NURS 3632 Exam 3 questions with answers
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A client who is recovering from surgery has been advanced from a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
clear liquid diet to a full liquid diet. The client is looking forward to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the diet change because he has been "bored" with the clear liquid
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
diet. The nurse would offer which full liquid item to the client?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
1. Tea
|\
2. Gelatin
|\
3. Custard
|\
4. Popsicle - CORRECT ANSWERS ✔✔3. Custard
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A patient on a clear liquid diet is asking for something more. Of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
available options, which is appropriate? Select all that apply.
|\ |\ |\ |\ |\ |\ |\ |\
a. Chicken broth
|\ |\
b. Chicken noodle soup
|\ |\ |\
c. Popsicles
|\
d. Jello
|\
e. Coffee with cream
|\ |\ |\
f. Grape juice - CORRECT ANSWERS ✔✔a. Chicken broth
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,c. Popsicles
|\
d. Jello
|\
A patient is NPO after midnight for a surgical procedure. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
statement if made by the patient, indicates further teaching for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
instruction?
a. I can only have sips of water after midnight
|\ |\ |\ |\ |\ |\ |\ |\ |\
b. I can take nothing at all by mouth after midnight
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
c. If the doctor orders it, I can take my oral meds with just a sip of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
water after midnight
|\ |\
d. My stomach and bowels will actually be affected by the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
anesthesia, just like my consciousness will - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔a. I can only have sips of water after midnight
|\ |\ |\ |\ |\ |\ |\ |\ |\
The nurse is making initial rounds on the nursing unit ti assess the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
condition of an assigned client. The nurse notes that a client's IV
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
site is cool, pale, and swollen, and the solution is not infusing. The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse concludes that which of the following complications has
|\ |\ |\ |\ |\ |\ |\ |\ |\
occurred?
1. Infection
|\
2. Phlebitis
|\
,3. Infiltration
|\
4. Thrombosis - CORRECT ANSWERS ✔✔3. Infiltration
|\ |\ |\ |\ |\ |\
The patient has 20 mg furosemide ordered IV. Before giving it, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse checks on the latest K+ values, knowing that furosemide is a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
loop diuretic and will decrease potassium significantly. What is the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
minimum value that the nurse will give medication without
|\ |\ |\ |\ |\ |\ |\ |\ |\
notifying the physician of hypokalemia? (mEq/L)
|\ |\ |\ |\ |\
A. 3.4 |\
B. 4.1|\
C. 4.5 |\
D. 5.2 - CORRECT ANSWERS ✔✔B. 4.1 mEq/L
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A patient has been admitted with dehydration secondary to N/V/D
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
after salmonella infection. The nurse expects an isotonic IV solution
|\ |\ |\ |\ |\ |\ |\ |\ |\
to be ordered. Which of the following are isotonic? SATA (table 40-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
7)
a. NS|\
b. D5W
|\
c. D5RL
|\
d. Lactated Ringer
|\ |\
, e. D5NS - CORRECT ANSWERS ✔✔a. NS
|\ |\ |\ |\ |\ |\
b. D5W
|\
d. Lactated Ringer
|\ |\
A patient is in the ICU and has the following blood gases. ABGs: pH
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
7.32, PCo2 46, HCO3 25. How should this be categorized?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a. Metabolic Acidosis
|\ |\
b. Metabolic Alkalosis
|\ |\
c. Respiratory Acidosis
|\ |\
d. Respiratory Alkalosis - CORRECT ANSWERS ✔✔c. Respiratory
|\ |\ |\ |\ |\ |\ |\ |\
Acidosis
What are the causes of respiratory acidosis?
|\ |\ |\ |\ |\ |\
a. decreased respiratory rate
|\ |\ |\
b. increased respiratory rate
|\ |\ |\
c. diarrhea for several days
|\ |\ |\ |\
d. vomiting or gastric suction - CORRECT ANSWERS ✔✔a.
