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1. Arterial blood gases are obtained for the client. The client's results (pH,
7.48; CO2, 42 mm Hg; HCO3, 32 mmol/L) indicate which one of the
following acid-base imbalances?
Select one:
a. Metabolic acidosis
b. Respiratory acidosis
c. Respiratory alkalosis
d. Metabolic alkalosis - ANSWER Metabolic alkalosis
2. An 8-year-old is admitted to the pediatric unit with pneumonia. On
assessment, the nurse notes that the child is warm and flushed, is lethargic,
has difficulty breathing, and has moist crackles. The nurse determines that
the child has which one of the following?
Select one:
a. Metabolic acidosis
b. Respiratory acidosis
c. Respiratory alkalosis
d. Metabolic alkalosis - ANSWER Respiratory acidosis
, 3. Which of the following is of great importance for the nurse to check before
administering an IV solution with potassium that is prescribed for the
client?
Select one:
a. Check for weakness.
b. Assess renal function.
c. Evaluate deep tendon reflexes.
d. Initiate seizure precautions. - ANSWER Assess renal function.
4. The nurse is looking after a client who has abdominal cramps, dizziness,
and a rapid and thready pulse. The client's laboratory results show
hyponatremia. Which of the following additional signs can the nurse
expect?
Select one:
a. Postural hypotension
b. Tetany
c. Dry skin and dry mucous membranes
d. Elevated temperature and flushed skin - ANSWER Postural hypotension
5. The nurse will be starting a new intravenous (IV) infusion and needs to
select the site for the insertion. In selecting a site, the nurse should do
which of the following?
Select one:
a. Start with the most distal site.
b. Look for hard, cord-like veins.
,c. Use the dominant arm.
d. Vigorously rub and tap the chosen vein. - ANSWER Start with the most
distal site.
6. A rapid infusion of blood has been given to the client. The nurse assesses
the client for which one of the following?
Select one:
a. Diaphoresis
b. Anxiety
c. Hypertension and tachycardia
d. Nausea and vomiting - ANSWER Hypertension and tachycardia
7. According to the BC Mental Health Act, a client may be subject to
involuntary admission for which of the following reason(s)?
a. to protect the patient or other people
b. all of the above
c. to prevent substantial mental or physical deterioration
d. requires psychiatric treatment in or through a designated facility - ANSWER
All of the above
8. There are three methods of arranging for involuntary admission. These
include all of the following except which?
a. through a physicians medical certificate
b. through police intervention
, c. through request of a family member
d. through an order by judge - ANSWER Through request of a family member
9. True or False: Postpartum mom experiencing rapid mood swings and
anxiety is considered normal in the first 2-3 weeks after having a baby? -
ANSWER False (postpartum blues include feeling let down, depression,
fatigue, and crying for no reason. This is normal for 10-14 days. Rapid mood
swings are perinatal psychosis)
10. Which nursing intervention is most critical for an infant with croup?
a. administering IV antibiotics
b. assessing vital signs q1h
c. administering antipyretics q4h
d. assessing airway and creating a cool, humid environment - ANSWER
Assessing airway and creating a cool, humid environment
11. The LPN is caring for James, a 7 year old who experiences status
epilepticus. The LPN recognizes this to be what?
a. A seizure that is self limiting
b. A seizure lasting greater than 5 mins.
c. A seizure that does not respond to treatment for 30 minutes or more
d. A seizure that does not respond to medication - ANSWER A seizure that
does not respond to treatment for 30 minutes or more