EXN105B-2

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Author:
ndarlenebeck
ID:
299100
Filename:
EXN105B-2
Updated:
2015-03-25 16:24:57
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Excelsior
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Excelsior
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Excelsior N105B-2 Form
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  1. A patient is admitted with a potassium level of 5.9 mEq/L. Which medication should the nurse anticipate administering to this patient?
    A) calcium gluconate
    B) naloxone hydrochloride (Narcan)
    C) sodium polystyrene sulfonate (Kayexalate)
    D) Humulin N insulin
    C) sodium polystyrene sulfonate (Kayexalate)
    (this multiple choice question has been scrambled)
  2. Which clinical manifestation is indicative of fluid volume excess?
    A) elevated hemoglobin levels
    B) adventitious breath sounds
    C) postural hypotension
    D) thread pulse
    B) adventitious breath sounds
    (this multiple choice question has been scrambled)
  3. Which electrolyte imbalance may develop as a result of chronic diarrhea?
    A) hyponatremia
    B) hypomagnesemia
    C) hypercalcemia
    D) hyperkalemia
    B) hypomagnesemia
    (this multiple choice question has been scrambled)
  4. Which finding indicates adequate fluid volume in a client with hypovolemic shock?
    A) urinary output of at least 0.5 mL/kg/hr
    B) urine pH greater than 7.5
    C) urine specific gravity of 1.090
    D) negative urine glucose
    A) urinary output of at least 0.5 mL/kg/hr
    (this multiple choice question has been scrambled)
  5. What type of IV should not be used in a patient with increased intracranial pressure?
    A) 5% dextrose in water
    B) 0.9 normal saline
    C) lactated Ringer's
    D) 5% dextrose in 0.45% sodium chloride
    A) 5% dextrose in water
    (this multiple choice question has been scrambled)
  6. Which serum electrolyte value will be elevated in a patient with diabetes insipidus?
    A) magnesium
    B) sodium
    C) calcium
    D) potassium
    B) sodium
    (this multiple choice question has been scrambled)
  7. Which nursing intervention is a priority in the plan of care for a patient receiving the loop diuretic furosemide (Lasix)?
    A) Assess the patient for postural hypotension
    B) Encourage the patient to drink 3,500 mL of fluids.
    C) Check the patient's urine sodium.
    D) Teach the patient to recongnize the symptoms of hyperkalemia.
    A) Assess the patient for postural hypotension.
    (this multiple choice question has been scrambled)
  8. Which finding should the nurse expect to find in a patient with dehydration?
    A) increased urine specific gravity
    B) jugular vein distention
    C) elevated temperature
    D) moist crackles
    A) increased urine specific gravity
    (this multiple choice question has been scrambled)
  9. Treatment with which type of pharmacologic agent may result in sodium and water imbalance?
    A) antihistamine
    B) antibiotic
    C) glucocorticoid
    D) bronchodilator
    C) glucocorticold
    (this multiple choice question has been scrambled)
  10. Which assessment findings indicates that a patient with fluid volume deficit has regained normal hydration status?
    A) The patient has lost weight.
    B) The patient has increased hematocrit.
    C) The patient has decreased tissue turgor.
    D) The patient has output of 30 to 45 mL per hour.
    D) The patient has output of 30 to 45 mL per hour.
    (this multiple choice question has been scrambled)
  11. What is the function of the hormone aldosterone?
    A) to stimulate the production of renin
    B) to stimulate the production of antidiuretic hormone
    C) to regulate the retention of sodium
    D) to regulate the absorption of potassium
    C) to regulate the retention of sodium
    (this multiple choice question has been scrambled)
  12. The physician's order reads, "Administer one unit of packed red blood cells over three hours intravenously." The amount to be infused is 240 mL. The IV tubing delivers 10 gtt per mL. The intravenous drip rate should be regulated at the rate of how many gtt/min?
