FLUIDS AND ELECTROLYTES; ACID-BASE BALANCE

June 01, 2015

1. What is the nurse's primary concern regarding fluid
& electrolytes when caring for an elderly pt who is
intermittently confused?
A. risk of dehydration
B. risk of kidney damage
C. risk of stroke
D. risk of bleeding
2. The nurse is planning care for a pt with severe
burns. Which of the following is this pt at risk for
developing?
A. intracellular fluid deficit
B. intracellular fluid overload
C. extracellular fluid deficit
D. interstitial fluid deficit
3. A pt, experiencing multisystem fluid volume deficit,
has the symptoms of tachycardia, pale, cool skin, &
decreased urine output. The nurse realizes these
findings are most likely a direct result of which of the
following?
A. the body's natural compensatory mechanisms
B. pharmacological effects of a diuretic
C. effects of rapidly infused intravenous fluids
D. cardiac failure
4. A pregnant pt is admitted with excessive thirst,
increased urination, & has a medical diagnosis of
diabetes insipidus. The nurse chooses which of the
following nursing diagnoses as most appropriate?
A. Risk for Imbalanced Fluid Volume
B. Excess Fluid Volume
C. Imbalanced Nutrition
D. Ineffective Tissue Perfusion
5. A pt recovering from surgery has an indwelling
urinary catheter. The nurse would contact the pt's
primary healthcare provider with which of the following
24-hour urine output volumes?
A. 600 mL
B. 750 mL
C. 1000 mL
D. 1200 mL
6. A pt is receiving intravenous fluids postoperatively
following cardiac surgery. Nursing assessments should
focus on which postoperative complication?
A. fluid volume excess
B. fluid volume deficit
C. seizure activity
D. liver failure

following?
A. hyperkalemia
B. hypokalemia

C. hypercalcemia
D. Hypocalcemia

10. The nurse is planning care for a pt with fluid

volume overload & hyponatremia. Which of the
following should be included in this pt's plan of care?
A. Restrict fluids.
B. Administer intravenous fluids.
C. Provide Kayexalate.
D. Administer intravenous normal saline with
furosemide.
11. When caring for a pt diagnosed with hypocalcemia,
which of the following should the nurse additionally
assess in the pt?
A. other electrolyte disturbances
C. visual
disturbances
B. hypertension
D. drug toxicity
12. A pt with a history of stomach ulcers is diagnosed
with hypophosphatemia. Which of the following
interventions should the nurse include in this pt's plan
of care?
A. Request a dietitian consult for selecting foods high in
phosphorous.
B. Provide aluminum hydroxide antacids as prescribed.
C. Instruct pt to avoid poultry, peanuts, & seeds.
D. Instruct to avoid the intake of sodium phosphate.
13. When analyzing an arterial blood gas report of a pt
with COPD & respiratory acidosis, the nurse anticipates
that compensation will develop through which of the
following mechanisms?
A. The kidneys retain bicarbonate.
B. The kidneys excrete bicarbonate.
C. The lungs will retain carbon dioxide.
D. The lungs will excrete carbon dioxide.
14. The nurse is caring for a pt diagnosed with renal
failure. Which of the following does the nurse recognize
as compensation for the acid-base disturbance found in
pts with renal failure?
A. The pt breathes rapidly to eliminate carbon dioxide.
B. The pt will retain bicarbonate in excess of normal.
C. The pH will decrease from the present value.
D. The pt's oxygen saturation level will improve.
15. When caring for a group of pts, the nurse realizes
that which of the following health problems increases
the risk for metabolic alkalosis?
A. bulimia
C. venous stasis ulcer
B. dialysis
D. COPD

8. A pt is diagnosed with hypokalemia. After reviewing

the pt's current medications, which of the following
might have contributed to the pt's health problem?
A. corticosteroid
C. narcotic
B. thiazide diuretic
D. muscle relaxer

16. The nurse is caring for a pt who is anxious & dizzy

following a traumatic experience. The arterial blood
gas findings include: pH 7.48, PaO2 110, PaCO2 25, &
HCO3 24. The nurse would anticipate which initial
intervention to correct this problem?
A. Encourage the pt to breathe in & out slowly into a
paper bag.
B. Immediately administer oxygen via a mask &
monitor oxygen saturation.
C. Prepare to start an intravenous fluid bolus using
isotonic fluids.
D. Anticipate the administration of intravenous sodium
bicarbonate.

