NURSING FUNDAMENTA Review Test Submission: Final Review No
Points PN2 (FGM)
Content
1 out of 1 points
A nurse is evaluating a patient who is being treated for dehydration. Which assessment
result does the nurse correlate with a therapeutic response to the treatment plan?
Selected Answer: b.
Decreased orthostatic light-headedness and dizziness
Answers: a.
Increased respiratory rate from 12 to 22 breaths/min
b.
Decreased orthostatic light-headedness and dizziness
c.
Decreased skin turgor on the patient’s posterior hand and forehead
d.
Increased urine specific gravity from 1.012 to 1.030 g/mL
Response
The focus of management for patients with dehydration is to increase
Feedback:
fluid volumes to normal. When fluid volumes return to normal, patients
should perfuse the brain more effectively, therefore improving
confusion and decreasing orthostatic light-headedness or dizziness.
Increased respiratory rate, decreased skin turgor, and increased specific
gravity are all manifestations of dehydration.
• Question 2
1 out of 1 points
After teaching a patient who is prescribed a restricted sodium diet, a nurse assesses the
patient’s understanding. Which food choice for lunch indicates that the patient correctly
understood the teaching?
Selected Answer: c.
Grilled chicken breast with glazed carrots
Answers: a.
Bowl of tomato soup with a grilled cheese sandwich
,NURSING FUNDAMENTA Review Test Submission: Final Review No
Points PN2 (FGM)
b.
Salami and cheese on whole-wheat crackers
c.
Grilled chicken breast with glazed carrots
d.
Slices of smoked ham with potato salad
Response Patients on restricted sodium diets generally should avoid processed,
Feedback: smoked, and pickled foods and those with sauces and other condiments.
Foods lowest in sodium include fish, poultry, and fresh produce. The
ham, tomato soup, salami, and crackers are often high in sodium.
• Question 3
1 out of 1 points
A nurse is assessing a patient with hypokalemia, and notes that the patient’s handgrip
strength has diminished since the previous assessment 1 hour ago. What action does the
nurse take first?
Selected Answer: a.
Assess the patient’s respiratory rate, rhythm, and depth.
Answers: a.
Assess the patient’s respiratory rate, rhythm, and depth.
b.
Measure the patient’s pulse and blood pressure.
c.
Call the healthcare provider.
d.
Document findings and monitor the patient.
Response
In a patient with hypokalemia, progressive skeletal muscle weakness is
Feedback:
associated with increasing severity of hypokalemia. The most life-
threatening complication of hypokalemia is respiratory insufficiency. It
is imperative for the nurse to perform a respiratory assessment first to
make sure that the patient is not in immediate jeopardy. Cardiac
dysrhythmias are also associated with hypokalemia. The patient’s pulse
and blood pressure should be assessed after assessing respiratory status.
Next, the nurse would call the healthcare provider to obtain orders for
potassium replacement. Documenting findings and continuing to
monitor the patient should occur during and after potassium replacement
therapy.
,NURSING FUNDAMENTA Review Test Submission: Final Review No
Points PN2 (FGM)
• Question 4
, NURSING FUNDAMENTA Review Test Submission: Final Review No
Points PN2 (FGM)
1 out of 1 points
After teaching a patient to increase dietary potassium intake, a nurse assesses the
patient’s understanding. Which dietary meal selection indicates that the patient correctly
understands the teaching?
Selected
a.
Answer:
Sausage, one slice of whole-wheat toast, half cup of raisins (120 gm),
and a glass of milk
Answers: a.
Sausage, one slice of whole-wheat toast, half cup of raisins (120 gm),
and a glass of milk
b.
Two scrambled eggs, a slice of white toast, and a half cup (120
gm) of strawberries
c.
Bowl of oatmeal with brown sugar, a half cup of sliced peaches
(120 gm), and coffee
d.
Toasted English muffin with butter and blueberry jam, and tea
with sugar
Response
Meat, dairy products, and dried fruit have high concentrations of
Feedback:
potassium. Eggs, breads, cereals, sugar, and some fruits (berries,
peaches) are low in potassium. The menu selection of sausage, toast,
raisins, and milk has the greatest number of items with higher potassium
content.
• Question 5
1 out of 1 points
A patient at risk for developing hyperkalemia states, “I love fruit and usually eat it every
day, but now I can’t because of my high potassium level.” How will the nurse respond?
Selected Answer: a.
“Berries, cherries, apples, and peaches are low in potassium.”
Answers: a.
“Berries, cherries, apples, and peaches are low in potassium.”
b.