    A) 13 to 14
    B) 7 to 8
    C) 16 to 20
    D) 24 to 26
    A) 13 to 14
    (this multiple choice question has been scrambled)
  13. Which is a cause of metabolic alkalosis?
    A) airway obstruction
    B) hypokalemia
    C) gastric suction
    D) starvation
    C) gastric suction
    (this multiple choice question has been scrambled)
  14. Which sign would support a nursing diagnosis of fluid volume excess?
    A) poor skin turgor
    B) distended jugular veins
    C) dark amber urine
    D) dry mucous membranes
    B) distended jugular veins
    (this multiple choice question has been scrambled)
  15. How should the nurse assess for Chvostek's sign in a client with hypocalcemia?
    A) Press a safety pin on the lower extremities and observe for sensation changes.
    B) Tap over the facial nerve in front of the ear and observe for facial contractions.
    C) Auscultate the heart for one minute and listen for an arterial gallop.
    D) Inflate the blood pressure cuff and observe for spasms of the fingers.
    B) Tap over the facial nerve in front of the ear and observe for facial contractions.
    (this multiple choice question has been scrambled)
  16. What percentage of the average male adult's body in water?
    A) 75
    B) 30
    C) 60
    D) 25
    C) 60
    (this multiple choice question has been scrambled)
  17. Why can an adult tolerate the effects of prolonged vomiting better than an infant who is under the age of two?
    A) a proportionately smaller body surface area
    B) a proportionately large volume of water
    C) the ability to excrete concentrated urine.
    D) a higher metabolic rate
    A) a proportionately smaller body surface area
    (this multiple choice question has been scrambled)
  18. A patient is to receive an infusion of half-strength saline. Which percentage of sodium chloride should the solution contain?
    A) 0.9%
    B) 3.0%
    C) 0.45%
    D) 0.22%
    C) 0.45%
    (this multiple choice question has been scrambled)
  19. A six week old infant is admitted to the hospital with a history of diarrhea. The nurse should monitor the infant most closely for which acid-base imbalance?
    A) respiratory acidosis
    B) metabolic acidosis
    C) respiratory alkalosis
    D) metabolic alkalosis
    B) metabolic acidosis
    (this multiple choice question has been scrambled)
  20. A patient who is unconscious is admitted to the emergency department. Arterial blood gas levels indicate pH 7.5 high bicarbonate level, high carbon dioxide level, and tetany. These finding indicate which acid-base imbalance?
    A) respiratory acidosis
    B) metabolic acidosis
    C) respiratory alkalosis
    D) metabolic alkalosis
    D) metabolic alkalosis
    (this multiple choice question has been scrambled)
  21. How many mL is the desirable amount of fluid intake and loss for a toddler in 24 hours?
    A) 2,500 mL
    B) 1,500 mL
    C) 3,500 mL
    D) 1,000 mL
    B) 1,500 mL
    (this multiple choice question has been scrambled)
  22. A patient is receiving a thiazide diuretic for treatment of fluid volume excess related to hypernatremia. Which observation would indicate that the mediation is having the desired effect?
    A) decrease in urinary output
    B) weight gain of three pounds
    C) increase in pulse rate
    D) decreased in blood pressure
    D) decreased in blood pressure
    (this multiple choice question has been scrambled)
  23. Which solution should be administered to rehydrate the cells of a patient with severe cellular dehydration?
    A) 5% dextrose in lactated Ringer's
    B) lactated Ringer's
    C) 5% dextrose in normal saline
    D) 0.45% saline
    D) 0.45% saline
    (this multiple choice question has been scrambled)
  24. Which statement by a patient who needs to limit intake of sodium indicates the need for further instruction?
    A) "I'm glad that I'll be able to continue eating cheddar cheese."
    B) "I hate giving up bacon, but I guess it's worth it."
    C) "I will avoid eating foods that taste salty."
    D) "I don't like sparkling water, so it's no big deal if I can't have it."
    A) "I'm glad that I'll be able to continue eating cheddar cheese."