|\ |\ |\ |\ |\ |\ |\ |\ |\
decreased respiratory rate|\ |\
|\ |\ |\ |\ |\ |\
A client who is recovering from surgery has been advanced from a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
clear liquid diet to a full liquid diet. The client is looking forward to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the diet change because he has been "bored" with the clear liquid
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
diet. The nurse would offer which full liquid item to the client?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
1. Tea
|\
2. Gelatin
|\
3. Custard
|\
4. Popsicle - CORRECT ANSWERS ✔✔3. Custard
|\ |\ |\ |\ |\ |\
A patient on a clear liquid diet is asking for something more. Of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
available options, which is appropriate? Select all that apply.
|\ |\ |\ |\ |\ |\ |\ |\
a. Chicken broth
|\ |\
b. Chicken noodle soup
|\ |\ |\
c. Popsicles
|\
d. Jello
|\
e. Coffee with cream
|\ |\ |\
f. Grape juice - CORRECT ANSWERS ✔✔a. Chicken broth
|\ |\ |\ |\ |\ |\ |\ |\
,c. Popsicles
|\
d. Jello
|\
A patient is NPO after midnight for a surgical procedure. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
statement if made by the patient, indicates further teaching for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
instruction?
a. I can only have sips of water after midnight
|\ |\ |\ |\ |\ |\ |\ |\ |\
b. I can take nothing at all by mouth after midnight
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
c. If the doctor orders it, I can take my oral meds with just a sip of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
water after midnight
|\ |\
d. My stomach and bowels will actually be affected by the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
anesthesia, just like my consciousness will - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔a. I can only have sips of water after midnight
|\ |\ |\ |\ |\ |\ |\ |\ |\
The nurse is making initial rounds on the nursing unit ti assess the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
condition of an assigned client. The nurse notes that a client's IV
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
site is cool, pale, and swollen, and the solution is not infusing. The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse concludes that which of the following complications has
|\ |\ |\ |\ |\ |\ |\ |\ |\
occurred?
1. Infection
|\
2. Phlebitis
|\
,3. Infiltration
|\
4. Thrombosis - CORRECT ANSWERS ✔✔3. Infiltration
|\ |\ |\ |\ |\ |\
The patient has 20 mg furosemide ordered IV. Before giving it, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse checks on the latest K+ values, knowing that furosemide is a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
loop diuretic and will decrease potassium significantly. What is the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
minimum value that the nurse will give medication without
|\ |\ |\ |\ |\ |\ |\ |\ |\
notifying the physician of hypokalemia? (mEq/L)
|\ |\ |\ |\ |\
A. 3.4 |\
B. 4.1|\
C. 4.5 |\
D. 5.2 - CORRECT ANSWERS ✔✔B. 4.1 mEq/L
|\ |\ |\ |\ |\ |\ |\
A patient has been admitted with dehydration secondary to N/V/D
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
after salmonella infection. The nurse expects an isotonic IV solution
|\ |\ |\ |\ |\ |\ |\ |\ |\
to be ordered. Which of the following are isotonic? SATA (table 40-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
7)
a. NS|\
b. D5W
|\
c. D5RL
|\
d. Lactated Ringer
|\ |\
, e. D5NS - CORRECT ANSWERS ✔✔a. NS
|\ |\ |\ |\ |\ |\
b. D5W
|\
d. Lactated Ringer
|\ |\
A patient is in the ICU and has the following blood gases. ABGs: pH
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
7.32, PCo2 46, HCO3 25. How should this be categorized?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a. Metabolic Acidosis
|\ |\
b. Metabolic Alkalosis
|\ |\
c. Respiratory Acidosis
|\ |\
d. Respiratory Alkalosis - CORRECT ANSWERS ✔✔c. Respiratory
|\ |\ |\ |\ |\ |\ |\ |\
Acidosis
What are the causes of respiratory acidosis?
|\ |\ |\ |\ |\ |\
a. decreased respiratory rate
|\ |\ |\
b. increased respiratory rate
|\ |\ |\
c. diarrhea for several days
|\ |\ |\ |\
d. vomiting or gastric suction - CORRECT ANSWERS ✔✔a.
|\ |\ |\ |\ |\ |\ |\ |\ |\
decreased respiratory rate|\ |\