“You are correct. Fruit is very high in potassium.”
c.
Points PN2 (FGM)
Content
1 out of 1 points
A nurse is evaluating a patient who is being treated for dehydration. Which assessment
result does the nurse correlate with a therapeutic response to the treatment plan?
Selected Answer: b.
Decreased orthostatic light-headedness and dizziness
Answers: a.
Increased respiratory rate from 12 to 22 breaths/min
b.
Decreased orthostatic light-headedness and dizziness
c.
Decreased skin turgor on the patient’s posterior hand and forehead
d.
Increased urine specific gravity from 1.012 to 1.030 g/mL
Response
The focus of management for patients with dehydration is to increase
Feedback:
fluid volumes to normal. When fluid volumes return to normal, patients
should perfuse the brain more effectively, therefore improving
confusion and decreasing orthostatic light-headedness or dizziness.
Increased respiratory rate, decreased skin turgor, and increased specific
gravity are all manifestations of dehydration.
• Question 2
1 out of 1 points
After teaching a patient who is prescribed a restricted sodium diet, a nurse assesses the
patient’s understanding. Which food choice for lunch indicates that the patient correctly
understood the teaching?
Selected Answer: c.
Grilled chicken breast with glazed carrots
Answers: a.
Bowl of tomato soup with a grilled cheese sandwich
,NURSING FUNDAMENTA Review Test Submission: Final Review No
Points PN2 (FGM)
b.
Salami and cheese on whole-wheat crackers
c.
Grilled chicken breast with glazed carrots
d.
Slices of smoked ham with potato salad
Response Patients on restricted sodium diets generally should avoid processed,
Feedback: smoked, and pickled foods and those with sauces and other condiments.
Foods lowest in sodium include fish, poultry, and fresh produce. The
ham, tomato soup, salami, and crackers are often high in sodium.
• Question 3
1 out of 1 points
A nurse is assessing a patient with hypokalemia, and notes that the patient’s handgrip
strength has diminished since the previous assessment 1 hour ago. What action does the
nurse take first?
Selected Answer: a.
Assess the patient’s respiratory rate, rhythm, and depth.
Answers: a.
Assess the patient’s respiratory rate, rhythm, and depth.
b.
Measure the patient’s pulse and blood pressure.
c.
Call the healthcare provider.
d.
Document findings and monitor the patient.
Response
In a patient with hypokalemia, progressive skeletal muscle weakness is
Feedback:
associated with increasing severity of hypokalemia. The most life-
threatening complication of hypokalemia is respiratory insufficiency. It
is imperative for the nurse to perform a respiratory assessment first to
make sure that the patient is not in immediate jeopardy. Cardiac
dysrhythmias are also associated with hypokalemia. The patient’s pulse
and blood pressure should be assessed after assessing respiratory status.
Next, the nurse would call the healthcare provider to obtain orders for
potassium replacement. Documenting findings and continuing to
monitor the patient should occur during and after potassium replacement
therapy.
,NURSING FUNDAMENTA Review Test Submission: Final Review No
Points PN2 (FGM)
• Question 4
, NURSING FUNDAMENTA Review Test Submission: Final Review No
Points PN2 (FGM)
1 out of 1 points
After teaching a patient to increase dietary potassium intake, a nurse assesses the
patient’s understanding. Which dietary meal selection indicates that the patient correctly
understands the teaching?
Selected
a.
Answer:
Sausage, one slice of whole-wheat toast, half cup of raisins (120 gm),
and a glass of milk
Answers: a.
Sausage, one slice of whole-wheat toast, half cup of raisins (120 gm),
and a glass of milk
b.
Two scrambled eggs, a slice of white toast, and a half cup (120
gm) of strawberries
c.
Bowl of oatmeal with brown sugar, a half cup of sliced peaches
(120 gm), and coffee
d.
Toasted English muffin with butter and blueberry jam, and tea
with sugar
Response
Meat, dairy products, and dried fruit have high concentrations of
Feedback:
potassium. Eggs, breads, cereals, sugar, and some fruits (berries,
peaches) are low in potassium. The menu selection of sausage, toast,
raisins, and milk has the greatest number of items with higher potassium
content.
• Question 5
1 out of 1 points
A patient at risk for developing hyperkalemia states, “I love fruit and usually eat it every
day, but now I can’t because of my high potassium level.” How will the nurse respond?
Selected Answer: a.
“Berries, cherries, apples, and peaches are low in potassium.”
Answers: a.
“Berries, cherries, apples, and peaches are low in potassium.”
b.
“You are correct. Fruit is very high in potassium.”
c.