    (this multiple choice question has been scrambled)
  25. A positive Trousseau's sign would be assessed in which electrolyte imbalance?
    A) hyperkalemia
    B) hyponatremia
    C) hypercalcemia
    D) hypocalcemia
    D) hypocalcemia
    (this multiple choice question has been scrambled)
  26. Which action should the nurse implement for a patient whose arterial blood gases are pH 7.48, PaCO2 decreased, and HCO3 normal?
    A) Assist the patient to breathe into a paper bag.
    B) Encourage a patient to cough up secretions.
    C) Administer prn antacid.
    D) Administer ordered antianxiety medication.
    A) Assist the patient to breathe into a paper bag.
    (this multiple choice question has been scrambled)
  27. A patient may be susceptible to developing hypervolemia after which intravenous therapy?
    A) 0.45% NaCL
    B) total parenteral nutrition
    C) 5% dextrose in lactated Ringer's
    D) 5% dextrose in water
    C) 5% dextrose in lactated Ringer's
    (this multiple choice question has been scrambled)
  28. Which finding should the nurse expect in a 70 year old patient admitted with a diagnosis of fluid volume excess?
    A) severe headache
    B) thirst
    C) weak, rapid pulse
    D) increased blood pressure
    D) increased blood pressure
    (this multiple choice question has been scrambled)
  29. Which nursing action should be most effective in helping an older adult to replace fluids lost secondary to an elevated temperature?
    A) Plan a schedule for intake of preferred fluids.
    B) Request an order for IV and electrolyte replacement.
    C) Emphasize the importance of adequate sodium intake.
    D) Encourage the patient to drink a liter of water
    A) Plan a schedule for intake of preferred fluids.
    (this multiple choice question has been scrambled)
  30. A woman in her second trimester of pregnancy states that she is unable to resist a craving for laundry starch and eats as much as three pounds a day. Which should the nurse designate as a priority nursing diagnosis?
    A) diarrhea related to ingestion of laundry starch
    B) altered nutrition: more than body requirements
    C) altered thought processess
    D) risk for altered tissue perfusion related to practice of pica
    D) risk for altered tissue perfusion related to practice of pica
    (this multiple choice question has been scrambled)
  31. Which food contains the greatest amount of beta-carotene and vitamin C?
    A) celery
    B) cheese
    C) chicken
    D) cantaloupe
    D) cantaloupe
    (this multiple choice question has been scrambled)
  32. Which nursing assessment should receive priority for a patient who is receiving total parenteral nutrition (TPN)?
    A) electrolyte levels
    B) neurological status
    C) elimination status
    D) hemoglobin level
    A) electrolyte levels
    (this multiple choice question has been scrambled)
  33. A mother of three young children complains of feeling tired and run down. She indicates that she has started to take a multivitamin. What explanation should the nurse give to explain the patient's persistent symptoms of fatigue?
    A) Energy is only provided by carbohydrates, fat, and protein..
    B) A fat-soluble vitamin supplement would provide more energy.
    C) One pill cannot provide the recommended daily allowances for vitamins.
    D) The body has difficulty absorbing synthetic nutrient sources.
    A) Energy is only provided by carbohydrates, fat, and protein.
    (this multiple choice question has been scrambled)
  34. According to the Food Guide Pyramid, how many servings from the bread, cereal, rice, and pasta group are recommended each day?
    A) seven
    B) three
    C) one
    D) five
    A) seven
    (this multiple choice question has been scrambled)
  35. An adult is at a healthy weight of 150 lb (68.0 kg) and consumes an average of 2,300 kcalories per day. Based on current recommendations, what is the maxium recommended daily intake of grams of fat per day for this adult?
    a) 30
    b) 69
    c) 77
    d) 150
    • c) 77
    • 2,300 x 30% = 690 divide by 9 = 77
  36. Which is the priority nursing consideration for the patient who requires a gastrostomy feeding?
    A) Assess condition of peristomal skin.
    B) Teach patient to administer feeding.
    C) Position patient upright after feeding.
    D) Flush tube with water as needed.
