Chapter 10, 41, 29, & 30. 2026
Exam Questions and Answers |
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The nurse is caring for a client who has a diagnosis of syndrome of
inappropriate antidiuretic hormone secretion. The plan of care includes
assessment of specific gravity every four hours. The results of this test
will allow the nurse to assess which aspect of the client's health?
A. Nutritional status
,B. Potassium balance
C. Calcium balance
D. Fluid volume status - ANSWER ✔✔D. Fluid volume status
The nurse is caring for a client admitted with a diagnosis of acute kidney
injury. When reviewing the client's most recent laboratory reports, the
nurse notes that the client's magnesium levels are high. The nurse
should prioritize assessment for what health problem?
A. Diminished deep tendon reflexes
B. Tachycardia
C. Cool, clammy skin
D. Acute flank pain - ANSWER ✔✔A. Diminished deep tendon
reflexes
The nurse is working on a burn unit and an acutely ill client is exhibiting
signs and symptoms of third spacing. Based on this change in status,
the nurse should expect the client to exhibit signs and symptoms of
which imbalance?
,A. Metabolic alkalosis
B. Hypermagnesemia
C. Hypercalcemia
D. Hypovolemia - ANSWER ✔✔D. Hypovolemia
A client with a longstanding diagnosis of generalized anxiety disorder
presents to the emergency room. The triage nurse notes upon
assessment that the client is hyperventilating. The triage nurse is aware
that hyperventilation is the most common cause of which acid-base
imbalance?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Increased PaCO2
D. Metabolic acidosis - ANSWER ✔✔B. Respiratory alkalosis
The emergency-room nurse is caring for a trauma client who has the
following arterial blood gas results: pH 7.26, PaCO2 28, HCO3 11
mEq/L. How should the nurse interpret these results?
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, A. Respiratory acidosis with no compensation
B. Metabolic alkalosis with compensatory alkalosis
C. Metabolic acidosis with no compensation
D. Metabolic acidosis with compensatory respiratory alkalosis -
ANSWER ✔✔D) Metabolic acidosis with a compensatory respiratory
alkalosis
While assessing a client's peripheral IV site, the nurse observes edema
and coolness around the insertion site. How should the nurse document
this observation?
A. Air embolism
B. Phlebitis
C. Infiltration
D. Fluid overload - ANSWER ✔✔C. Infiltration
The nurse is performing an admission assessment on a 79-year-old
client newly admitted for end-stage liver disease. What principle should
guide the nurse's assessment of the client's skin turgor?