ExamI2:INUR2356/INURI2356I(NewI2024/I
2025IUpdate)IMultidimensionalICareIII
CompleteIReviewIwithIQuestionsIandI
VerifiedIAnswers|IAIGradeI|I100%ICorrect-
IRasmussen
QUESTION
IpH:IPaCO2:IHCO3:
HCO3=
PaCO2=
Answer:
IpH:I7.35I-I7.45
PaCO2:I45I-I35
HCO3:I22I-I26
HCO3=IMetabolic
PaCO2=IRespiratoy
QUESTION
IAInurseIisIcaringIforIfourIclients.IWhichIofItheIfollowingIclientsIshouldItheInurseIidentifyIas
IhavingItheIhighestIriskIforIaspiration?IAIclientIwhoIhasIaIchestItubeIfollowingIaIfallIfromIaIl
adder,IAIclientIwhoIhadIaIhemi-
colectomyIandIplacementIofIaIcolostomy,IAIclientIreceivingIcontinuousIenteralIfeedingIthroug
hINGItube,IAIclientIwhoICrohn'sIdiseaseIandIhasIanIileostomy.
Answer:
IAIclientIreceivingIcontinuousIenteralIfeedingIthroughINGItube
QUESTION
,IAInurseIisIcaringIforIaIclientIwhoIhasImethicillin-
resistantIStaphylococcusIaureusI(MRSA)IinIanIabdominalIwound.TheInurseIentersItheIroomIto
IcheckItheIclient'sIpulse.IWhichIofItheIfollowingIactionsIshouldItheInurseItake?IWearIan
I
N95IrespiratorImask,IWearIsterileIgloves,IWearIcleanIgloves,IWearIprotectiveIeyewear.
Answer:
IWearIcleanIgloves.
QUESTION
IAInurseIisIprovidingInailIcareIforIaIclient.IWhichIofItheIfollowingIactionsIshouldItheInurseIt
ake?ICleanIunderItheInailIwithIanIorangeIstick,IFileItheInailsIinIaIroundedIshape,IPushItheIcut
iclesIbackIwithIaImetalInailIfile,ITrimItheInailsIatItheIlateralIcorners.
Answer:
ICleanIunderItheInailIwithIanIorangeIstick
QUESTION
IAInurseIisIperformingItracheostomyIcareIforIaIclientIandIsuctioningItoIremoveIcopiousIsecret
ions.IWhichIofItheIfollowingIactionsIshouldItheInurseItake?ISuctionItwoItoIthreeItimesIwithIaI
60-secondIpauseIbetweenIpass-
es,IPerformIchestIphysiotherapyIpriorItoIsuctioning,ILubricateItheIsuctionIcatheterItipIwithIster
ileIsaline,IHyperventilateItheIclientIonI100%IoxygenIpriorItoIsuctioning.
Answer:
ISuctionItwoItoIthreeItimesIwithIaI60-secondIpauseIbetweenIpasses.
QUESTION
IAIproviderIprescribesIaIsublingualImedicationIforIaIclientIwhoIhasIanINGItubeIinIplace.IWhi
chIofItheIfollowingIactionsIshouldItheInurseItake?IRequestIaIprescriptionIforIanIoralIformulati
onIofItheImedication,IAdministerItheIcrushedImedicationIthroughItheINGItube,IDissolveItheIm
edicationIinIwaterIandIgiveIitIthroughItheINGItube,IAdministerItheImedicationIunderItheIclien
t'sItongue.
Answer:
,IAdministerItheImedicationIunderItheIclient'sItongue.
QUESTION
IAInurseIisIcaringIforIanIadultIclientIwhoIisIscheduledIforIsurgery.IWhichIofItheIfollowingIsit
esIshouldItheInurseIassessIforIpossibleIplacementIofIanIIVIcatheter?I(SelectIallIthatIapply.)ICe
phalicIvein,IBasilicIvein,IGreatIsaphenousIvein,IDorsalIplexus,IandIExternalIjugularIvein.
Answer:
ICephalicIvein,IBasilicIvein.
QUESTION
IAInurseIisIreviewingIaIclient'sIlaboratoryIreportIofIarterialIbloodIgasI(ABG)Ifindings:IpHI7.2
8,IHCOI18ImEq/L,IandIPaCOI36ImmIHg.IWhichIofItheIfollowingIconditionsIshouldItheInurse
IanticipateIwhenIinterpretingItheseIfindings?IMetabolicIacidosis,IRespiratoryIacidosis,IMetabol
icIalkalosis.
Answer:
IMetabolicIaci-Idosis
QUESTION
IAInurseIisIadministeringIaIcleansingIenemaItoIaIclientIwhoIreportsImildIcramping.ITheIclient
IasksItheInurseItoIstopItheIenemaIandIallowIhimItoIgoItoItheIbathroom.IWhichIofItheIfollowin
gIactionsIshouldItheInurseItake?IDCItheIenema,IslowIenemaIbriefly,IContinueIenemaI&Ireassu
reIclient,IPauseIenema
&IgiveIoralIpainImeds.
Answer:
ISlowItheIflowIofIenemaIsolutionIbriefly.
QUESTION
IAInurseIisIpreparingItoIexitItheIroomIofIaIclientIwhoIhasImethicillin-re-
IsistantIStaphylococcusIaureusI(MRSA)IinIaIdrainingIwound.IIdentifyItheIsequenceItheInurseIs
houldIfollowIbeforeIleavingItheIclient'sIroom.
, Answer:
IGloves,Ieyewear,Igown,Imask,IthenIhandIhygiene.
QUESTION
IAInurseIisIplanningIhomeIcareIforIaI9-year-
oldIchildIfollowingIanIacuteIexacerbationIofIasthma.IWhichIofItheIfollowingIofIErikson'sIdeve
lopmentalIstagesIshouldItheInurseIconsiderIinItheIplanning?
Answer:
IIndustryIvs.Iinferiority
I
QUESTION
IAIchargeInurseIisIreviewingIguidelinesIforIinitiatingIairborneIprecautions.IWhichIofItheIfollo
wingIclientsIshouldItheInurseIidentifyIasIrequiringIairborneIprecautions
Answer:
IAIclientIwhoIhasImeasles
QUESTION
IAInurseIisIcaringIforIaIclientIwhoIisIpostoperativeIfollowingIanIappendec-
Itomy.ITheIsurgeonIinitiallyIprescribesIaIclearIliquidIdiet.IWhichIofItheIfollowingIitemsIshoul
dItheInurseIofferItheIclient?
Answer:
IBroth,IGrape,IandILemonIgelatin
QUESTION
IAInurseIisIassessingIaIclientIwhoIhasIaIsodiumIlevelIofI116ImEq/L.IWhatIfindingsIshouldIth
eInurseIexpect?
Answer:
