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NURS 2873 final prep chapters 42 fundamentals, 9 , 19, 15 Giddens, 35 MED/SURG

Quiz by Kelsey Maier

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105 questions
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  • Q1
    A patient has dehydration. While planning care, the nurse considers that the majority of the patient’s total water volume exists in with compartment?
    Transcellular
    Intravascular
    Intracellular
    Extracellular
    60s
  • Q2
    The nurse is teaching about the process of passively moving water from an area of lower particle concentration to an area of higher particle concentration. Which process is the nurse describing?
    Filtration
    Diffusion
    Active transport
    Osmosis
    60s
  • Q3
    The nurse observes edema in a patient who has venous congestion from right heart failure. Which type of pressure facilitated the formation of the patient’s edema?
    Hydrostatic
    Osmotic
    Concentration
    Oncotic
    60s
  • Q4
    The nurse administers an intravenous (IV) hypertonic solution to a patient. In which direction will the fluid shift?
    From extracellular to intracellular
    From intravascular to intracellular
    From intravascular to interstitial
    From intracellular to extracellular
    60s
  • Q5
    A nurse is preparing to start peripheral intravenous (IV) therapy. In which order will the nurse perform the steps starting with the first one? 1. Clean site. 2. Select vein. 3. Apply tourniquet. 4. Release tourniquet. 5. Reapply tourniquet. 6. Advance and secure. 7. Insert vascular access device
    3, 2, 4, 1, 5, 7, 6
    1, 3, 2, 5, 7, 6, 4
    3, 2, 1, 5, 7, 6, 4
    1, 3, 2, 7, 5, 4, 6
    60s
  • Q6
    The nurse is reviewing laboratory results. Which cation will the nurse observe is the most abundant in the blood?
    Sodium
    Magnesium
    Chloride
    Potassium
    60s
  • Q7
    The nurse receives the patient’s most recent blood work results. Which laboratory value is of greatest concern?
    Potassium of 3.5 mEq/L
    Chloride of 100 mEq/L
    Sodium of 145 mEq/L
    Calcium of 15.5 mg/dL
    60s
  • Q8
    The nurse observes that the patient’s calcium is elevated. When checking the phosphate level, what does the nurse expect to see?
    Equal to calcium
    Increased
    Decreased
    No change in phosphate
    60s
  • Q9
    Four patients arrive at the emergency department at the same time. Which patient will the nurse see first?
    An infant with temperature of 102.2° F and diarrhea for 3 days
    An older adult with nausea and vomiting for 3 days with blood pressure 112/60
    A middle-aged adult with abdominal pain who is moaning and holding her stomach
    A teenager with a sprained ankle and excessive edema
    60s
  • Q10
    The patient has an intravenous (IV) line and the nurse needs to remove the gown. In which order will the nurse perform the steps, starting with the first one? 1. Remove the sleeve of the gown from the arm without the IV. 2. Remove the sleeve of the gown from the arm with the IV. 3. Remove the IV solution container from its stand. 4. Pass the IV bag and tubing through the sleeve.
    2, 3, 4, 1
    1, 2, 3, 4
    4, 1, 2, 3
    3, 4, 1, 2
    60s
  • Q11
    A 2-year-old child is brought into the emergency department after ingesting a medication that causes respiratory depression. For which acid-base imbalance will the nurse most closely monitor this child?
    Metabolic alkalosis
    Respiratory acidosis
    Respiratory alkalosis
    Metabolic acidosis
    60s
  • Q12
    A patient is admitted for a bowel obstruction and has had a nasogastric tube set to low intermittent suction for the past 3 days. Which arterial blood gas values will the nurse expect to observe?
    Respiratory acidosis
    Metabolic alkalosis
    Metabolic acidosis
    Respiratory alkalosis
    60s
  • Q13
    Which blood gas result will the nurse expect to observe in a patient with respiratory alkalosis?
    pH 7.25, PaCO2 48 mm Hg, HCO3– 23 mEq/L
    pH 7.35, PaCO2 35 mm Hg, HCO3– 26 mEq/L
    pH 7.53, PaCO2 30 mm Hg, HCO3– 24 mEq/L
    pH 7.60, PaCO2 40 mm Hg, HCO3– 30 mEq/L
    60s
  • Q14
    A nurse is caring for a patient whose ECG presents with changes characteristic of hypokalemia. Which assessment finding will the nurse expect?
    Flushed skin
    Distended neck veins
    Abdominal distention
    Dry mucous membranes
    60s
  • Q15
    In which patient will the nurse expect to see a positive Chvostek sign?
    A 24-year-old adult admitted for chronic alcohol abuse
    A 7-year-old child admitted for severe burns
    A 75-year-old patient admitted for a broken hip related to osteoporosis
    A 50-year-old patient admitted for an acute exacerbation of hyperparathyroidism
    60s

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