Nc2 Fluid And Electrolyte Quiz

Front 1

A 7mo old has not taken in sufficient amounts of fluids for several days - which finding would you expect? a) Decreased bilirubin; b) Decreased hematocrit; c) Decreased specific gravity; d) Increased central venous pressure

Back 1

b) Decreased hematocrit

Front 2

Carbohydrates help: a) Provide reserve energy; b) Growth & repair of tissue; c) Provide the fuel for energy; d) With bone growth & metabolism

Back 2

c) Provide the fuel for energy

Front 3

Your Pt teaching session for a Pt with stress incontinence would be to perform which exercises? a) Isotonic exercises; b) Pelvic tilt; c) Kegel's exercises; d) Quadriceps setting

Back 3

c) Kegel's exercises

Front 4

The way to reduce trauma while suctioning is to: a) Limit suctioning to 15 seconds; b) Apply suction only when introducing the catheter; c) Apply suction only when withdrawing the catheter; d) Lubricate the catheter with petroleum jelly prior to insertion

Back 4

c) Apply suction only when withdrawing the catheter

Front 5

What IV fluid would you expect the doctor to order for a Pt who is hypovolemic? a) 1.10% dextrose; b) 2.5% dextrose; c) 0.9% normal saline; d) D5/.45 normal saline

Back 5

c) 0.9% normal saline

Front 6

Ordered: 1000 cc isotonic saline IV over the next eight hours, which bag of solution will you hang? a) 0.9 normal saline; b) 0.25 normal saline; c) 0.45 normal saline; d) 5.0 normal saline

Back 6

a) 0.9 normal saline

Front 7

The best way to assess peripheral vascular perfusion is to assess the: a) Assess distal pulse; b) Assess color of extremities; c) Assess sensation in extremities; d) Assess temperature of extremities

Back 7

a) Assess distal pulse

Front 8

Which part of any diet program is the most important factor for success? a) Patient compliance; b) Knowledge of good nutrition; c) Knowledge of the need for the diet; d) Having the diet based on the Pt's personal preference

Back 8

a) Patient compliance

Front 9

Which finding may be a direct result of the presence of a urinary catheter? a) Blood in the urine; b) Dark colored urine; c) Decreased hourly output; d) A constant feeling of fullness in the abdomen

Back 9

a) Blood in the urine

Front 10

You would expect a Pt with hypokalemia to exhibit all of the following symptoms except: a) Flat T-wave; b) Paralytic ileus; c) Peaked T-wave; d) Muscle weakness

Back 10

c) Peaked T-wave

Front 11

You are observing a newborn lower respiratory obstruction-You should be especially alert for: a) High-pitched crying; b) Loud wheezing; c) Sternal retractions; d) Shallow, slow respirations

Back 11

c) Sternal retractions

Front 12

During digital removal of an impaction you should observe Pt for what type of reaction? a) Vomiting; b) Bradycardia; c) Tachycardia; d) Hyperventilation

Back 12

b) Bradycardia

Front 13

The correct term for a severe generalized accumulation of fluid in the tissues is: a) Adipose; b) Anasarca; c) Pitting edema ; d) Dependent edema

Back 13

b) Anasarca

Front 14

Your Pt has frequent oozing of small amounts of liquid stool. She most likely has a(n): a) Ileus; b) Fecal impaction; c) Intestinal infection ; d) Electrolyte imbalance

Back 14

b) Fecal impaction

Front 15

Your Pt should be instructed to take her prenatal vitamins with iron: a) With meals or with milk; b) With orange juice; c) An empty stomach; d) With at least two full glasses of water

Back 15

b) With orange juice

Front 16

It is important that your vegetarian Pt realize that the only source of nitrogen is from intake of: a) Fats; b) Sugars; c) Protein; d) Carbohydrates

Back 16

c) Protein

Front 17

Overuse of K+ supplements can lead to hyperkalemia. Which Sx would most likely occur as a result? a) Tetany; b) Arrhythmia; c) Intestinal disturbances; d) Positive Trousseau's sign

Back 17

b) Arrhythmia

Front 18

More than 3 tap water enemas in a row can result in: a) Hypovolemia; b) Hypokalemia; c) Hypernatremia; d) Water Intoxication

Back 18

d) Water Intoxication

Front 19

The best way for a post MI Pt to reduce cellular oxygen demand is to: a) Plan activities interspersed with frequent rest periods; b) Perform isometric exercises daily; c) Plan a progressive exercise program; d) Perform range of motion exercises several times a day

Back 19

a) Plan activities interspersed with frequent rest periods

Front 20

Which food should you recommend that helps promote regularity? a) Eggs; b) Lettuce; c) Tomato juice; d) Kidney beans

Back 20

d) Kidney beans

Front 21

For your Pt taking a loop diuretic & K+ supplement, the first symptom of hyperkalemia will most likely be: a) Hypertension; b) Intestinal distention; c) Hypersensitivity; d) Anxiety & irritability