9. A pt prescribed spironolactone is demonstrating ECG

changes & complaining of muscle weakness. The nurse
realizes this pt is exhibiting signs of which of the

17. A pt is prescribed 20 mEq of potassium chloride.

The nurse realizes that the reason the pt is receiving
this replacement is

7. A pt is diagnosed with severe hyponatremia. The

nurse realizes this pt will mostly likely need which of
the following precautions implemented?
A. seizure
C. neutropenic
B. infection
D. high-risk fall

A. to sustain respiratory function.

B. to help regulate acid-base balance.
C. to keep a vein open.
D. to encourage urine output.
18. An elderly pt does not complain of thirst. What
should the nurse do to assess that this pt is not
dehydrated?
A. Ask the physician for an order to begin intravenous
fluid replacement.
B. Ask the physician to order a chest x-ray.
C. Assess the urine for osmolality.
D. Ask the physician for an order for a brain scan.
19. An elderly pt who is being medicated for pain had
an episode of incontinence. The nurse realizes that this
pt is at risk for developing
A. dehydration.
B. over-hydration.
C. fecal incontinence.
D. a stroke.
20. The nurse assesses a pt's weight loss as being 22
lbs. How many liters of fluid did this pt lose?
A. 10
B. 15
C. 20
D. 5
21. A postoperative pt with a fluid volume deficit is
prescribed progressive ambulation yet is weak from an
inadequate fluid status. What can the nurse do to help
this pt?
A. Assist the pt to maintain a standing position for
several minutes.
B. This pt should be on bed rest.
C. Assist the pt to move into different positions in
stages.
D. Contact physical therapy to provide a walker.
22. A postoperative pt is diagnosed with fluid volume
overload. Which of the following should the nurse
assess in this pt?
A. poor skin turgor
B. decreased urine output
C. distended neck veins
D. concentrated hemoglobin & hematocrit levels
23. An elderly pt is at home after being diagnosed with
fluid volume overload. Which of the following should
the home care nurse instruct this pt to do?
A. Wear support hose.
B. Keep legs in a dependent position.
C. Avoid wearing shoes while in the home.
D. Try to sleep without extra pillows.
24. A pt with fluid retention related to renal problems is
admitted to the hospital. The nurse realizes that this pt
could possibly have which of the following electrolyte
imbalances?
A. hypokalemia
B. hypernatremia
C. carbon dioxide
D. Magnesium
25. An elderly pt comes into the clinic with the
complaint of watery diarrhea for several days with
abdominal & muscle cramping. The nurse realizes that
this pt is demonstrating which of the following?
A. hypernatremia

B. hyponatremia
C. fluid volume excess
D. Hyperkalemia
26. A pt is admitted with hypernatremia caused by
being str&ed on a boat in the Atlantic Ocean for five
days without a fresh water source. Which of the
following is this pt at risk for developing?
A. pulmonary edema
B. atrial dysrhythmias
C. cerebral bleeding
D. stress fractures
27. The nurse is admitting a pt who was diagnosed
with acute renal failure. Which of the following
electrolytes will be most affected with this disorder?
A. calcium
B. magnesium
C. phosphorous
D. Potassium
28. A pt who is taking digoxin (Lanoxin) is admitted
with possible hypokalemia. Which of the following does
the nurse realize might occur with this pt?
A. Digoxin toxicity may occur.
B. A higher dose of digoxin (Lanoxin) may be needed.
C. A diuretic may be needed.
D. Fluid volume deficit may occur.
29. A pt is prescribed 40 mEq potassium as a
replacement. The nurse realizes that this replacement
should be administered
A. directly into the venous access line.
B. mixed in the prescribed intravenous fluid.
C. via a rectal suppository.
D. via intramuscular injection.
30. An elderly pt with a history of sodium retention
arrives to the clinic with the complaints of "heart
skipping beats" & leg tremors. Which of the following
should the nurse ask this pt regarding these
symptoms?
A. "Have you stopped taking your digoxin medication?"
B. "When was the last time you had a bowel
movement?"
C. "Were you doing any unusual physical activity?"
D. "Are you using a salt substitute?"
31. A 35-year-old female pt comes into the clinic
postoperative parathyroidectomy. Which of the
following should the nurse instruct this pt?
A. Drink one glass of red wine per day.
B. Avoid the sun.
C. Milk & milk-based products will ensure an adequate
calcium intake.
D. Red meat is the protein source of choice.
32. A pt is admitted for treatment of hypercalcemia.
The nurse realizes that this pt's intravenous fluids will
most likely be which of the following?
A. dextrose 5% & water
B. dextrose 5% & ? normal saline
C. dextrose 5% & ? normal saline
D. normal saline
33. A 28-year-old male pt is admitted with diabetic
ketoacidosis. The nurse realizes that this pt will have a
need for which of the following electrolytes?
A. sodium
C. calcium
B. potassium
D. Magnesium

