Exam 2: Practice Questions Flashcards
The assessment of a client reveals rapid, shallow respirations, respiratory alkalosis, and inspiratory crackles. Which additional finding would help confirm the diagnosis of ARDS?
A. Hypoxemia unresponsive to supplemental oxygen
B. Pink, frothy sputum
C. Circumoral cyanosis
D. Asymmetrical chest movements
A. Hypoxemia unresponsive to supplemental oxygen
A male adult patient hospitalized for the treatment of a pulmonary embolism develops respiratory alkalosis. Which of the following would most likely accompany this condition?
A. Nausea and Vomiting
B. Abdominal pain and diarrhea
C. Hallucinations or tinnitus
D. Lightheadedness and/or paresthesia
D. Lightheadedness and/or paresthesia
What is the effect of angiotensin-converting enzyme?
A. Vasodilation
B. Vasoconstriction
C. Inhibition of aldosterone
D. Excretion of sodium at the kidney
B. Vasoconstriction
Which of the following is NOT a accessory muscle of respiration?
A. Sternocleidomastoid
B. Trapezius
C. External intercostal
D. Diaphragm
D. Diaphragm - this is a major part of respiration
Which of the following is NOT one of the three characteristics of the triad of Virchow?
A. Injury to epithelium
B. Abnormalities of blood flow
C. Hypercoagulability of the blood
D. Decreased clotting factors
D. Decreased clotting factors
Which component of the blood system is responsible for the critical colloid oncotic pressure?
A. Immune globulins
B. Albumin
C. Gama Globulin
D. Clotting factors
B. Albumin
The nurse is told that the blood gas results indicate a pH of 7.55 and a PCO2 of 30 mm Hg. The nurse determines that these results indicate:
1. Metabolic acidosis
2. Metabolic alkalosis
3. Respiratory acidosis
4. Respiratory alkalosis
- Respiratory alkalosis
A nurse is caring for a client with a nasogastric tube that is attached to low suction. The nurse monitors the client closely for which acid-base disorder that is most likely to occur in this situation?
1. Metabolic acidosis
2. Metabolic alkalosis
3. Respiratory acidosis
4. Respiratory alkalosis
- Metabolic alkalosis
A client is experiencing respiratory alkalosis. Which of the following additional laboratory values would the nurse expect to note?
1. A sodium level of 145 mEq/L
2. A potassium level of 3.2 mEq/L
3. A pCO2 of 56 mmHg
4. A bicarbonate of 30 mEq/L
- A potassium level of 3.2 mEq/L
A nurse is caring for a client with diabetic ketoacidosis and documents that the client is experiencing Kussmaul’s respirations. Based on this documentation, which of the following did the nurse most likely observe?
1. Respirations that cease for several seconds
2. Respirations that are regular but abnormally slow
3. Respirations that are labored and increased in depth and rate
4. Respirations that are abnormally deep, regular, and increased in rate
- Respirations that are labored and increased in depth and rate
The RN reviews the results of the ABG with the LPN and tells the LPN that the client is experiencing respiratory acidosis. The LPN would expect to note which of the following on the laboratory result form?
1. pH 7.50, PCO2 52 mm Hg
2. pH 7.35, PCO2 40 mm Hg
3. pH 7.25, PCO2 50 mm Hg
4. pH 7.50, PCO2 30 mm Hg
- pH 7.25, PCO2 50 mm Hg
Which of the following factors is NOT regulated by vitamin K?
A. II
B. VII
C. VIII
D. X
C. VIII
Which of the following is NOT a cause of hypercapnia?
A. depression of the respiratory center by drugs
B. Disease of the medulla
C. Large airway obstruction
D. Increased respiratory drive
D. Increased respiratory drive
Which of the following forms of leukemia is the most common in children?
A. Acute lymphoblastic leukemia (ALL)
B. Acute myelogenous leukemia (AML)
C. Chronic lymphocytic leukemia (CLL)
D. Chronic myelogenous leukemia (CML)
A. Acute lymphoblastic leukemia (ALL)
Which of the following cells proliferate in myeloma?
A. Lymphocytes
B. Plasma Cells
C. Eosinophils
D. Granulocytes
B. Plasma Cells
