MedSurge Exam 3 LATEST UPDATED 2024 EXAM WITH DETAILED QUESTIONS AND CORRECT ANSWERS (NEW BRANDED!!!!)

MedSurge Exam 3
LATEST UPDATED
2024 EXAM WITH
DETAILED
QUESTIONS AND
CORRECT ANSWERS
(NEW BRANDED!!!!)
A nurse is monitoring a client being evaluated who
has a potassium level of 7 mEq/L (mmol/L). Which
electrocardiogram changes will the client display?
elevated ST segment
peaked T waves
prolonged T waves
shortened PR interval - ANSWER-peaked T waves
A client presents with anorexia, nausea and
vomiting, deep bone pain, and constipation. The
following are the client's laboratory values.
sodium 130 mEq/L (130 mmol/L)potassium 4.6
mEq/L (4.6 mmol/L)chloride 94 mEq/L (94
mmol/L)calcium 12.9 mg/dL (3.2 mmol/L)
What laboratory value is consistent with the client's
symptoms?
calcium 12.9 mg/dL (3.2 mmol/L)
chloride 94 mEq/L (94 mmol/L)
potassium 4.6 mEq/L (4.6 mmol/L)
sodium 137 mEq/L (137 mmol/L) - ANSWER-calcium
12.9 mg/dL (3.2 mmol/L)
To confirm an acid-base imbalance, it is necessary
to assess which findings from a client's arterial
blood gas (ABG) results? Select all that apply.
a)PaCO2
b)HCO3
c)K+
d)Glucose
e)Na+
f)pH - ANSWER-a,b,f
A nurse caring for a patient who is receiving an IV
solution via a central vein suspects the complication
of an air embolism. Which of the following are signs
and symptoms consistent with that diagnosis?
Select all that apply.
a)Cyanosis
b)Hypertension
c)Tachycardia
d)Dyspnea
e)Crackles on auscultation
f)Shoulder pain - ANSWER-a,c,d,f
The calcium concentration in the blood is regulated
by which mechanism?
Parathyroid hormone (PTH)
Thyroid hormone (TH)
Androgens
Adrenal gland - ANSWER-Parathyroid hormone
(PTH)
Which solution is hypotonic?
0.9% NaCl
0.45% NaCl
Lactated Ringer solution
5% NaCl - ANSWER-0.45% NaCl
A nurse is reviewing a report of a client's routine
urinalysis. Which value requires further
investigation?
Absence of protein
Absence of glucose
Urine pH of 3.0
Specific gravity of 1.02 - ANSWER-Urine pH of 3.0
A client was admitted to the unit with a diagnosis of
hypovolemia. When it is time to complete discharge
teaching, which of the following will the nurse teach
the client and family? Select all that apply.
a)Respond to thirst
b)Drink carbonated beverages to help balance fluid
volume.
c)Drink water as an inexpensive way to meet fluid
needs.
d)Drink caffeinated beverages to retain fluid.
e)Drink at least eight glasses of fluid each day. -
ANSWER-a,c,e
The nurse is caring for a client diagnosed with
chronic obstructive pulmonary disease (COPD) and
experiencing respiratory acidosis. The client asks
what is making the acidotic state. The nurse is most
correct to identify which result of the disease
process that causes the fall in pH?
The lungs are not able to blow off carbon dioxide.
The lungs are unable to breathe in sufficient
oxygen.
The lungs have ineffective cilia from years of
smoking.
The lungs are unable to exchange oxygen and
carbon dioxide. - ANSWER-The lungs are not able to
blow off carbon dioxide.