NURS 3632 EXAM 3 QUESTIONS AND
ANSWERS UPDATED AND VERIFIED
CORRECTLY 2024
1. 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: 3. Custard
2. A patient on a clear liquid diet is asking for something more. Of the available
options, which is appropriate? Select all that apply.
a. Chicken broth
b. Chicken noodle soup
c. Popsicles
d. Jello
e. Coffee with cream
f. Grape juice: a. Chicken broth
c. Popsicles
d. Jello
3. A patient is NPO after midnight for a surgical procedure. Which statement
if made by the patient, indicates further teaching for instruction?
a. I can only have sips of water after midnight
b. I can take nothing at all by mouth after midnight
c. If the doctor orders it, I can take my oral meds with just a sip of water after
midnight
,d. My stomach and bowels will actually be affected by the anesthesia, just like
my consciousness will: a. I can only have sips of water after midnight
4. The nurse is making initial rounds on the nursing unit ti assess the
condition of an assigned client. The nurse notes that a client's IV site is cool,
pale, and swollen, and the solution is not infusing. The nurse concludes that
which of the following complications has occurred?
1. Infection
2. Phlebitis
3. Infiltration
4. Thrombosis: 3. Infiltration
5. The patient has 20 mg furosemide ordered IV. Before giving it, the nurse
checks on the latest K+ values, knowing that furosemide is a loop diuretic
and will decrease potassium significantly. What is the minimum value that
the nurse will give medication without notifying the physician of
hypokalemia? (mEq/L)
A. 3.4
B. 4.1
C. 4.5
D. 5.2: B. 4.1 mEq/L
6. A patient has been admitted with dehydration secondary to N/V/D after
salmonella infection. The nurse expects an isotonic IV solution to be ordered.
Which of the following are isotonic? SATA (table 40-7) a. NS
b. D5W
c. D5RL
d. Lactated Ringer
e. D5NS: a. NS
b. D5W
d. Lactated Ringer
7. A patient is in the ICU and has the following blood gases. ABGs: pH 7.32,
PCo2 46, HCO3 25. How should this be categorized?
a. Metabolic Acidosis
,b. Metabolic Alkalosis
c. Respiratory Acidosis
d. Respiratory Alkalosis: c. Respiratory Acidosis
8. What are the causes of respiratory acidosis?
a. decreased respiratory rate
b. increased respiratory rate
c. diarrhea for several days
d. vomiting or gastric suction: a. decreased respiratory rate
9. A patient with vomiting from early pregnancy has been admitted. She is
quite dehydrated. Her electrolytes and ABGs were drawn to determine her
status and fluid needs. The values are listed below. Which electrolytes are out
of normal range, and what is the acid-base status?
Na 129; K+ 3.4, Mg 1.6
ABGs: pH 7.47; pCO2 46; HCO3 27 List
the abnormal values
a. metabolic alkalosis
b. metabolic acidosis
c. respiratory acidosis
d. respiratory alkalosis: Abnormal values: Na 129, K+ 3.4, all ABGs (all except
Mg) a. metabolic alkalosis
10. A patient with vomiting from early pregnancy has been admitted. She is
quite dehydrated. Her electrolytes and ABGs were drawn to determine her
status and fluid needs. The values are listed below. What IV fluids might be
anticipated?
Na 129; K+ 3.4, Mg 1.6
ABGs: pH 7.47; pCO2 46; HCO3 27
a. 1/2 NS at 100 ml/hr
b. D5W at 100 ml/hr
c. D5RL at 100 ml/hr
, d. NS with 20 mEq KCL at 100 ml/hr: D. NS with 20 mEc KCL at 100 ml/hr 11. A
patient has the following ABGs: pH: 7.51 pCO2: 48
HCO3: 32
What is going on here?
A. metabolic acidosis
B. metabolic alkalosis
C. respiratory acidosis
D. respiratory alkalosis: B. metabolic alkalosis 12. A patient has the following
ABGs: pH: 7.51 pCO2: 48 HCO3: 32
The respiratory is starting to compensate because the pCO2, which is an acid,
is also high. When metabolic alkalosis is fully compensated, which values
might we see in this patient?
a. pH 7.45; pCO2 49; HCO3 32
b. pH 7.35; pCO2 45; HCO3 26
c. pH 7.34; pCO2 47; HCO3 21
d. pH 7.46; pCO2 47; HCO3 27: a. pH 7.45; pCO2 49; HCO3 32
13. Arterial blood gases on a client with pneumonia indicate the client is in
respiratory acidosis. In order to best improve this acid-base imbalance, the
nurse implements which of the following interventions? Select all that apply.
1. Restrict oral fluid intake to water only
2. Ambulate client in hallways twice a shift
3. Encourage frequent cough and deep breathing exercises
4. Medicate with nonopiate pain medication frequently for intercostal muscle
pain
5. Give magnesium: 3. Encourage frequent cough and deep breathing exercises
4. Medicate with nonopiate pain medications frequently for intercostal muscle pain
14. Which of the following arterial blood gases (ABGs) would the nurse expect
to see when a client has apnea and develops acidosis?
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