Title PRE-INTENSIVE - NP3 - SC ✅

rate increases to improve oxygenation. Nurse Froilan expects the patient’s ABG to present: A. Respiratory acidosis B. Respiratory alkalosis C. Metabolic acidosis D. Metabolic alkalosis 28. The nurse caring for a client with an ileostomy understands that the client is most at risk for developing which acid-base disorder? A. Metabolic alkalosis B. Metabolic acidosis C. Respiratory alkalosis D. Respiratory acidosis 29. The nurse reviews the blood gas results of a client with atelectasis. The nurse analyzes the results and determines that the client is experiencing respiratory acidosis. Which result validates the nurse’s findings? A. pH 7.25, PCO2 50 mm Hg B. pH 7.35, PCO2 40 mm Hg C. pH 7.50, PCO2 52 mm Hg D. pH 7.52, PCO2 28 mm Hg 30. The nurse is caring for a client with an IV who is experiencing dyspnea, hypotension, a weak, rapid pulse, a decreased level of consciousness, and who is becoming cyanotic. The priority nursing intervention is to: A. Notify the physician B. Place the client in Trendelenburg position C. Administer oxygen D. Discontinue the IV 31. Mr. Antonio Sanchez, 47 y.o., was diagnosed with chronic renal failure. Which of the following ABG findings would be expected? A. Respiratory acidosis B. Respiratory alkalosis C. Metabolic acidosis D. Metabolic alkalosis 32. A 60-year-old client is admitted to the hospital presenting shortness of breath, fever, and productive cough. Which ABG finding is most related to the diagnosis of COPD? A. pH 7.33, PaCO2: 48mmHg; HCO3: 24mEq/L B. pH 7.48; PaCO2: 30mmHg; HCO3: 23mEq/L C. pH 7.30; PaCO2: 40mmHg; HCO3: 20mEq/L D. pH 7.49; PaCO2: 38mmHg; HCO3: 29mEq/L 33. A patient is taking furosemide, a potassium-wasting diuretic. Which among these ABG findings would you expect in his long-term use of the diuretic? A. pH 7.48, PaCO2: 46mmHg; HCO3: 28mEq/L B. pH 7.26; PaCO2: 32mmHg; HCO3: 21mEq/L C. pH 7.35; PaCO2: 40mmHg; HCO3: 25mEq/L D. pH 7.30; PaCO2: 33mmHg; HCO3: 20mEq/L 34. A clinical instructor observes SN Tina as she performs ET suctioning to an unconscious client. Which of these indicates that Tina needs further teaching on carrying out the procedure? A. Tina suctioned for 20 seconds on the last suctioning to ensure that the airway is clear. B. Tina pressed the silent button of the mechanical ventilator momentarily prior to suctioning. C. Tina suctioned a small amount of NSS after each suctioning. D. Tina applied suction on the catheter while it was being withdrawn. 35. The nurse is planning to perform percussion and postural drainage. Which is an important aspect of planning the client’s care? A. Percussion and postural drainage should be done before lunch. B. The order should be coughing, percussion, positioning, and then suctioning. C. A good time to perform percussion and postural drainage is in the morning after breakfast when the client is well rested. D. Percussion and postural drainage should always be preceded by 3 minutes of 100% oxygen. Situation: In the OR, there are safety protocols that should be followed. The OR nurse should be well versed with all these to safeguard the safety and quality of patient delivery outcome. 36. Which of the following should be given highest priority when receiving patient in the OR? A. Assess level of consciousness B. Verify patient identification and informed consent C. Assess vital signs D. Check for jewelry, gown, manicure and dentures 37. Surgeries like I and D (Incision and Drainage) and debridement are relatively short procedures but considered “dirty cases.” When are these procedures best scheduled? A. Last case B. In between cases C. According to the availability of the anesthesiologist D. According to the surgeon’s preference 38. Katarina, an active cheerleader, complains of flashes of lights appearing and a shadow covering the upper vision of her left eye. You suspect that Katarina sustained a: A. Retinal Detachment B. Glaucoma C. Cataract D. Macular degeneration 39. Based on the situation, you plan to position the client on: * A. Side-lying on the affected eye B. Lateral on the affected eye C. Dependent position on the area affected D. Independent position on the side affected 40. As you prepare the patient for surgery, you noticed that the patient is fidgeting, going in and out of his bed and frequently asks about the procedure. These behaviors of the patient most likely suggest? A. The patient does not have enough sleep last night. B. Client is pressed between financial burden and family responsibilities. C. She drank too much coffee during breakfast D. She is anxious about the surgery. 41.The nurse should expect a patient who has chronic renal failure to be given epoetin alfa (Epogen) to A. elevate the white blood cell count B. enhances the maturation of thrombocytes. C. increases the production of platelets. D. stimulates the synthesis of red blood cells. 42. To which of the following nursing diagnoses would a nurse give priority when caring for a patient who has syndrome of inappropriate secretion of antidiuretic hormone (SIADH)? A. Decreased cardiac output B. Altered nutrition C. Urinary incontinence D. Fluid volume excess 43. A 48- year- old woman, who does not have a family history of breast cancer, asks a nurse in the ambulatory care center whether she should have a mammogram. Which of the following responses by the nurse would be accurate? A. “At your age, a mammogram is recommended every one to two years.” B. “You do not need to begin to get mammograms until you are 50 years old.” C. “A mammogram is not indicated unless you have a family history of breast cancer.” D. “A mammogram would be necessary only if you feel a change in breast tissue.” 44. When planning care for a 14- year- old female who is pregnant, a nurse should recognize that the adolescent is at risk for A. glucose intolerance B. fetal chromosomal abnormalities C. incompetent cervix D. iron deficiency anemia 45. Which of the following statements made by a patient who is scheduled for a mammogram indicates a need for further teaching? A. “I will not use underarm antiperspirant before the procedure.” B. “A dye will be injected into my vein prior to the procedure.” C. ‘I may experience discomfort during the procedure.” D. “My breasts will be compressed while the x –rays are taken.” 46. Which of the following findings in a 13- year- old girl who 3 | Page