NU 448 Exam 1 Test with Verified Answers
1. The nurse should interpret the arterial blood gas re- a. respiratory alka-
sults shown below as which of the following? pH 7.48, losis
PaO2 85 mm Hg, PaCO2 32 mm Hg, and HCO3 25
mEq/L
a. respiratory alkalosis
b. metabolic acidosis
c. metabolic alkalosis
d. respiratory acidosis
2. 2. The nurse is caring for a client who is receiving pre- a. Encourage the
scribed intravenous (IV) fluids at 50 ml/hr, has voided client to increase
300 ml in 24-hours and reports having a headache. their fluid intake.
The nurse notes the client's laboratory results show a
low urine specific gravity level. Which of the following
actions should the nurse take?
a. Encourage the client to increase their fluid intake.
b. Decrease the intravenous fluids.
c. Administer prescribed antibiotics.
d. Assist the client to ambulate to increase their meta-
bolic rate.
3. 3. The plan of care for a client with a low potassium a. laboratory data
level includes providing information about the effects
of medications and the dietary intake of foods high in
potassium. Which of the following information should
the nurse use to evaluate if the outcome for the plan
was met?
a. laboratory data
b. physical assessment
c. health history
d. client statements
4. 4. The nurse caring for a client experiencing acute a. Initiate 24% to
hypoxemic respiratory failure due to V/Q mismatch 32% oxygen via
is evaluating the client's plan of care. Which of the face mask.
following interventions would be appropriate for the
, NU 448 Exam 1 Test with Verified Answers
client's care plan?
a. Initiate 24% to 32% oxygen via face mask.
b. Provide high flow supplemental oxygen via nasal
cannula.
c. Provide oxygen via noninvasive positive pressure
ventilation (NIPPV).
d. Initiate invasive positive pressure ventilation (PPV)
via endotracheal tube for SaO2 below 90%.
5. 5. The nurse is caring for a client with right sided pneu- a. Compare the
monia (PN) and helps position the client in the left client's PaO2 lev-
Sims position. The nurse should evaluate the client's el with the previ-
response to the position by doing which of the follow- ous level.
ing?
a. Compare the client's PaO2 level with the previous
level.
b. Assessing the client's pain level.
c. Ask the client to perform coughing and deep breath-
ing.
d. Compare the client's pH and HCO3 levels with the
baseline levels.
6. 6. The nurse is caring for a client with acute respi- a. tachycardia
ratory distress syndrome (ARDS) who is mechani- c. decreased urine
cally ventilated with positive end-expiratory pressure output
(PEEP). Which of the following should alert the nurse d. diminished lung
that the client is having complications from PEEP? sounds
Select all that apply.
a. tachycardia
b. hypopnea
c. decreased urine output
d. diminished lung sounds
e. hypertension
7. 7. The nurse received report from the previous shift a. end-tidal CO2
for a client who was intubated for acute respiratory (ETCO2)
, NU 448 Exam 1 Test with Verified Answers
failure (ARF) less than one hour ago. Which of the
following test results would be a priority for the nurse
to follow-up?
a. end-tidal CO2 (ETCO2)
b. complete blood count (CBC)
c. electrocardiogram (ECG)
d. mixed venous O2 saturation (SvO2)
8. 8. A nurse is caring for a client in the emergency a. suction the
department (ED) who had a radiograph (x-ray) that client's airway se-
reveals rib fractures, and the client is diagnosed with cretions
a small flail chest injury. Which of the following inter-
ventions should the nurse include in the client's plan
of care?
a. suction the client's airway secretions
b. strict fluid intake and fluid replacement restriction
c. prepare the client for surgery
d. immediately sedate and intubate the client
9. 9. The nurse is caring for a client who is receiving pos- c. The client's
itive pressure ventilation and high levels of PEEP via blood pressure
endotracheal intubation for acute respiratory distress decreased from
syndrome (ARDS). The nurse should contact respira- 110/68 mm/Hg to
tory therapy for which of the following findings? 89/60 mm/Hg in
the last hour.
a. The client's FIO2 is at 65%.
b. The client's PaO2 is at 75%.
c. The client's blood pressure decreased from 110/68
mm/Hg to 89/60 mm/Hg in the last hour.
d. The client's temperature increased from 98.8o F. to
100.1o F in the last hour.