34. An elderly pt with peripheral neuropathy has been

taking magnesium supplements. The nurse realizes
that which of the following symptoms can indicate
hypomagnesaemia?
A. hypotension, warmth, & sweating
B. nausea & vomiting
C. hyperreflexia
D. excessive urination
35. A pt is admitted with burns over 50% of his body.
The nurse realizes that this pt is at risk for which of the
following electrolyte imbalances?
A. hypercalcemia
B. hypophosphatemia
C. hypernatremia
D. Hypermagnesemia

36. A pt is diagnosed with hyperphosphatemia. The

nurse realizes that this pt might also have an
imbalance of which of the following electrolytes?
A. calcium
C. potassium
B. sodium
D. Chloride
37. The nurse is reviewing a pt's blood pH level. Which
of the systems in the body regulate blood pH? Select
all that apply.
A. renal
C. buffers
B. cardiac
D. Respiratory
38. The nurse observes a pt's respirations & notes that
the rate is 30 per minute & the respirations are very
deep. The metabolic disorder this pt might be
demonstrating is which of the following?
A. hypernatremia
B. increasing carbon dioxide in the blood
C. hypertension
D. Pain
39. The blood gases of a pt with an acid-base disorder
show a blood pH outside of normal limits. The nurse
realizes that this pt is
A. fully compensated.
B. demonstrating anaerobic metabolism.
C. partially compensated.
D. in need of intravenous fluids
40. A pt's blood gases show a pH greater of 7.53 &
bicarbonate level of 36 mEq/L. The nurse realizes that
the acid-base disorder this pt is demonstrating is which
of the following?
A. respiratory acidosis
C. respiratory alkalosis
B. metabolic acidosis
D. metabolic alkalosis
41. An elderly postoperative pt is demonstrating
lethargy, confusion, & a resp rate of 8 per minute. The
nurse sees that the last dose of pain medication
administered via a pt controlled anesthesia (PCA) pump
was within 30 minutes. Which of the following acidbase disorders might this pt is experiencing?
A. respiratory acidosis
C. respiratory alkalosis
B. metabolic acidosis
D. metabolic alkalosis
42. The pt has been placed on a 1200 mL daily fluid
restriction. The pt's IV is infusing at a keep open rate of
10 mL/hr. The pt has no additional IV medications. How

