University Of Texas - Arlington -NURS 3632
EXAM 3 QUESTIONS AND ANSWERS
.A 16-year-old patient has been diagnosed with Body Image Disturbance related to severe acne. In
planning nursing care, what is an appropriate goal for this patient?
a. The patient will make above-B grades in all tests at school.
b. The patient will demonstrate, by diet control and skin care, increased interest in control of acne.
c. The patient reports that she feels more self-confident in her music and art, which she enjoys.
d. The patient expresses that she is very smart in school. - ANSWER-b. The patient will demonstrate, by
diet control and skin care, increased interest in control of acne.
.A 33-year-old businessperson is in counseling, attempting to deal with a long-repressed history of
sexual abuse by her father. "I guess I should feel satisfied with what I've achieved in life, but I'm never
content, and nothing I achieve makes me feel good about myself.... I hate my father for making me feel
like I'm no good. This is an awful way to live." What self-concept disturbance is this person
experiencing?
a. Personal Identity Disturbance
b. Body Image Disturbance
c. Self-Esteem Disturbance
d. Altered Role Performance - ANSWER-c. Self-Esteem Disturbance
.A 36-year-old is admitted with vomiting and dehydration after having the flu for 3 days. ABG results are
pH 7.46, PaCO2 50, HCO3 33, SaO2 95%. What do these values indicate to the nurse?
1. metabolic acidosis, uncompensated
2. respiratory acidosis, compensated
3. metabolic alkalosis, partially compensated
4. metabolic alkalosis, uncompensated - ANSWER-3. metabolic alkalosis, partially compensated
,.A 36-year-old woman enters the emergency department with severe burns and cuts on her face after
an auto accident in a car driven by her fiancé of 3 months. Three weeks later, her fiancé has not yet
contacted her. The patient states that she is very busy and she is too tired to have visitors anyway. The
patient frequently lies with her eyes closed and head turned away. What do these data suggest?
a. There is no disturbance in self-concept.
b. This patient has ego strength and high self-esteem but may have a disturbance of body image.
c. The area of self-esteem has very low priority at this time and should be ignored until much later.
d. It is probable that there are disturbances in self-esteem and body image - ANSWER-d. It is probable
that there are disturbances in self-esteem and body image
.A 57-year-old client is admitted with a diagnosis of acute myocardial infarction. ABG results are pH 7.36,
PaCO2 29, HCO3 20, SaO2 100%. The nurse interprets that this client is:
1. well-oxygenated with uncompensated respiratory alkalosis
2. hypoxemia with compensated respiratory acidosis
3. well-oxygenated with compensated metabolic acidosis
4. hypoxemia with compensated metabolic acidosis - ANSWER-3. well-oxygenated with compensated
metabolic acidosis
.A 70-year-old patient who has had a number of strokes refuses further life-sustaining interventions,
including artificial nutrition and hydration. She is competent, understands the consequences of her
actions, is not depressed, and persists in refusing treatment. Her health care provider is adamant that
she cannot be allowed to die this way, and her daughter agrees. An ethics consult has been initiated.
Who would be the appropriate decision maker?
a. The patient
b. The patient's daughter
c. The patient's health care provider
d. The ethics consult team - ANSWER-a. The patient
,.A 71-year-old client develops HTN, tachycardia, and increased respirations two days after surgery. ABG
results are pH 7.29, PaCO2 52, HCO3 24, SaO2 95%. The nurse interprets that these results indicate
which of the following?
1. Respiratory acidosis, uncompensated
2. Respiratory acidosis, partially compensated
3. Respiratory acidosis, uncompensated
4. Metabolic acidosis , partially compensated - ANSWER-1. Respiratory acidosis, uncompensated
.A client admitted to the emergency department with chest injuries following a motor vehicle accident
complains that it hurts to breathe. The client's respiratory rate is 12 and very shallow. The nurse would
anticipate which of the following results on the ABGs?
1. pH 7.42, PaCO2 41, HCO3 23, SaO2 96%
2. pH 7.31, PaCO2 49, HCO3 24, SaO2 87%
3. pH 7.49, PaCO2 34, HCO3 30, SaO2 89%
4. pH 7.38, PaCO2 38, HCO3 22, SaO2 90% - ANSWER-2. pH 7.31, PaCO2 49, HCO3 24, SaO2 87%
.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 - ANSWER-3. Custard
.A client with COPD is admitted to the hospital with an exacerbation of the disease. Arterial blood gas
(ABG) results are pH 7.30, PaCO2 51, and HCO3 25. How would the nurse interpret these?
1. Respiratory acidosis, uncompensated
, 2. Respiratory alkalosis, partially compensated
3. Respiratory acidosis, compensated
4. Metabolic acidosis , compensated - ANSWER-1. Respiratory acidosis, uncompensated
.A college freshman away from home for the first time says to a counselor, "Why did I have to be born
into a family of big bottoms and short fat legs! No one will ever ask me out for a date. Oh, why can't I
have long thin legs like everyone else in my class? What a frump I am." What type of disturbance in self-
concept is this patient experiencing?
a. Personal Identity Disturbance
b. Body Image Disturbance
c. Self-Esteem Disturbance
d. Altered Role Performance - ANSWER-b. Body Image Disturbance
.A home health care nurse has been visiting a patient with AIDS who says, "I'm no longer afraid of dying.
I think I've made my peace with everyone, and I'm actually ready to move on." This reflects the patient's
progress to which stage of death and dying?
a. Acceptance
b. Anger
c. Bargaining
d. Denial - ANSWER-a. Acceptance
.A hospice nurse is caring for a patient who is dying of pancreatic cancer. The patient tells the nurse "I
feel no connection to God" and "I'm worried that I find no real meaning in life." What would be the
nurse's best response to this patient?
a. Give the patient a hug and tell him that his life still has meaning.
b. Arrange for a spiritual adviser to visit the patient.
c. Ask if the patient would like to talk about his feelings.
d. Call in a close friend or relative to talk to the patient. - ANSWER-c. Ask if the patient would like to talk
about his feelings.