    C) Position patient upright after feeding.
    (this multiple choice question has been scrambled)
  37. The intrinsic factor in gastric juices is necessary for the absorption of which B vitamin?
    A) folate
    B) cobalamin
    C) thiamine
    D) biotin
    B) cobalamin
    (this multiple choice question has been scrambled)
  38. Parents tell the nurse that they often cannot afford to serve meat to their family. Which food combination should the nurse recommend to provide the family with adequate protein intake?
    A) potatoes and peas
    B) brown rice and beets
    C) rice and macaroni
    D) corn and beans
    D) corn and beans
    (this multiple choice question has been scrambled)
  39. Which action will prevent rebound hypoglycemia when a patient's total parenteral nutrition (TPN) solution is being discontinued?
    A) Increase the concentration of glucose in the TPN solution.
    B) Infuse 5% dextrose in a peripheral IV line concurrently with the TPN solution.
    C) Administer insulin subcutaneously before meals and at bedtime.
    D) Gradually reduce the rate at which the TPN solution is infusing.
    D) Gradually reduce the rate of which the TPN solution is infusing.
    (this multiple choice question has been scrambled)
  40. Which food is a source of complete protein?
    A) black-eyed peas
    B) pasta
    C) eggs
    D) peanut butter
    C) eggs
    (this multiple choice question has been scrambled)
  41. Which food should be included in a lactovegetarian diet to ensure adequate protein intake?
    A) beef
    B) cheese
    C) apples
    D) green beans
    B) cheese
    (this multiple choice question has been scrambled)
  42. Negative nitrogen balance often occurs as a result of which dietary pattern?
    A) high carbohydrate intake
    B) low protein intake
    C) low fat intake
    D) high iron intake
    B) low protein intake
    (this multiple choice question has been scrambled)
  43. A patient says, "I use mineral oil as a laxative." The nurse should discourage the use of mineral oil laxatives since it can lead to the malabsorption of which vitamin?
    A) A
    B) C
    C) B12
    D) B6
    A) A
    (this multiple choice question has been scrambled)
  44. A low total lymphocyte count is a sign of deficiency of what nutrient?
    A) vitamin
    B) protein
    C) water
    D) lipid
    B) protein
    (this multiple choice question has been scrambled)
  45. An older adult's strong preference for sweet and salty foods most likely reflects which normal change associated with aging?
    A) decreased peristaltic activity
    B) reduction in the renal reabsorption of sodium
    C) Lowering of the blood osmotic pressure
    D) atrophy of the taste buds
    D) atrophy of the taste buds
    (this multiple choice question has been scrambled)
  46. To lose one pound per week, a patient needs to decrease food intake by how many kcalories per day?
    A) 250
    B) 750
    C) 500
    D) 1,000
    C) 500
    (this multiple choice question has been scrambled)
  47. Where does the digestion of carbohydrates begin?
    A) stomach
    B) esophagus
    C) small intestine
    D) mouth
    D) mouth
    (this multiple choice question has been scrambled)
  48. Which lunch selection is appropriate for a patient who adheres to a kosher diet?
    A) pastrami and cheese sandwich
    B) shrimp salad sandwich
    C) boiled ham sandwich
    D) egg salad sandwich
    D) egg salad sandwich
    (this multiple choice question has been scrambled)
  49. Which nursing intervention is critical for the patient who is receiving intermittent nasogastric tube feedings?
    A) Administer the feeding using an electronic feeding pump.
    B) Refrigerate the feeding until ready to administer.
    C) Assist the client to a left lateral position before the feeding.
    D) Verify tube placement before each feeding.
    D) Verify tube placement before each feeding.
    (this multiple choice question has been scrambled)
  50. Type O is considered the "universal donor" blood type because of which characteristic?
    A) compatibility of the Rh factors
    B) the presence of Rh antibodies
    C) prevalence in the population
    D) the lack of A and B antigens
    D) the lack of A and B antigens
    (this multiple choice question has been scrambled)

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