much fluid should the pt be allowed from 0700 until

1500 daily?
A. 540 ml
C. 600 ml
B. 300 ml
D. 590 ml
43. The pt is receiving intravenous potassium (KCL).
Which nursing actions are required? Select all that
apply.
A. Administer the dose IV push over 3 minutes.
B. Monitor the injection site for redness.
C. Add the ordered dose to the IV hanging.
D. Use an infusion controller for the IV.
E. Monitor fluid intake & output.
44. Which pts are at risk for the development of
hypercalcemia? Select all that apply.
A. the pt with a malignancy
B. the pt taking lithium
C. the pt who uses sunscreen to excess
D. the pt with hyperparathyroidism
E. the pt who overuses antacids
45. The pt who has a serum magnesium level of 1.4
mg/dL is being treated with dietary modification. Which
foods should the nurse suggest for this pt? Select all
that apply.
A. bananas
B. seafood
C. white rice
D. lean red meat
E. Chocolate
46. The pt has a serum phosphate level of 4.7 mg/dL.
Which interdisciplinary treatments would the nurse
expect for this pt? Select all that apply.
A. IV normal saline
B. calcium containing antacids
C. IV potassium phosphate
D. encouraging milk intake
E. increasing vitamin D intake
47. The pt, newly diagnosed with diabetes mellitus, is
admitted to the emergency department with nausea,
vomiting, & abdominal pain. ABG results reveal a pH of
7.2 & a bicarbonate level of 20 mEq/L. Which other
assessment findings would the nurse anticipate in this
pt? Select all that apply.
A. tachycardia
B. weakness
C. dysrhythmias
D. Kussmaul's respirations
E. cold, clammy skin
48. A clients nursing diagnosis is Deficient Fluid
Volume related to excessive fluid loss. Which action
related to the fluid management should be delegated
to a nursing assistant?
a. Administer IV fluids as prescribed by the physician.
b. Provide straws and offer fluids between meals.
c. Develop plan for added fluid intake over 24 hours
d. Teach family members to assist client with fluid
intake
49. The client also has the nursing diagnosis Decreased
Cardiac Output related to decrease plasma volume.
Which finding on assessment supports this nursing
diagnosis?
a. Flattened neck veins when client is in supine
position
b. Full and bounding pedal and post-tibial pulses
c. Pitting edema located in feet, ankles, and calves
d. Shallow respirations with crackles on auscultation

50. The nursing care plan for the client with

dehydration includes interventions for oral health.
Which interventions are within the scope of practice for
the LPN/LVN being supervised by the nurse? (Choose
all that apply.)
a. Remind client to avoid commercial mouthwashes.
b. Encourage mouth rinsing with warm saline.
c. Assess lips, tongue, and mucous membranes
d. Provide mouth care every 2 hours while client is
awake
e. Seek dietary consult to increase fluids on meal
trays.

58.A nursing assistant asks why the client with a

chronically low phosphorus level needs so much
assistance with activities of daily living. What is your
best response?
a. The clients low phosphorus is probably due to
malnutrition.
b. The client is just worn out form not getting enough
rest.
c. The clients skeletal muscles are weak because of
the low phosphorus.
d. The client will do more for herself when her
phosphorus is normal

51. The physician has written the following orders for

the client with Excess Fluid volume. The clients
morning assessment includes bounding peripheral
pulses, weight gain of 2 pounds, pitting ankle edema,
and moist crackles bilaterally. Which order takes
priority at this time?
a. Weight client every morning.
b. Maintain accurate intake and output.
c. Restrict fluid to 1500 mL per day
d. Administer furosemide (Lasix) 40 mg IV push

59.You are reviewing a clients morning laboratory

results. Which of these results is of most concern?
a. Serum potassium 5.2 mEq/L
b. Serum sodium 134 mEq/L
c. Serum calcium 10.6 mg/dL
d. Serum magnesium 0.8 mEq/L

52. You have been pulled to the telemetry unit for the
day. The monitor informs you that the client has
developed prominent U waves. Which laboratory value
should you check immediately?
a. Sodium
b. Potassium
c. Magnesium
d. Calcium
53. The clients potassium level is 6.7 mEq/L. Which
intervention should you delegate to the student nurse
under your supervision?
a. Administer Kayexalate 15 g orally
b. Administer spironolactone 25 mg orally
c. Assess WCG strip for tall T waves
d. Administer potassium 10 mEq orally
54. A client is admitted to the unit with a diagnosis of
syndrome of inappropriate antidiuretic hormone
secretion (SIADH). For which electrolyte abnormality
will you be sure to monitor?
a. Hypokalemia
b. Hyperkalemia
c. Hyponatremia
d. Hypernatremia
55. The charge nurse assigned in the care for a client
with acute renal failure and hypernatremia to you, a
newly graduated RN. Which actions can you delegate
to the nursing assistant?
a. Provide oral care every 3-4 hours
b. Monitor for indications of dehydration
c. Administer 0.45% saline by IV line
d. Assess daily weights for trends
56. The experienced LPN/LVN reports that a clients
blood pressure and heart rate have decreased and that
when the face is assessed, one side twitches. What
action should you take at this time?
a. Reassess the clients blood pressure and heart rate
b. Review the clients morning calcium level
c. Request a neurologic consult today
d. Check the clients papillary reaction to light
57.You are preparing to discharge a client whose
calcium level was low but is now just slightly within the
normal range (9-10.5 mg/dL). Which statement by the
client indicates the need for additional teaching?
a. I will call my doctor if I experience muscle twitching
or seizures.
b. I will make sure to take my vitamin D with my
calcium each day.
c. I will take my calcium pill every morning before
breakfast.
d. I will avoid dairy products, broccoli, and spinach
when I eat.

