NUR 2392 / NUR2392: Multidimensional Care II / MDC 2 Exam 2
(2021/2022) Rasmussen College
A patient is brought into the ED with respiratory depression. The patient has a history of COPD. What
acid-base imbalance is most likely? Correct Answer: Respiratory Acidosis. The patient likely has a build-
up of CO2, causing respiratory acidosis.
The nurse is evaluating the lab work of a patient who has uncontrolled metabolic acidosis. Which lab
result would result from this condition?
A) pH 7.4
B) PaO2 98 mm Hg
C) bicarbonate 38 mEq/ L
D) serum potassium 5.7 mEq/L Correct Answer: D) serum potassium 5.7 mEq/L. Serum potassium
increases during acidosis to try to buffer the acidic conditions.
The nurse is reviewing the standing orders for a patient who was admitted for evaluation of chest pain.
The patient has a history of chronic obstructive pulmonary disease (COPD) and his laboratory results and
assessment reveal that he has mild respiratory acidosis. The nurse would question which order?
A.Encourage oral fluids
B.Keep head of bed elevated
C.Oxygen therapy at 4 L/min as needed
D.Bedrest with bathroom privileges only Correct Answer: C) Oxygen therapy at 4L/ Min as needed.
Oxygen therapy is often ordered for respiratory acidosis. However, COPD patients have a difficult time
off-loading carbon dioxide and giving too much oxygen can cause these patients to have a decrease in
respiratory drive, leading to respiratory arrest.
A client has acute alcohol intoxication. What acid-base imbalance is the client at risk for? Correct
Answer: metabolic acidosis.
A client comes into the ED with respiratory acidosis. What type of medication would the nurse likely
administer? Correct Answer: bronchodilators
A client comes into the ED with a high fever and is hyperventilating. His ABG results are pH 7.51, PaCO2
28 mm Hg, and HCO3 24 mEq/L. The nurse should identify that the client has which acid-base
imbalance? Correct Answer: Respiratory Alkalosis. Because the client is breathing rapidly, he is exhaling
excessive amounts of carbon dioxide. This loss of carbon dioxide decreases the hydrogen ion level of the
blood, causing the pH to increase and resulting in respiratory alkalosis.
A nurse is caring for a client who has metabolic alkalosis. As the client compensates for this ac
id-base imbalance, which of the following mechanisms should the nurse expect the client's body to use?
Correct Answer: Hypoventilation.
Hypoventilation is the mechanism that helps clients compensate for metabolic alkalosis.
A nurse is inserting an NG tube for a client who is beginning enteral feedings. What action should the
nurse take to verify tube placement before administering initial feeding? Correct Answer: Verify tube
placement with radiography
Which patient statement alerts the nurse to perform a thorough GI history and focused assessment?
, A."I don't like the taste of spicy foods."
B."I got dentures four years ago."
C."I experience occasional constipation."
D."I take ibuprofen three times daily for arthritis." Correct Answer: D. large amounts of aspirin or
NSAIDs can cause peptic ulcer disease and GI bleeding.
After abdominal surgery, which question should the nurse ask the patient to determine whether
peristaltic movement is returning?
A."Have you passed flatus?"
B."Are you hungry"
C."Do you have any nausea?"
D."Is your pain level manageable?" Correct Answer: A). Passing gas is evidence of peristaltic movement
When administering a new GI medication to an older patient, the nurse anticipates what?
A.A higher-than-normal dose may be needed.
B.Close monitoring is needed because toxic levels may develop.
C.Older adults always require a lower-than-normal dose than younger patients.
Nausea and vomiting may develop rapidly and are common side effects in older adults Correct Answer:
B.Close monitoring is needed because toxic levels may develop.
A patient in the ED has been experiencing upper abdominal pain after meals for the past several
months. She reports pain after napping or sleeping at night. She has been taking OTC antacids with some
relief. The nurse understands that which assessment finding places the patient at risk for peptic ulcer
disease?
A.GERD 4 years ago
B.Weight loss of 35 lbs
C.Use of NSAIDs to control arthritis pain
D.Recent discontinuation of prednisone (Deltasone) Correct Answer: C. use of NSAIDS to control
arthritis pain
NSAID use and H. Pylori bacteria are the most common causes of ulcers
Which diagnostic results does the nurse recognize that support the diagnosis of peptic ulcer disease
(PUD)? (Select all that apply.)
A.Low hemoglobin (Hgb)
B.Low white blood cell (WBC) level
C.Low hematocrit (Hct)
D.Positive for H. pylori bacteria
E.Low potassium of 3.4 mEq/L Correct Answer: A, C, and D
Low hemoglobin and low hematocrit are signs of bleeding. H. Pylori is a common cause of ulcers
An EGD confirms that the patient has PUD. Three hours later, the patient is admitted to the medical unit
for workup and further testing. On admission the patient reports midline epigastric tenderness and
indigestion (dyspepsia). The patient is prescribed triple therapy.
