2022 PRACTICE KAHOOT MDC 2 EXAM

2022 PRACTICE KAHOOT MDC 2 EXAM pH 7.32 HCo3 20 CO2 37 a) metabolic alkalosis with full metabolic compensation b) metabolic acidosis uncompensated c) respiratory acidosis with partial metabolic compensation d) respiratory alkalosis with full metabolic compensation b) metabolic acidosis uncompensated Who is at risk for developing stomatitis? a) obese client b) client with heart failure c) client with kidney disease d) client with liver cancer d) client with liver cancer A patient with GERD should avoid which of the following? a) coffee b) bread c) milk d) eggsa) coffee What procedure is used for the treatment of GERD? a) vagotomy b) nissen fundoplication c) colectomy d) gastrectomyb) nissen fundoplication A 29-year-old presents with vomiting bright red blood what orders would you question? a) clear liquid diet b) NPO c) NS at 100 mL per hour d) CBC and CMP a) clear liquid diet A patient was just diagnosed with Pectic Ulcer Disease what is not included in education? a) continue drinking alcohol b) avoid spicy foods c) follow the medication regimen d) signs and symptoms to report to the provider a) continue drinking alcohol A patient complains of a feeling of fullness, chest pain what is suspected she is suffering from? a) diverticulitis b) crohns disease c) hiatal hernia d) GERD c) hiatal hernia A patient was just diagnosed with gastric cancer and he and his wife are having difficulty with the diagnosis a) consult a dietician b) recommend homeopathic therapies c) recommend the patient ask for an antidepressant d) consult a social worker for resources d) consult a social worker for resources A patient is diagnosed with GERD what education would you expect to be given? a) diet modifications b) patient can continue to smoke cigarettes c) patient should eat right before bedtime d) patient can continue to drink alcohol a) diet modifications What is a common test to diagnose esophageal disorders? a) barium enema b) EGD c) colonoscopy d) EEG b) EGD A patient presents with loss of appetite, weight loss, and heartburn, what is she suspected of having? a) bowel obstruction b) diverticulitis c) gastric cancer d) thrush c) gastric cancer A patient with gastritis would need what education? a) you can continue smoking b) decrease stress c) avoid laxatives d) eat a large meal for dinner before bedtime b) decrease stress A patient had an EGD what is the priority assessment before allowing food? a) mental status b) peripheral pulses c) gag reflex d) heart rate c) gag reflex COPD results in what type of acid-base imbalance? a) respiratory acidosis b) respiratory alkalosis c) metabolic acidosis d) metabolic alkalosis a) respiratory acidosis Diabetic ketoacidosis causes which acid-base imbalance? a) metabolic alkalosis b) respiratory alkalosis c) respiratory acidosis d) metabolic acidosis d) metabolic acidosis pH 7.28 HCO3 30 CO2 55 a) respiratory acidosis with partial metabolic compensation b) respiratory acidosis with full metabolic compensation c) uncompensated respiratory acidosis d) respiratory alkalosis with full metabolic compensation a) respiratory acidosis with partial metabolic compensation pH 7.30 CO2 58 HCO3 26 a) respiratory acidosis with full metabolic compensation b) uncompensated respiratory acidosis c) respiratory alkalosis with full metabolic compensation d) uncompensated respiratory alkalosis b) uncompensated respiratory acidosis pH 7.45 HCO3 30 CO2 50 a) compensated metabolic acidosis b) metabolic alkalosis with full respiratory compensation c) uncompensated metabolic alkalosis d) partial compensation metabolic acidosis b) metabolic alkalosis with full respiratory compensation pH 7.36 HCO3 38 CO2 60 a) respiratory acidosis with full metabolic compensation b) respiratory alkalosis with full metabolic compensation c) respiratory acidosis with partial metabolic compensation d) compensated metabolic alkalosis a) respiratory acidosis with full metabolic compensation pH 7.25 HCO3 13 CO2 34 a) metabolic acidosis with full respiratory compensation b) compensated metabolic alkalosis c) uncompensated respiratory acidosis d) metabolic acidosis with partial respiratory compensation d) metabolic acidosis with partial respiratory compensation pH 7.69 HCO3 19 CO2 28 a) respiratory alkalosis with partial metabolic compensation b) uncompensated respiratory alkalosis c) respiratory alkalosis with full metabolic compensation d) uncompensated respiratory acidosis a) respiratory alkalosis with partial metabolic compensation A patient is suffering from nausea, vomiting, and diarrhea, what electrolyte imbalance would you expect? a) hypokalemia b) hyperkalemia c) hypermagnesemia d) hypervolemia a) hypokalemia The nurse notes a positive chvosteks sign in her patient, which electrolyte imbalance is the patient suffering from? a) hypophosphatemia b) hypokalemia c) hyperkalemia d) hypocalcemia d) hypocalcemia pH 7.30 HCO3 44 CO2 89 a) respiratory alkalosis b) respiratory acidosis c) metabolic acidosis d) metabolic alkalosis b) respiratory acidosis pH 7.49 CO2 49 HCO3 34 a) metabolic alkalosis