60. You are the charge nurse. Which client is most

appropriate to assign to the step-down unit nurse
pulled to the intensive care unit for the day?
a. A 68-year-old client on ventilator with acute
respiratory failure and respiratory acidosis
b. A 72-year-old client with COPD and normal arterial
blood gases (ABGs) who is ventilator-dependent
c. A 56-year-old new admission client with diabetic
ketoacidosis (DKA) on a n insulin drip
d. A 38-year-old client on a ventilator with narcotic
overdose and respiratory alkalosis
61.A client with respiratory failure is receiving
mechanical ventilation and continues to produce ABG
results indicating respiratory acidosis. Which action
should you expect to correct this problem?
a. Increase the ventilator rate from 6 to 10 per minute
b. Decrease the ventilator rate from 10 to 6 per
minute
c. Increase the oxygen concentration for 30% to 40%
d. Decrease the oxygen concentration for 40% to 30%
62.Which action should you delegate to the nursing
assistant for the client with diabetic ketoacidosis?
(Choose all that apply.)
a. Check fingerstick glucose every hour.
b. Record intake and output every hour.
c. Check vital signs every 15 minutes.
d. Assess for indicators of fluid imbalance.
63.You are admitting an elderly client to the medical
unit. Which factor indicates that this client has a risk
for acid-base imbalances?
a. Myocardial infarction 1 year ago
b. Occasional use of antacids
c. Shortness of breath with extreme exertion
d. Chronic renal insufficiency
64.A client with lung cancer has received oxycodone 10
mg orally for pain. When the student nurse assesses
the client, which finding should you instruct the
student to report immediately?
a. Respiratory rate of 8 to 10 per minute
b. Pain level decreased from 6/10 to 2/10
c. Client requests room door be closed.
d. Heart rate 90-100 per minute
65.The nursing assistant reports to you that a client
seems very anxious and that vital signs included a
respiratory rate of 38 per minute. Which acid-base
imbalance should you suspect?
a. Respiratory acidosis
b. Respiratory alkalosis
c. Metabolic acidosis
d. Metabolic alkalosis
66.A client is admitted to the unit for chemotherapy. To
prevent an acid-base problem, which of the following
would you instruct the nursing assistant to report?
a. Repeated episodes of nausea and vomiting
b. Complaints of pain associated with exertion