(2021/2022) Rasmussen College
A patient is brought into the ED with respiratory depression. The patient has a history of COPD. What
acid-base imbalance is most likely? Correct Answer: Respiratory Acidosis. The patient likely has a build-
up of CO2, causing respiratory acidosis.
The nurse is evaluating the lab work of a patient who has uncontrolled metabolic acidosis. Which lab
result would result from this condition?
A) pH 7.4
B) PaO2 98 mm Hg
C) bicarbonate 38 mEq/ L
D) serum potassium 5.7 mEq/L Correct Answer: D) serum potassium 5.7 mEq/L. Serum potassium
increases during acidosis to try to buffer the acidic conditions.
The nurse is reviewing the standing orders for a patient who was admitted for evaluation of chest pain.
The patient has a history of chronic obstructive pulmonary disease (COPD) and his laboratory results and
assessment reveal that he has mild respiratory acidosis. The nurse would question which order?
A.Encourage oral fluids
B.Keep head of bed elevated
C.Oxygen therapy at 4 L/min as needed
D.Bedrest with bathroom privileges only Correct Answer: C) Oxygen therapy at 4L/ Min as needed.
Oxygen therapy is often ordered for respiratory acidosis. However, COPD patients have a difficult time
off-loading carbon dioxide and giving too much oxygen can cause these patients to have a decrease in
respiratory drive, leading to respiratory arrest.
A client has acute alcohol intoxication. What acid-base imbalance is the client at risk for? Correct
Answer: metabolic acidosis.
A client comes into the ED with respiratory acidosis. What type of medication would the nurse likely
administer? Correct Answer: bronchodilators
A client comes into the ED with a high fever and is hyperventilating. His ABG results are pH 7.51, PaCO2
28 mm Hg, and HCO3 24 mEq/L. The nurse should identify that the client has which acid-base
imbalance? Correct Answer: Respiratory Alkalosis. Because the client is breathing rapidly, he is exhaling
excessive amounts of carbon dioxide. This loss of carbon dioxide decreases the hydrogen ion level of the
blood, causing the pH to increase and resulting in respiratory alkalosis.
A nurse is caring for a client who has metabolic alkalosis. As the client compensates for this ac
id-base imbalance, which of the following mechanisms should the nurse expect the client's body to use?
Correct Answer: Hypoventilation.
Hypoventilation is the mechanism that helps clients compensate for metabolic alkalosis.
A nurse is inserting an NG tube for a client who is beginning enteral feedings. What action should the
nurse take to verify tube placement before administering initial feeding? Correct Answer: Verify tube
placement with radiography
Which patient statement alerts the nurse to perform a thorough GI history and focused assessment?
, A."I don't like the taste of spicy foods."
B."I got dentures four years ago."
C."I experience occasional constipation."
D."I take ibuprofen three times daily for arthritis." Correct Answer: D. large amounts of aspirin or
NSAIDs can cause peptic ulcer disease and GI bleeding.
After abdominal surgery, which question should the nurse ask the patient to determine whether
peristaltic movement is returning?
A."Have you passed flatus?"
B."Are you hungry"
C."Do you have any nausea?"
D."Is your pain level manageable?" Correct Answer: A). Passing gas is evidence of peristaltic movement
When administering a new GI medication to an older patient, the nurse anticipates what?
A.A higher-than-normal dose may be needed.
B.Close monitoring is needed because toxic levels may develop.
C.Older adults always require a lower-than-normal dose than younger patients.
Nausea and vomiting may develop rapidly and are common side effects in older adults Correct Answer:
B.Close monitoring is needed because toxic levels may develop.
A patient in the ED has been experiencing upper abdominal pain after meals for the past several
months. She reports pain after napping or sleeping at night. She has been taking OTC antacids with some
relief. The nurse understands that which assessment finding places the patient at risk for peptic ulcer
disease?
A.GERD 4 years ago
B.Weight loss of 35 lbs
C.Use of NSAIDs to control arthritis pain
D.Recent discontinuation of prednisone (Deltasone) Correct Answer: C. use of NSAIDS to control
arthritis pain
NSAID use and H. Pylori bacteria are the most common causes of ulcers
Which diagnostic results does the nurse recognize that support the diagnosis of peptic ulcer disease
(PUD)? (Select all that apply.)
A.Low hemoglobin (Hgb)
B.Low white blood cell (WBC) level
C.Low hematocrit (Hct)
D.Positive for H. pylori bacteria
E.Low potassium of 3.4 mEq/L Correct Answer: A, C, and D
Low hemoglobin and low hematocrit are signs of bleeding. H. Pylori is a common cause of ulcers
An EGD confirms that the patient has PUD. Three hours later, the patient is admitted to the medical unit
for workup and further testing. On admission the patient reports midline epigastric tenderness and
indigestion (dyspepsia). The patient is prescribed triple therapy.
