NR 464 - Exam 4 (Wangs Questions)
With complete verified solutions
(Guaranteed Pass)
1. The nurse is evaluating a patient's laboratory results. Based upon the
laboratory findings, what results will cause the release of an antidiuretic
hormone (ADH)?
a. Increased serum sodium
b. Decreased serum sodium
c. Decrease in serum osmolality
d. Decrease in thirst - answer A
2. Your patient has alcoholism, and you may suspect during your
assessment that his serum magnesium is low. What will the nurse
potentially expect to assess to hypomagnesemia?
a. Tremor
b. Pruritus
c. Edema
d. Decreased blood pressure - answer A
,3. A nurse sees a variety of patients in the community health clinic.
Which of the following patients would be at the greatest risk of
dehydration?
a. An 18 year old basketball player with a stress fracture of the right
foot
b. An infant with diarrhea
c. A 45 year old with stomach flu
d. An elderly patient living alone - answer B
4. The nurse is caring for a post-thyroidectomy patient at risk for
hypocalcemia. What action should the nurse take when assessing for
hypocalcemia?
a. Monitor laboratory daily for an elevated thyroid-stimulating hormone
b. Observe for swelling of the neck, tracheal deviation and severe pain
c. Evaluate the quality of the patient's voice postoperatively, noting any
drastic changes
,d. Observe for muscle twitching and numbness or tingling of the lips,
fingers and toes - answer D
5. The nurse in the intensive care unit receives arterial blood gases
(ABG) with a patient who is complaining of being "short of breath." The
ABG has the following values: pH = 7.21, PaCO2 = 64 mmHg, HCO3 = 24
mmHg. The labs reflect:
a. Respiratory acidosis
b. Metabolic alkalosis
c. Respiratory alkalosis
d. Metabolic acidosis - answer A
6. A nursing intervention to assess the hemodynamic effects of
dysrhythmia on the patient would be to:
a. Obtain an ECG rhythm strip
b. Obtain a blood level of drugs administered
c. Assess the patients level of anxiety
, d. Assess the patients BP and pulse rate - answer D
7. The triage nurse notes upon assessment in the emergency room that
the patient with anxiety is hyperventilating. The nurse is aware hat
hyperventilation is the most common cause of which acid-base
imbalance?
a. Respiratory acidosis
b. Respiratory alkalosis
c. Increase PaCO2
d. Central nervous system (CNS) distubances - answer B
8. The nurse caring for a patient on the telemetry floor who is
experiencing symptomatic sinus bradycardia is aware the medication of
choice for treatment of this dysthymia is atropine. What guidelines will
the nurse following when administering atropine?
a. Administer atropine 0.5 mg rapidly as an IV bolus every 3-5 minutes
to a maximum total dose of 3 mg
b. Administer atropine 0.5 mg slowly as an IV bolus every minute to a
maximum total dose of 3 mg
With complete verified solutions
(Guaranteed Pass)
1. The nurse is evaluating a patient's laboratory results. Based upon the
laboratory findings, what results will cause the release of an antidiuretic
hormone (ADH)?
a. Increased serum sodium
b. Decreased serum sodium
c. Decrease in serum osmolality
d. Decrease in thirst - answer A
2. Your patient has alcoholism, and you may suspect during your
assessment that his serum magnesium is low. What will the nurse
potentially expect to assess to hypomagnesemia?
a. Tremor
b. Pruritus
c. Edema
d. Decreased blood pressure - answer A
,3. A nurse sees a variety of patients in the community health clinic.
Which of the following patients would be at the greatest risk of
dehydration?
a. An 18 year old basketball player with a stress fracture of the right
foot
b. An infant with diarrhea
c. A 45 year old with stomach flu
d. An elderly patient living alone - answer B
4. The nurse is caring for a post-thyroidectomy patient at risk for
hypocalcemia. What action should the nurse take when assessing for
hypocalcemia?
a. Monitor laboratory daily for an elevated thyroid-stimulating hormone
b. Observe for swelling of the neck, tracheal deviation and severe pain
c. Evaluate the quality of the patient's voice postoperatively, noting any
drastic changes
,d. Observe for muscle twitching and numbness or tingling of the lips,
fingers and toes - answer D
5. The nurse in the intensive care unit receives arterial blood gases
(ABG) with a patient who is complaining of being "short of breath." The
ABG has the following values: pH = 7.21, PaCO2 = 64 mmHg, HCO3 = 24
mmHg. The labs reflect:
a. Respiratory acidosis
b. Metabolic alkalosis
c. Respiratory alkalosis
d. Metabolic acidosis - answer A
6. A nursing intervention to assess the hemodynamic effects of
dysrhythmia on the patient would be to:
a. Obtain an ECG rhythm strip
b. Obtain a blood level of drugs administered
c. Assess the patients level of anxiety
, d. Assess the patients BP and pulse rate - answer D
7. The triage nurse notes upon assessment in the emergency room that
the patient with anxiety is hyperventilating. The nurse is aware hat
hyperventilation is the most common cause of which acid-base
imbalance?
a. Respiratory acidosis
b. Respiratory alkalosis
c. Increase PaCO2
d. Central nervous system (CNS) distubances - answer B
8. The nurse caring for a patient on the telemetry floor who is
experiencing symptomatic sinus bradycardia is aware the medication of
choice for treatment of this dysthymia is atropine. What guidelines will
the nurse following when administering atropine?
a. Administer atropine 0.5 mg rapidly as an IV bolus every 3-5 minutes
to a maximum total dose of 3 mg
b. Administer atropine 0.5 mg slowly as an IV bolus every minute to a
maximum total dose of 3 mg