10. 10. The nurse is assessing a client with chronic ob- a. dyspnea and hy-
structive pulmonary disease (COPD). The nurse aus- poxemia
cultates diminished breath sounds, which is a change
from the client's baseline. The nurse should monitor
the client for which of the following potential compli-
1. The nurse should interpret the arterial blood gas re- a. respiratory alka-
sults shown below as which of the following? pH 7.48, losis
PaO2 85 mm Hg, PaCO2 32 mm Hg, and HCO3 25
mEq/L
a. respiratory alkalosis
b. metabolic acidosis
c. metabolic alkalosis
d. respiratory acidosis
2. 2. The nurse is caring for a client who is receiving pre- a. Encourage the
scribed intravenous (IV) fluids at 50 ml/hr, has voided client to increase
300 ml in 24-hours and reports having a headache. their fluid intake.
The nurse notes the client's laboratory results show a
low urine specific gravity level. Which of the following
actions should the nurse take?
a. Encourage the client to increase their fluid intake.
b. Decrease the intravenous fluids.
c. Administer prescribed antibiotics.
d. Assist the client to ambulate to increase their meta-
bolic rate.
3. 3. The plan of care for a client with a low potassium a. laboratory data
level includes providing information about the effects
of medications and the dietary intake of foods high in
potassium. Which of the following information should
the nurse use to evaluate if the outcome for the plan
was met?
a. laboratory data
b. physical assessment
c. health history
d. client statements
4. 4. The nurse caring for a client experiencing acute a. Initiate 24% to
hypoxemic respiratory failure due to V/Q mismatch 32% oxygen via
is evaluating the client's plan of care. Which of the face mask.
following interventions would be appropriate for the
, NU 448 Exam 1 Test with Verified Answers
client's care plan?
a. Initiate 24% to 32% oxygen via face mask.
b. Provide high flow supplemental oxygen via nasal
cannula.
c. Provide oxygen via noninvasive positive pressure
ventilation (NIPPV).
d. Initiate invasive positive pressure ventilation (PPV)
via endotracheal tube for SaO2 below 90%.
5. 5. The nurse is caring for a client with right sided pneu- a. Compare the
monia (PN) and helps position the client in the left client's PaO2 lev-
Sims position. The nurse should evaluate the client's el with the previ-
response to the position by doing which of the follow- ous level.
ing?
a. Compare the client's PaO2 level with the previous
level.
b. Assessing the client's pain level.
c. Ask the client to perform coughing and deep breath-
ing.
d. Compare the client's pH and HCO3 levels with the
baseline levels.
6. 6. The nurse is caring for a client with acute respi- a. tachycardia
ratory distress syndrome (ARDS) who is mechani- c. decreased urine
cally ventilated with positive end-expiratory pressure output
(PEEP). Which of the following should alert the nurse d. diminished lung
that the client is having complications from PEEP? sounds
Select all that apply.
a. tachycardia
b. hypopnea
c. decreased urine output
d. diminished lung sounds
e. hypertension
7. 7. The nurse received report from the previous shift a. end-tidal CO2
for a client who was intubated for acute respiratory (ETCO2)
, NU 448 Exam 1 Test with Verified Answers
failure (ARF) less than one hour ago. Which of the
following test results would be a priority for the nurse
to follow-up?
a. end-tidal CO2 (ETCO2)
b. complete blood count (CBC)
c. electrocardiogram (ECG)
d. mixed venous O2 saturation (SvO2)
8. 8. A nurse is caring for a client in the emergency a. suction the
department (ED) who had a radiograph (x-ray) that client's airway se-
reveals rib fractures, and the client is diagnosed with cretions
a small flail chest injury. Which of the following inter-
ventions should the nurse include in the client's plan
of care?
a. suction the client's airway secretions
b. strict fluid intake and fluid replacement restriction
c. prepare the client for surgery
d. immediately sedate and intubate the client
9. 9. The nurse is caring for a client who is receiving pos- c. The client's
itive pressure ventilation and high levels of PEEP via blood pressure
endotracheal intubation for acute respiratory distress decreased from
syndrome (ARDS). The nurse should contact respira- 110/68 mm/Hg to
tory therapy for which of the following findings? 89/60 mm/Hg in
the last hour.
a. The client's FIO2 is at 65%.
b. The client's PaO2 is at 75%.
c. The client's blood pressure decreased from 110/68
mm/Hg to 89/60 mm/Hg in the last hour.
d. The client's temperature increased from 98.8o F. to
100.1o F in the last hour.
10. 10. The nurse is assessing a client with chronic ob- a. dyspnea and hy-
structive pulmonary disease (COPD). The nurse aus- poxemia
cultates diminished breath sounds, which is a change
from the client's baseline. The nurse should monitor
the client for which of the following potential compli-