c. Failure to eat all food on breakfast tray

d. Client hair loss during morning bath
67.A client has a nasogastric tube connected to
intermittent wall suction. The student nurse asks why
the clients respiratory rate has increased. What your
best response?
a. Its common for clients with uncomfortable
procedures such as nasogastric tubes to have a higher
rate to breathing.
b. The client may have a metabolic alkalosis due to
the NG suctioning and the increased respiratory rate is
a compensatory mechanism.
c. Whenever a client develops a respiratory acid-base
problem, increasing the respiratory rate helps correct
the problem.
d. The client is hyperventilating because of anxiety
and we will have to stay alert for development of a
respiratory acidosis.
68. pH 7.51, pCO2 40, HCO3- 31:
a.
Normal
b.
Uncompensated metabolic alkalosis
c.
compensated respiratory acidosis
d.
Uncompensated respiratory alkalosis
69. pH 7.33, pCO2 29, HCO3- 16:
a.
Uncompensated respiratory alkalosis
b.
Uncompensated metabolic acidosis
c.
Compensated respiratory acidosis
d.
Uncompensated metabolic acidosis
70. pH 7.40, pCO2 40, HCO3- 24:
a.
Normal
b.
Uncompensated metabolic acidosis
c.
Compensated respiratory acidosis
d.
Compensated metabolic acidosis
71. pH 7.12, pCO2 60, HCO3- 29:
a.
Uncompensated metabolic acidosis
b.
Uncompensated respiratory acidosis
c.
Compensated respiratory acidosis
d.
Compensated metabolic acidosis
72. pH 7.48, pCO2 30, HCO3- 23:
a.
Uncompensated metabolic alkalosis
b.
Uncompensated respiratory alkalosis
c.
Compensated respiratory alkalosis
d.
Compensated metabolic alkalosis

73. pH 7.62, pCO2 47, HCO3- 30:

a. Uncompensated metabolic alkalosis
b. Uncompensated respiratory alkalosis
c. compensated respiratory alkalosis
d. compensated metabolic alkalosis
74. A mist tent contains a nebulizer that creates a cool,
moist environment for a child with an upper
respiratory tract infection. The cool humidity helps
the child breathe by:
A. decreasing respiratory tract edema.
B. preventing anxiety.
C. drying secretions.
D. increasing fluid intake.
75. A bone mineral analysis reveals that a patient who
is postmenopausal has severe osteoporosis. Which
of the following instructions should the nurse give
to the patient's family to ensure a safe
environment for the patient?
A. "Disinfect the bathroom weekly."
B. "Carpet floor surfaces."
C. "Install handrails on stairways."
D. "Keep the lights dim."
76. Based on multiple referrals, the nurse determines
that childhood injuries are increasing in the

community in which she practices. The first step

the nurse would take in developing an educational
program is:
A. assessing for a decrease in referrals following a
pediatric safety class.
B. assessing the strengths and needs of the
community while identifying barriers to
learning.
C. choosing a health promotion or health belief
model as a framework.
D. developing and implementing a specific plan to
decrease childhood injuries.
77. Which of the following activities would the nurse
likely choose to implement in response to a nursing
diagnosis of Activity Intolerance related to lack of
energy conservation?
A. Encourage the client to perform all tasks early
in the day.
B. Encourage the client to alternate periods of
rest and activity throughout the day.
C. Administer narcotics to promote pain relief and
rest.
D. Instruct the client to not perform daily hygienic
care until activity tolerance improves.
78. A client has a diagnosis of borderline personality
disorder. She has attached herself to one nurse and
refuses to speak with other staff members. She
tells the nurse that the other nurses are mean,
withhold her medication, and mistreat her. The
staff is discussing this problem at their weekly
conference. Which intervention would be most
appropriate for the nursing staff to implement?
A. Provide an unstructured environment for the
client.
B. Rotate the nurses who are assigned to the
client.
C. Ignore the client's behaviors.
D. Bend unit rules to meet the client's needs.
79. A client's chest tube accidentally disconnects from
the drainage tube when she turns onto her side.
Which of the following actions should the nurse
take first?
A. Notify the physician.
B. Clamp the chest tube.
C. Raise the level of the drainage system.
D. Reconnect the tube.
80. For a client with COPD who has trouble raising
respiratory secretions, which of the following
nursing measures would help reduce the tenacity
of secretions?
A. Ensuring that the client's diet is low in salt.
B. Ensuring that the client's oxygen therapy is
continuous.
C. Helping the client maintain a high fluid intake.
D. Keeping the client in a semi-sitting position as
much as possible.

