HURST EXAM 2 QUESTIONS AND
ANSWERS COMPLETE LATEST GUIDE
A+ GRADED
,Question 1
A nurse has received the following arterial blood gas results on a client with
a post bowel resection: pH 7.48; PCO2 30; HCO3 24. Which acid/base
imbalance is the client experiencing?
You answered this question Incorrectly
1. Metabolic alkalosis
2. Metabolic acidosis
3. Respiratory alkalosis
4. Respiratory acidosis
Rationale
Strategies
3. Correct: The pH is high, indicating alkalosis. The PCO2 is low, which
coordinates with a high pH, indicating a lung problem. This client is in
respiratory alkalosis, not acidosis. The bicarbonate is normal.
1. Incorrect: The bicarbonate is normal. In metabolic alkalosis, the
bicarbonate will be increased. A pH of 7.48 is an alkalosis.
2. Incorrect: Normal pH is 7.35-7.45. Anything less than 7.35 is an
acidosis. Anything greater than 7.45 is an alkalosis.
4. Incorrect: The pH is high, indicating alkalosis. The PCO2 is low, which
coordinates with a high pH, indicating a lung problem: Respiratory
alkalosis, not acidosis. The bicarbonate is normal.
The nurse is teaching a client regarding buspirone. The nurse recognizes
that teaching has been effective when the client makes which statements?
You answered this question Incorrectly
1. "I should start feeling better in two or three days."
, 2. "I should not drink alcohol while taking this medication."
3. "I will rise slowly from lying to sitting or standing."
4. "I will notify my primary healthcare provider of any unusal facial
movements."
5. "I need to keep the medication in a closed container in the
refrigerator."
Rationale
Strategies
2. , 3., & 4. Correct: These are correct statements that indicate that the
client understands the teaching about this medication. Combined with
alcohol use, the client may develop dizziness or drowsiness.
Buspirone may cause orthostatic hypotension, so position changes are
made slowly. The primary healthcare provider should be notified of any
abnormal facial movements. The therapeutic effect occurs in 3-4 weeks.
1. Incorrect: Buspirone has a lag time of 10-14 days between start of
therapy and subsiding of symptoms. The client must take the medication
regularly, as ordered, so that it has sufficient time to take effect.
5. Incorrect: Store this medication in a container at room
temperature below 86°F (30°C). The container should be kept away from
light and moistu
Question:2
Which factor would most likely predispose a client to developing shock
following a fracture of the femur?
You answered this question Correctly
1. Pooling of the blood in the lower leg
2. Generalized vasoconstriction in the lower extremities
, 3. Loss of blood into soft tissues surrounding the fracture
4. Depression of the adrenal gland by toxins released at the injury
Rationale
Strategies
3. Correct: After a fracture, the factor that would most likely lead to shock
is loss of blood into the soft tissue surrounding the fracture. When
fractures occur, the ends of the bones can sever major arteries, causing
loss of blood into the surrounding tissue.
1. Incorrect: If the leg with the fracture is placed in a dependent position for
an extended time, bleeding into the surrounding tissue is more acute.
Pooling of blood in the lower extremities is a possibility.
2. Incorrect: Vasoconstriction in the lower extremities is an appropriate
compensatory response for a “shocky” client. Vasoconstriction of the lower
extremities will increase blood pressure.
4. Incorrect: The adrenal glands are located on top of the kidneys and
control steroids. They are not depressed by toxins related to injury, but it
sounded good, right?
Question:3
Which factor would most likely predispose a client to developing shock
following a fracture of the femur?
You answered this question Correctly
1. Pooling of the blood in the lower leg
2. Generalized vasoconstriction in the lower extremities
3. Loss of blood into soft tissues surrounding the fracture
4. Depression of the adrenal gland by toxins released at the injury
ANSWERS COMPLETE LATEST GUIDE
A+ GRADED
,Question 1
A nurse has received the following arterial blood gas results on a client with
a post bowel resection: pH 7.48; PCO2 30; HCO3 24. Which acid/base
imbalance is the client experiencing?
You answered this question Incorrectly
1. Metabolic alkalosis
2. Metabolic acidosis
3. Respiratory alkalosis
4. Respiratory acidosis
Rationale
Strategies
3. Correct: The pH is high, indicating alkalosis. The PCO2 is low, which
coordinates with a high pH, indicating a lung problem. This client is in
respiratory alkalosis, not acidosis. The bicarbonate is normal.
1. Incorrect: The bicarbonate is normal. In metabolic alkalosis, the
bicarbonate will be increased. A pH of 7.48 is an alkalosis.
2. Incorrect: Normal pH is 7.35-7.45. Anything less than 7.35 is an
acidosis. Anything greater than 7.45 is an alkalosis.
4. Incorrect: The pH is high, indicating alkalosis. The PCO2 is low, which
coordinates with a high pH, indicating a lung problem: Respiratory
alkalosis, not acidosis. The bicarbonate is normal.
The nurse is teaching a client regarding buspirone. The nurse recognizes
that teaching has been effective when the client makes which statements?
You answered this question Incorrectly
1. "I should start feeling better in two or three days."
, 2. "I should not drink alcohol while taking this medication."
3. "I will rise slowly from lying to sitting or standing."
4. "I will notify my primary healthcare provider of any unusal facial
movements."
5. "I need to keep the medication in a closed container in the
refrigerator."
Rationale
Strategies
2. , 3., & 4. Correct: These are correct statements that indicate that the
client understands the teaching about this medication. Combined with
alcohol use, the client may develop dizziness or drowsiness.
Buspirone may cause orthostatic hypotension, so position changes are
made slowly. The primary healthcare provider should be notified of any
abnormal facial movements. The therapeutic effect occurs in 3-4 weeks.
1. Incorrect: Buspirone has a lag time of 10-14 days between start of
therapy and subsiding of symptoms. The client must take the medication
regularly, as ordered, so that it has sufficient time to take effect.
5. Incorrect: Store this medication in a container at room
temperature below 86°F (30°C). The container should be kept away from
light and moistu
Question:2
Which factor would most likely predispose a client to developing shock
following a fracture of the femur?
You answered this question Correctly
1. Pooling of the blood in the lower leg
2. Generalized vasoconstriction in the lower extremities
, 3. Loss of blood into soft tissues surrounding the fracture
4. Depression of the adrenal gland by toxins released at the injury
Rationale
Strategies
3. Correct: After a fracture, the factor that would most likely lead to shock
is loss of blood into the soft tissue surrounding the fracture. When
fractures occur, the ends of the bones can sever major arteries, causing
loss of blood into the surrounding tissue.
1. Incorrect: If the leg with the fracture is placed in a dependent position for
an extended time, bleeding into the surrounding tissue is more acute.
Pooling of blood in the lower extremities is a possibility.
2. Incorrect: Vasoconstriction in the lower extremities is an appropriate
compensatory response for a “shocky” client. Vasoconstriction of the lower
extremities will increase blood pressure.
4. Incorrect: The adrenal glands are located on top of the kidneys and
control steroids. They are not depressed by toxins related to injury, but it
sounded good, right?
Question:3
Which factor would most likely predispose a client to developing shock
following a fracture of the femur?
You answered this question Correctly
1. Pooling of the blood in the lower leg
2. Generalized vasoconstriction in the lower extremities
3. Loss of blood into soft tissues surrounding the fracture
4. Depression of the adrenal gland by toxins released at the injury
