Exam (elaborations)
NUR 205: Final Exam Preparation - Exam 3
- Course
- Hondros Nursing 205
- Institution
- Hondros College School Of Nursing
NUR 205: Final Exam Preparation - Exam 3
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NUR 205: Final Exam Preparation - Exam 4A pt has dehydration. While planning care, the nurse considers that the majority of the pts total water
volume exists in with compartment? - correct answer ✔✔Intracellular
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? - correct answer ✔✔osmosis
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? - correct answer ✔✔Hydrostatic pressure
The nurse administers an intravenous (IV) hypertonic solution to a patient. In which direction will the
fluid shift? - correct answer ✔✔From intracellular to extracellular
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. - correct answer ✔✔3,2,4,1,5,7,6
The nurse is reviewing laboratory results. Which cation will the nurse observe is the most abundant in
the blood? - correct answer ✔✔Sodium
The nurse receives the patient's most recent blood work results. Which laboratory value is of
greatest concern?
,a. Sodium of 145 mEq/L
b. Calcium of 15.5 mg/dL
c. Potassium of 3.5 mEq/L
d. Chloride of 100 mEq/L - correct answer ✔✔Calcium
The nurse observes that the patient's calcium is elevated. When checking the phosphate level, what
does the nurse expect to see? - correct answer ✔✔Decreased level
Four patients arrive at the emergency department at the same time. Which patient will the
nurse see first?
a. An infant with temperature of 102.2° F and diarrhea for 3 days
b. A teenager with a sprained ankle and excessive edema
c. A middle-aged adult with abdominal pain who is moaning and holding her
stomach
d. An older adult with nausea and vomiting for 3 days with blood pressure 112/60 - correct answer
✔✔Infant
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. - correct answer ✔✔1,2,3,4
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? - correct answer ✔✔Respiratory acidosis
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? - correct answer ✔✔Metabolic alkalosis
Which blood gas result will the nurse expect to observe in a patient with respiratory
alkalosis?
a. pH 7.60, PaCO2 40 mm Hg, HCO3 30 mEq/L
b. pH 7.53, PaCO2 30 mm Hg, HCO3 24 mEq/L
c. pH 7.35, PaCO2 35 mm Hg, HCO3 26 mEq/L
d. pH 7.25, PaCO2 48 mm Hg, HCO3 23mEq/L - correct answer ✔✔7.53, 30, 24
A nurse is caring for a patient whose ECG presents with changes characteristic of hypokalemia. Which
assessment finding will the nurse expect? - correct answer ✔✔Abdominal Distention
In which patient will the nurse expect to see a positive Chvostek sign?
a. A 7-year-old child admitted for severe burns
b. A 24-year-old adult admitted for chronic alcohol abuse
c. A 50-year-old patient admitted for an acute exacerbation of hyperparathyroidism
d. A 75-year-old patient admitted for a broken hip related to osteoporosis - correct answer ✔✔Alcohol
abuse
A patient is experiencing respiratory acidosis. Which organ system is responsible for
compensation in this patient? - correct answer ✔✔Renal
A nurse is caring for a patient with peripheral intravenous (IV) therapy. Which task will the
nurse assign to the nursing assistive personnel?
a. Recording intake and output
b. Regulating intravenous flow rate
c. Starting peripheral intravenous therapy
d. Changing a peripheral intravenous dressing - correct answer ✔✔I&O'S
, The nurse is caring for a diabetic patient in renal failure who is in metabolic acidosis. Which
laboratory findings are consistent with metabolic acidosis?
a. pH 7.3, PaCO2 36 mm Hg, HCO3 19 mEq/L
b. pH 7.5, PaCO2 35 mm Hg, HCO3 35 mEq/L
c. pH 7.32, PaCO2 47 mm Hg, HCO3 23 mEq/L
d. pH 7.35, PaCO2 40 mm Hg, HCO3 25 mEq/L - correct answer ✔✔A
The nurse is assessing a patient and finds crackles in the lung bases and neck vein distention. Which
action will the nurse take first?
a. Offer calcium-rich foods.
b. Administer diuretic.
c. Raise head of bed
d. increase fluids - correct answer ✔✔HOB
A chemotherapy patient has gained 5 pounds in 2 days. Which assessment question by the
nurse is most appropriate?
a. "Are you following any weight loss program?"
b. "How many calories a day do you consume?"
c. "Do you have dry mouth or feel thirsty?"
d. "How many times a day do you urinate? - correct answer ✔✔Asses for output
The health care provider has ordered a hypotonic intravenous (IV) solution to be
administered. Which IV bag will the nurse prepare?
a. 0.45% sodium chloride (1/2 NS)
b. 0.9% sodium chloride (NS)
c. Lactated Ringer's (LR)
d. Dextrose 5% in Lactated Ringer's (D5LR) - correct answer ✔✔.45%
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