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You are an ICU nurse caring for a trauma patient with suspected AKI. The patient is complaining
of abdominal pain, while his ABG reveals the following results: pH 7.35, PaCO 30, HCO3 15.
Which acid base imbalance would you suspect?
A. Compensating Respiratory Acoidosis
B. Compensating Metabolic Alkalosis
C. Compensating Respiratory Alkalosis
D. Compensating Metabolic Acidosis
E. Incompensating Metabolic Acidosis - correct answers D. Compensating Metabolic Acidosis
A nurse is caring for a client who has a serum sodium level of 133 and a serum potassium level
of 3.4. The nurse should recognize that which of the following treatments can result in these
laboratory findings? (Select all that apply)
A. NS solution IV at 50 mL/hr
B. Three tap water enemas
C. D5 1/2NS with 20mEq of potassium IV at 80mL/hr
D. Antibiotic therapy
E. 1/2NS IV at 100 mL/hr - correct answers B. Three tap water enemas
E. 1/2NS IV at 100 mL/hr
A nurse is working in a neonatal intensive care unit, teaching parents how to care for their
newborns while they are still in the hospital. Which statement by a parent reflects a readiness
to learn?
A. You will give us written instructions before we go home correct?
, B. If my baby is just a little bigger, I'll feel more comfortable handling him?
C.I want to make sure my spouse is here, in case I don't hear everything that is said.
D. I'm afraid I'll hurt my baby with all these tubes. - correct answers C.I want to make sure my
spouse is here, in case I don't hear everything that is said.
The nurse is preparing a client to be discharged who will be going home with crutches following
a MVA. The following are instructions for going down the stairs.K Put the steps in order. Use all
of the options.
1. Shift weight to the unaffected leg.
2. Transfer weigh to the crutch and move the unaffected let to that step.
3. Assume tripod position at the top of the stairs.
4. Move crutches and the affected leg down onto the next step. - correct answers 3,4,2,1
The nurse caring for a client diagnosed with DIC would expect which of the following significant
assessment findings in this client?
A. Limited range of motion and joint pain.
B. Confusion
C. Signs of ARDS
D. Thick tenacious bronchial secretions
E. Hyperglycemia and hyperkalemia
F. Tachycardia - correct answers B. Confusion
C. Signs of ARDS
F. Tachycardia
After an explosion at a factory, one of the employees approaches the nurse and says, "I am a
certified nursing assistant (CNA) at the local hospital." Which of these task would be appropriate
for the nurse to delegate to this worker assisting in the care of the injured?
A. Assess and apply first aid to a fracture
You are an ICU nurse caring for a trauma patient with suspected AKI. The patient is complaining
of abdominal pain, while his ABG reveals the following results: pH 7.35, PaCO 30, HCO3 15.
Which acid base imbalance would you suspect?
A. Compensating Respiratory Acoidosis
B. Compensating Metabolic Alkalosis
C. Compensating Respiratory Alkalosis
D. Compensating Metabolic Acidosis
E. Incompensating Metabolic Acidosis - correct answers D. Compensating Metabolic Acidosis
A nurse is caring for a client who has a serum sodium level of 133 and a serum potassium level
of 3.4. The nurse should recognize that which of the following treatments can result in these
laboratory findings? (Select all that apply)
A. NS solution IV at 50 mL/hr
B. Three tap water enemas
C. D5 1/2NS with 20mEq of potassium IV at 80mL/hr
D. Antibiotic therapy
E. 1/2NS IV at 100 mL/hr - correct answers B. Three tap water enemas
E. 1/2NS IV at 100 mL/hr
A nurse is working in a neonatal intensive care unit, teaching parents how to care for their
newborns while they are still in the hospital. Which statement by a parent reflects a readiness
to learn?
A. You will give us written instructions before we go home correct?
, B. If my baby is just a little bigger, I'll feel more comfortable handling him?
C.I want to make sure my spouse is here, in case I don't hear everything that is said.
D. I'm afraid I'll hurt my baby with all these tubes. - correct answers C.I want to make sure my
spouse is here, in case I don't hear everything that is said.
The nurse is preparing a client to be discharged who will be going home with crutches following
a MVA. The following are instructions for going down the stairs.K Put the steps in order. Use all
of the options.
1. Shift weight to the unaffected leg.
2. Transfer weigh to the crutch and move the unaffected let to that step.
3. Assume tripod position at the top of the stairs.
4. Move crutches and the affected leg down onto the next step. - correct answers 3,4,2,1
The nurse caring for a client diagnosed with DIC would expect which of the following significant
assessment findings in this client?
A. Limited range of motion and joint pain.
B. Confusion
C. Signs of ARDS
D. Thick tenacious bronchial secretions
E. Hyperglycemia and hyperkalemia
F. Tachycardia - correct answers B. Confusion
C. Signs of ARDS
F. Tachycardia
After an explosion at a factory, one of the employees approaches the nurse and says, "I am a
certified nursing assistant (CNA) at the local hospital." Which of these task would be appropriate
for the nurse to delegate to this worker assisting in the care of the injured?
A. Assess and apply first aid to a fracture