Back 21

d) Anxiety & irritability

Front 22

Your Pt has crackles & wheezes bilaterally- the most appropriate nursing Dx would be: a) Ineffective gas exchange; b) Ineffective airway clearance; c) Ineffective breathing patterns; d) Altered respiratory function

Back 22

b) Ineffective airway clearance

Front 23

Your Pt, recovering from pneumonia, has only had 140 cc of dark amber urine in the past three hours. Which nursing action would be most appropriate? a) Offer cranberry juice; b) Encourage fluid intake; c) Do nothing since output is adequate; d) Irrigate the catheter with sterile saline

Back 23

b) Encourage fluid intake

Front 24

Your Pt has a nursing Dx of "communication. impaired verbal". Which statement about his condition must be true? a) He can understand others; b) His native language is something other than English¬; c) He has had a cerebral vascular accident; d) He can neither speak nor understand the spoken word

Back 24

a) He can understand others

Front 25

Tissues in your Pt’s wastebasket contain purulent, greenish-yellow sputum. Which condition is he most likely suffering from? a) A lung tumor; b) Viral bronchitis; c) Pulmonary edema; d) A bacterial infection

Back 25

a) A lung tumor

Front 26

The Kardex indicates that your Pt needs to increase her fluid intake. What is her most likely Dx? a) Renal failure; b) Renal calculi; c) Pulmonary edema; d) Congestive heart failure

Back 26

b) Renal calculi

Front 27

An 11-month-old infant with chronic respiratory congestion is to receive postural drainage every three hours- you know that the first step you must take to perform this intervention is to: a) Suction his oropharynx; b) Position him on pillows on your lap; c) Administer the ordered analgesic; d) Obtain assistance so the infant can be properly restrained during the procedure

Back 27

a) Suction his oropharynx

Front 28

To assess the anterior fontanelle on a 7 mo infant, you must place the infant in which position? a) Supine; b) Semi-Fowlers; c) Upright; d) Cradled securely in the your arms or the parent's arms

Back 28

c) Upright

Front 29

Your 11-year-old with a broken arm in a cast should be taught to do which type of exercises? a) Quadriceps setting; b) Passive range of motion; c) Isometric; d) Active range of motion

Back 29

c) Isometric

Front 30

The most important information you can give your Pt learning to walk with a cane is to: a) Hold the cane with the hand on the affected side; b) Wear sturdy shoes with non-skid rubber soles; c) Move the cane at the same time the good leg moves; d) Keep the cane out away from her body

Back 30

b) Wear sturdy shoes with non-skid rubber soles

Front 31

Your Pt is a showing sign that she may be developing a thrombus in her left leg. Which symptom would she most likely exhibit? a) Pain in the calf upon dorsiflexion the left foot; b) Both feet & legs noticeably cooler than the rest of the body; c) Bluish hue to the left calf; d) Discomfort in the left calf when performing a straight leg lift with the right leg

Back 31

a) Pain in the calf upon dorsiflexion the left foot

Front 32

Your Pt is 3 days post CVA - his forearms are exhibiting poor skin turgor. Your next intervention should be: a) Start IV fluids immediately; b) Notify the physician; c) Assess the skin turgor over the sternum; d) Encourage increased fluid intake

Back 32

c) Assess the skin turgor over the sternum

Front 33

IV orders read, "give 1500 cc D5LR over the next 8 hours, 1000 cc D5 over the next 8 hours & then decrease the rate to 30 cc/hour for the next 8 hours. Your IV set is 12 gtt/cc. What will be the number of drops per minute for each eight-hour period? a) 187, 125, 30; b) 50, 25, 15; c) 46, 31, 15; d) 38, 25, 6

Back 33

d) 38, 25, 6

Front 34

A 5 yo, is suffering from a sleep pattern disturbance. Which statement by her parents best indicates that your discharge teaching has been effective: a) "We will make sure that she gets plenty of regular exercise."; b) "We will give her a warm beverage with her bedtime snack every night"; c) "We will encourage her to take naps whenever she needs one."; d) "We will establish & closely adhere to bedtime rituals."

Back 34

d) "We will establish & closely adhere to bedtime rituals."

Front 35

The most appropriate nursing Dx for a Pt with mitral valve prolapse with SOB & racing heart with mild exertion would be: a) Activity intolerance; b) Ineffective individual Coping; c) Fatigue; d) Mobility Impaired Physical

Back 35

a) Activity intolerance

Front 36

Sweat glands are found in which layer of the skin? a) Epidermis; b) Dermis; c) Stratus granulosum; d) Stratum corneum

Back 36

b) Dermis

Front 37

Your Pt has been diagnosed with sleep apnea. Which symptom did he most likely exhibit? a) Frequent awakening during the night; b) Fear of falling asleep; c) Loud snoring; d) Rapid, shallow respirations, followed by periods of apnea

Back 37

c) Loud snoring

Front 38

Your Pt must be repositioned to the left lateral Sim’s position. You should be sure to place pillows: a) Under the head; b) Under the head & right knee; c) Under the head & right arm; d) Under the head, right arm & right knee

