NR 226: EXAM 2 REVIEW QUESTIONS
1. A nurse suspects that an older adult may have a fluid and electrolyte imbalance. Which assessment best reflects
fluid and electrolyte balance in an older adult?
a. Intake and output results
b. Serum laboratory values
c. Condition of the skin
d. Presence of tenting
2. A nurse is caring for a patient with an intestinal stoma. Which intervention is most important?
a. Cleansing the stoma with cool water
b. Spraying an air-freshening deodorant in the room
c. Selecting a bag with an appropriate-size stomal opening
d. Wearing sterile nonlatex gloves when caring for the stoma
3. A nurse is caring for a patient who had an abdominal hysterectomy. Which intervention best prevents
postoperative thrombophlebitis (DVT)?
a. Utilization of compression stockings at night
b. Deep breathing and coughing daily
c. Leg exercises 10 times per hour when awake
d. Elevation of the legs on 2 pillows
4. The nurse is caring for a client with a nasogastric tube that is attached to low suction. The nurse monitors the
client for manifestations of which disorder that the client is at risk for?
a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Respiratory alkalosis
5. The nurse is caring for a client with several broken ribs. The client is most likely to experience what type of
acid-base imbalance?
a. Respiratory acidosis from inadequate ventilation
b. Respiratory alkalosis from anxiety and hyperventilation
c. Metabolic acidosis from calcium loss due to broken bones
d. Metabolic alkalosis from taking analgesics containing base products
6. A patient is experiencing diarrhea and needs to replace potassium. Which nutrients selected by the patient
indicate that additional teaching is necessary regarding nutrients high in potassium. Select all that apply.
a. Beef boullion
b. Orange juice
c. Poached egg
d. Warm tea
e. avocado
1. A nurse suspects that an older adult may have a fluid and electrolyte imbalance. Which assessment best reflects
fluid and electrolyte balance in an older adult?
a. Intake and output results
b. Serum laboratory values
c. Condition of the skin
d. Presence of tenting
2. A nurse is caring for a patient with an intestinal stoma. Which intervention is most important?
a. Cleansing the stoma with cool water
b. Spraying an air-freshening deodorant in the room
c. Selecting a bag with an appropriate-size stomal opening
d. Wearing sterile nonlatex gloves when caring for the stoma
3. A nurse is caring for a patient who had an abdominal hysterectomy. Which intervention best prevents
postoperative thrombophlebitis (DVT)?
a. Utilization of compression stockings at night
b. Deep breathing and coughing daily
c. Leg exercises 10 times per hour when awake
d. Elevation of the legs on 2 pillows
4. The nurse is caring for a client with a nasogastric tube that is attached to low suction. The nurse monitors the
client for manifestations of which disorder that the client is at risk for?
a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Respiratory alkalosis
5. The nurse is caring for a client with several broken ribs. The client is most likely to experience what type of
acid-base imbalance?
a. Respiratory acidosis from inadequate ventilation
b. Respiratory alkalosis from anxiety and hyperventilation
c. Metabolic acidosis from calcium loss due to broken bones
d. Metabolic alkalosis from taking analgesics containing base products
6. A patient is experiencing diarrhea and needs to replace potassium. Which nutrients selected by the patient
indicate that additional teaching is necessary regarding nutrients high in potassium. Select all that apply.
a. Beef boullion
b. Orange juice
c. Poached egg
d. Warm tea
e. avocado