b) metabolic acidosis c) respiratory acidosis d) respiratory alkalosis a) metabolic alkalosis pH 7.46 CO2 49 HCO3 28 a) metabolic alkalosis b) metabolic acidosis c) respiratory alkalosis d) respiratory acidosis a) metabolic alkalosis pH 7.40 HCO3 24 CO2 40 a) respiratory acidosis b) respiratory alkalosis c) metabolic acidosis d) normal ABG d) normal ABG Your patient is suffering from fever, HR 128, BP 80/46. What imbalance do you expect? a) hypervolemia b) hypovolemia c) acute renal failure d) Arthritis b) hypovolemia Your teaching your client about high salt foods to avoid which food is correct? a) chicken b) ham c) eggs d) milkb) ham A patient is suffering from a bowel obstruction and is currently being treated with an NG tube, what imbalance? a) metabolic acidosis b) respiratory acidosis c) respiratory alkalosis d) metabolic alkalosis d) metabolic alkalosis pH 7.28 HCO3 26 CO2 50 a) respiratory alkalosis b) metabolic alkalosis c) metabolic acidosis d) respiratory acidosis d) respiratory acidosis pH 7.30 HCO3 30 CO2 54 a) compensated respiratory alkalosis b) uncompensated respiratory acidosis c) respiratory acidosis with partial metabolic compensation d) respiratory alkalosis with partial metabolic compensationc) respiratory acidosis with partial metabolic compensation pH 7.38 HCO3 26 CO2 40 a) respiratory acidosis b) respiratory alkalosis c) metabolic alkalosis d) normal ABG d) normal ABG Which imbalance would be a result of aspirin toxicity? a) metabolic acidosis b) respiratory acidosis a) metabolic acidosis A patient suffering from diarrhea would have which imbalance? a) respiratory acidosis b) respiratory alkalosis c) metabolic acidosis d) metabolic alkalosis c) metabolic acidosis A patient having an anxiety attack would have which imbalance? a) metabolic acidosis b) metabolic alkalosis c) respiratory alkalosis d) respiratory acidosis c) respiratory alkalosis Your patient is suffering from hypomagnesemia and hypocalcemia what assessment technique would be positive? a) Trousseau's sign b) Homans sign c) Turners sign d) McBurneys Point a) Trousseau's sign A patient just had surgery and is receiving IV pain medication which acid-base imbalance is he at risk for? a) Respiratory acidosis b) respiratory alkalosis c) metabolic acidosis d) metabolic alkalosis a) Respiratory acidosis A patient is battling end-stage liver cancer, what acid-base imbalance would you expect to see? a) Metabolic acidosis b) Metabolic alkalosis c) Respiratory acidosis d) Respiratory alkalosis a) Metabolic acidosis A 3-year-old is admitted to the emergency department for choking on a hot dog what acid-base imbalance could we expect? a) respiratory alkalosis b) respiratory acidosis c) Metabolic alkalosis d) Metabolic acidosis b) respiratory acidosis A patient is diagnosed with metabolic acidosis what treatment would be expected to be ordered? a) hydration b) steroids c) opioids d) antihypertensives a) hydration A patient is admitted with tachycardia, hypotension, cough, and fever with 100mL output in 12 hours. a) hypervolemia b) hypovolemia c) renal failure d) congestive heart failure b) hypovolemia A patient is admitted with an exacerbation of asthma what is the priority intervention? a) secure airway b) administer steroids c) perform chest xray d) perform ekg a) secure airway A patient is suffering from respiratory alkalosis, what assessment finding is consistent? a) elevated blood pressure b) bradycardia c) low or normal blood pressure d) negative trousseau's sign c) low or normal blood pressure A patient has an NG tube to low intermittent suction what acid-base imbalance is she at risk for? a) metabolic alkalosis b) metabolic acidosis c) respiratory alkalosis d) respiratory acidosis a) metabolic alkalosis A patient is suffering from diarrhea due to food poisoning what acid-base imbalance would you expect? a) respiratory acidosis b) metabolic alkalosis c) respiratory alkalosis d) metabolic acidosis d) metabolic acidosis A patient is showing tall T waves on the EKG, what acid-base imbalance is occurring? a) metabolic alkalosis b) metabolic acidosis c) respiratory acidosis d) respiratory alkalosis b) metabolic acidosis What intervention is appropriate for a patient with metabolic acidosis? a) replacing fluids and electrolytes b) ammonium chloride a) replacing fluids and electrolytes A patient is suffering from metabolic acidosis which symptom is appropriate? a) decreased appetite b) kussmauls respirations c) high blood pressure d) seizure activity b) kussmauls respirations A patient reports 4lb weight gain, what would be the suspected diagnosis? a) hypovolemia b) hypervolemia c) loss of appetite d) diarrhea b) hypervolemia The first step in interpreting an ABG is to label the: a) pH b) HCO3 c) Co2 a) pH Aspirin toxicity can result in 2 acid-base imbalances True False True which body systems work to correct the acid-base imbalance? a) lungs and kidneys b) kidneys and GI tract c) lungs and liver d) lungs and heart a) lungs and kidneys A normal pH is within which range? a) 7.45-7.54 b) 7.55-7.65 c) 7.35-7.45 d) 7.25-7.35 c) 7.35-7.45