hours after eating
b) Take antacids before eating
c) Drink a carbonated beverage before meals.
d) Sleep with the head of the bed flat
Downloaded by Robert Kinuthia ()
