Exam 1 Review
A client is admitted with a suspected
heroin overdose and a respiratory rate
of 5 to 6 per minute. Which of the
following assessment data would the
nurse not anticipate?
A. pH 7.29
B. alert and oriented
✅✅
C. PaCO2 54 mmHg
D. HCO3 42 mEq/L - -B. alert and
oriented
A client with cellulitis in the left lower
leg is admitted to the medical unit.
When making assignments, which
client would be best to combine with
this newly admitted client?
a. A 23-year-old client who is being
evaluated for possible surgical
excision of a cyst
b. A 37-year-old paraplegic client with a
pressure ulcer over the sacrum
,c. A 43-year-old client receiving
prednisone for an acute medication
related rash
d. A 56-year-old client getting
✅✅
interferon therapy for malignant
melanoma - -a. A 23-year-old
client who is being evaluated for
possible surgical excision of a cyst
(The 23-year-old client is not at high
risk for infection if
cross-contamination occurs. All the
other clients have an increased risk for
infection if there is any transmission of
bacteria from the client with cellulitis.)
A HIV patient's CD4+ cell count is less
✅✅
than 400 cc. What does this indicate. -
-They are very
immunosuppressed.
,A nurse precepting a new graduate
student is teaching about arterial blood
gas interpretation of mechanically
ventricular client. Which statements by
the resident indicates understanding of
ventricular and arterial blood gas
relation?
a. "When the ventilator rate increases,
thats decrease the amount of CO2
exhaled by the client."
b. "When the ventilator rate decreases,
that increases the amount of CO2
exhaled by the client."
c. "The ventilator rate does not affect
the amount of arterial CO2 of the
client."
d. "The ventilator rate only affects the
✅✅
amount of arterial CO2 when the rate is
elevated." - -a. "When the
ventilator rate increases, that decrease
the amount of CO2 exhaled by the
client."
, A RN is planning a teaching session
for a 65 year old client who is
responding well to medical
management for chronic arthritic pain.
Which is the most important for the RN
to consider as he plans for a teaching
session?
a. Chronic noncancer pain serves no
biologic purpose.
b. Neuropathic pain is one of the most
challenging types of pain because it
results from some type of nerve injury.
c. The gate control theory will help the
client understand the relationship
between pain and emotion.
✅✅
d. The client's self-report is the most
reliable indication of pain. - -d.
The client's self-report is the most
reliable indication of pain.
A client is admitted with a suspected
heroin overdose and a respiratory rate
of 5 to 6 per minute. Which of the
following assessment data would the
nurse not anticipate?
A. pH 7.29
B. alert and oriented
✅✅
C. PaCO2 54 mmHg
D. HCO3 42 mEq/L - -B. alert and
oriented
A client with cellulitis in the left lower
leg is admitted to the medical unit.
When making assignments, which
client would be best to combine with
this newly admitted client?
a. A 23-year-old client who is being
evaluated for possible surgical
excision of a cyst
b. A 37-year-old paraplegic client with a
pressure ulcer over the sacrum
,c. A 43-year-old client receiving
prednisone for an acute medication
related rash
d. A 56-year-old client getting
✅✅
interferon therapy for malignant
melanoma - -a. A 23-year-old
client who is being evaluated for
possible surgical excision of a cyst
(The 23-year-old client is not at high
risk for infection if
cross-contamination occurs. All the
other clients have an increased risk for
infection if there is any transmission of
bacteria from the client with cellulitis.)
A HIV patient's CD4+ cell count is less
✅✅
than 400 cc. What does this indicate. -
-They are very
immunosuppressed.
,A nurse precepting a new graduate
student is teaching about arterial blood
gas interpretation of mechanically
ventricular client. Which statements by
the resident indicates understanding of
ventricular and arterial blood gas
relation?
a. "When the ventilator rate increases,
thats decrease the amount of CO2
exhaled by the client."
b. "When the ventilator rate decreases,
that increases the amount of CO2
exhaled by the client."
c. "The ventilator rate does not affect
the amount of arterial CO2 of the
client."
d. "The ventilator rate only affects the
✅✅
amount of arterial CO2 when the rate is
elevated." - -a. "When the
ventilator rate increases, that decrease
the amount of CO2 exhaled by the
client."
, A RN is planning a teaching session
for a 65 year old client who is
responding well to medical
management for chronic arthritic pain.
Which is the most important for the RN
to consider as he plans for a teaching
session?
a. Chronic noncancer pain serves no
biologic purpose.
b. Neuropathic pain is one of the most
challenging types of pain because it
results from some type of nerve injury.
c. The gate control theory will help the
client understand the relationship
between pain and emotion.
✅✅
d. The client's self-report is the most
reliable indication of pain. - -d.
The client's self-report is the most
reliable indication of pain.