Back 38

d) Under the head, right arm & right knee

Front 39

Your young Pt suffers from somnambulism- His parents should be instructed that the most important goal is for them to: a) Assist in determining the underlying cause; b) Prevent reoccurrence by increasing medications as necessary; c) Provide of a safe environment; d) Assist in decreasing the frequency of the episodes

Back 39

c) Provide of a safe environment

Front 40

Your Pt has a nursing Dx of Sleep Pattern Disturbance. She is most showing which symptom? a) Daytime drowsiness; b) Difficulty falling or remaining asleep; c) Frequent night terrors; d) Feeling of constant fatigue, even upon arising

Back 40

b) Difficulty falling or remaining asleep

Front 41

Your Pt has been on bed rest for an extended period of time following a CVA. Her Increased serum Ca level is most likely the result of: a) Decreased Intake of vitamin D; b) Bone demineralization; c) Disruption of normal kidney function; d) Increased intake of milk & milk products

Back 41

b) Bone demineralization

Front 42

The normal value for the pH is: a) 7.53; b) 7.48; c) 7.40; d) 7.30

Back 42

c) 7.40

Front 43

The normal value for the pCO2 is: a) 38; b) 26; c) 80; d) 48

Back 43

a) 38

Front 44

The normal range for the bicarbonate (HCO3-) is: a) 35-45; b) 7.35-7.45; c) 80-120; d) 22-26

Back 44

d) 22-26

Front 45

The metabolic parameter of the arterial blood gas set is the: a) pH; b) pCO2; c) HCO3; d) pCO2

Back 45

c) HCO3

Front 46

The respiratory parameter of the arterial blood gas set is the: a) pO2; b) SAT; c) pCO2; d) HCO3

Back 46

c) pCO2

Front 47

Acidemia would be indicated by: a) pH less than 7.35; b) pCO2 greater than 45; c) HCO3 more than 26; d) pH more than 7.45

Back 47

a) pH less than 7.35

Front 48

Alkalemia would be indicated by: a) HCO3 less than 22; b) pH less than 7.35; c) pCO2 less than 35; d) pH more than 7.45

Back 48

d) pH more than 7.45

Front 49

The acid-base disorder associated with elevated respirations is: a) Lactic acidosis; b) Respiratory alkalosis; c) High anion gap metabolic acidosis; d) Hyperventilation acidosis

Back 49

b) Respiratory alkalosis

Front 50

An abnormally large accumulation of ketones in the blood would give rise to a(n): a) Metabolic acidosis; b) pH greater than 7.45; c) Metabolic depression; d) Respiratory acidosis

Back 50

a) Metabolic acidosis

Front 51

Respiratory failure is often associated with a(n): a) Low anion gap; b) Elevated pO2; c) Depressed pCO2; d) pC02 above 45

Back 51

d) pC02 above 45

Front 52

In a long-standing metabolic acidosis, the respiratory rate may increase. This is an example of: a) Mixed acidosis; b) A low osmolar gap; c) Compensation; d) A primary respiratory acidosis

Back 52

c) Compensation

Front 53

pH 7.51, pCO2 40, HCO3- 31: a) Normal; b) Uncompensated metabolic alkalosis; c) Partially compensated respiratory acidosis; d) Uncompensated respiratory alkalosis

Back 53

b) Uncompensated metabolic alkalosis

Front 54

pH 7.33, pCO2 29, HCO3- 16: a) Uncompensated respiratory alkalosis; b) Uncompensated metabolic acidosis; c) Partially compensated respiratory acidosis; d) Partially compensated metabolic acidosis

Back 54

d) Partially compensated metabolic acidosis

Front 55

pH 7.40, pCO2 40, HCO3- 24: a) Normal; b) Uncompensated metabolic acidosis; c) Partially compensated respiratory acidosis; d) Partially compensated metabolic acidosis

Back 55

a) Normal

Front 56

pH 7.12, pCO2 60, HCO3- 29: a) Uncompensated metabolic acidosis; b) Uncompensated respiratory acidosis; c) Partially compensated respiratory acidosis; d) Partially compensated metabolic acidosis

Back 56

c) Partially compensated respiratory acidosis

Front 57

pH 7.48, pCO2 30, HCO3- 23: a) Uncompensated metabolic alkalosis; b) Uncompensated respiratory alkalosis; c) Partially compensated respiratory alkalosis; d) Partially compensated metabolic alkalosis

Back 57

b) Uncompensated respiratory alkalosis

Front 58

pH 7.62, pCO2 47, HCO3- 30: a) Uncompensated metabolic alkalosis; b) Uncompensated respiratory alkalosis; c) Partially compensated respiratory alkalosis; d) Partially compensated metabolic alkalosis

Back 58

d) Partially compensated

Front 59

pH 7.30, pCO2 59. HCO3- 28: a) Uncompensated metabolic alkalosis; b) Uncompensated respiratory alkalosis; c) Partially compensated respiratory alkalosis; d) Partially compensated metabolic alkalosis

Back 59

c) Partially compensated respiratory alkalosis