81. A client, now 37 weeks pregnant, calls the clinic

because she's concerned about being short of
breath and is unable to sleep unless she places
three pillows under her head. After listening to her
concerns, the nurse should take which action?
A. Make an appointment because the client needs
to be evaluated.
B. Explain that these are expected problems for
the latter stages of pregnancy.
C. Arrange for the client to be admitted to the
birth center for delivery.
D. Tell the client to go to the hospital; she may be
experiencing signs of heart failure from a 45%
to 50% increase in blood volume.
82. A nurse works on a medical-surgical unit where
nurses work on 12-client pods. Each pod is staffed

by two registered nurses. When one of the nurses

leaves the unit, the remaining nurse cares for all 12
clients. If she needs help, she can call the agency's
in-house resource nurse. One evening when a
coworker left the unit, the remaining nurse, who
was making rounds on the departed nurse's clients,
found medications left at bedsides and a client with
a blood-draw tourniquet remaining on his arm. In
addressing the problems, the nurse should:
A. inform the nurse-supervisor right away.
B. correct the problems and submit a written
report.
C. speak to the coworker when she returns to the
unit.
D. ask for a meeting with the coworker and a
manager.

91.

pH = 7.38 CO2 = 50 HCO3 = 27

A. Respiratory Alkalosis
B. Metabolic Acidosis
C. Metabolic Alkalosis
D. Respiratory Acidosis

92.

Is this Compensated, Uncompensated or

Partially Compensated?
A. Compensated
B. Uncompensated
C. Partially Compensated

93.

pH = 7.50 CO2 = 35 HCO3 = 32

A. Respiratory Acidosis
B. Respiratory Alkalosis
C. Metabolic Acidosis
D. Metabolic Alkalosis

94.

Is this Compensated, Uncompensated or

Partially Compensated?
A. Compensated
B. Uncompensated
C. Partially Compensated

95.

pH = 7.30 CO2 = 75 HCO3 = 22

A. Respiratory Acidosis
B. Respiratory Alkalosis
C. Metabolic Acidosis
D. Metabolic Alkalosis

pH = 7.48 CO2 = 36 HCO3 = 33

A. Respiratory Acidosis
B. Respiratory Alkalosis
C. Metabolic Acidosis
D. Metabolic Alkalosis

96.

Is this Compensated, Uncompensated or

Partially Compensated?
A. Compensated
B. Uncompensated
C. Partially Compensated

Is this Compensated, Uncompensated or

Partially Compensated?
A. Compensated
B. Uncompensated
C. Partially Compensated

97.

pH = 7.2 CO2 = 48 HCO3 = 26

A. Respiratory Acidosis
B. Respiratory Alkalosis
C. Metabolic Acidosis
D. Metabolic Alkalosis

98.

Is this Compensated, Uncompensated or

Partially Compensated?
A. Compensated
B. Uncompensated
C. Partially Compensated

99.

pH = 7.2 CO2 = 52 HCO3 = 24

A. Respiratory Acidosis
B. Respiratory Alkalosis
C. Metabolic Acidosis
D. Metabolic Alkalosis

100.

Is this Compensated, Uncompensated or

Partially Compensated?
A. Compensated
B. Uncompensated
C. Partially Compensated

83. The nurse is caring for a client with a history of

falls. The first priority when caring for a client at
risk for falls is:
A. placing the call light for easy access.
B. keeping the bed at the lowest position possible.
C. instructing the client not to get out of bed
without assistance.
D. keeping the bedpan available so that the client
doesn't have to get out of bed.
84. Which of the following nursing interventions should
have the highest priority during the first hour after
the admission of a client with cholecystitis who is
experiencing pain, nausea, and vomiting?
A. Administering pain medication.
B. Completing the admission history.
C. Maintaining hydration.
D. Teaching about planned diagnostic tests.
85.

86.

87.

88.

89.

90.

B. Uncompensated
C. Partially Compensated

pH = 7.36 CO2 = 32 HCO3 = 20

A. Respiratory Acidosis
B. Respiratory Alkalosis
C. Metabolic Alkalosis
D. Metabolic Acidosis
Is this Compensated, Uncompensated or
Partially Compensated?
A. Compensated
B. Uncompensated
C. Partially Compensated

pH = 7.48 CO2 = 46 HCO3 = 28

A. Respiratory Acidosis
B. Respiratory Alkalosis
C. Metabolic Acidosis
D. Metabolic Alkalosis

Is this Compensated, Uncompensated or

Partially Compensated?
A. Compensated