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NUR 340 Exam Review Exam With Verified Solutions
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NUR 340 Exam Review Exam With Verified Solutions2024-2025
A patient is admitted to the emergency department following a suicide attempt by
aspirin overdose. The patient is hyperventilating and the nurse monitors for
which acid-base disorder?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis - Answer B. Respiratory alkalosis
When interpreting an arterial blood gas, the nurse correlates which findings to an
uncompensated respiratory acidosis? Select all that apply.
1. pH 7.30
2. PaO2 82 mm Hg
3. PaCO2 48 mm Hg
4. HCO3 28 mEq/L
5. SaO2 90% - Answer 1. pH 7.30
3. PaCO2 48 mm Hg
Admitted for evaluation of a bowel obstruction and has a nasogastric tube placed to low
intermittent suction. The physician orders arterial blood gases, and the following results
are reported:
pH 7.37
PaCO2 33mm Hg
PaCO2 94 mm Hg
HCO3 19 mm Hg
,SaO2 98%
What is the nurse's interpretation of these results?
1. Fully compensated metabolic acidosis
2. Uncompensated metabolic acidosis
3. Uncompensated respiratory alkalosis
4. Partially compensated respiratory alkalosis - Answer 1. Fully compensated metabolic
acidosis
The nurse recognizes that which is a function of red blood cells?
1. To facilitate osmosis between O2 and CO2
2. To transport O2 from the lungs to the tissues
3. To transport CO2 from the lungs to the tissues
4. To facilitate active transport between O2 and CO2 - Answer 2. To transport O2 from
the lungs to the tissues
During the completion of a physical assessment on a patient, the nurse identifies that
the patient has a red, swollen, smooth, shiny and tender tongue. The nurse would
correlate this finding to which disorder?
1. Thrombocytosis
2. Leukopenia
3. Iron deficiency anemia
4. Vitamin K deficiency - Answer 3. Iron deficiency anemia
Which term would the nurse use when documenting an elevated RBC count?
1. Anemia
2. Neutropenia
3. Polycythemia
4. Thrombocytopenia - Answer 3. Polycythemia
, The nurse is reviewing the CBC count for a female patient who was recently admitted to
the medical-surgical unit. The CBC count is as follows: white blood cells 6.10/mm3;
hemoglobin 15 g/dL; red blood cells 4.4 million cells/mm3; platelet 180,000/mm3. What
does the nurse determine from these results?
1. The patient is anemic.
2. The patient has leukopenia.
3. The patient has thrombocytopenia.
4. The patient's laboratory values are within normal limits. -Answer 4. The patient's
laboratory values are within normal limits.
The nurse is caring for an older adult patient who has renal failure and has been
diagnosed with anemia. Based on this information, the nurse will include which cause of
anemia in the plan?
1. A loss of the kidney hormone erythropoietin
2. A loss of appetite related to elevated BUN and creatinine levels
3. The renal dialysis used for the treatment of the chronic renal failure
4. Loss of blood through the urine due to the improper functioning of the failing kidney
-Answer 1. Loss of the kidney hormone erythropoietin
A nurse cares for the patient who is admitted for the sickle cell disease crisis. What is
the priority medication the nurse will carry out in providing care for the patient
1. Oxygen administration
2. Antipyretics administration
3. Pain medication administration
4. Intravenous fluid administration - Answer 1. Oxygen administration
A patient is admitted to the hospital with a diagnosis of aplastic anemia. When teaching
the patient and family about this disease process, the nurse should include which of the
following statements?
1. "Aplastic anemia results in an overproduction of white blood cells."
2. "Aplastic anemia is a disorder that includes abnormally shaped red blood cells."
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