NURS 3632 Exam 3 Questions With Complete Solutions
A 16-year-old patient has been diagnosed with Body Image
Disturbance related to severe acne. In planning nursing care,
what is an appropriate goal for this patient?
a. The patient will make above-B grades in all tests at school.
b. The patient will demonstrate, by diet control and skin care,
increased interest in control of acne.
c. The patient reports that she feels more self-confident in her
music and art, which she enjoys.
d. The patient expresses that she is very smart in school. Correct
Answers b. The patient will demonstrate, by diet control and
skin care, increased interest in control of acne.
A 33-year-old businessperson is in counseling, attempting to
deal with a long-repressed history of sexual abuse by her father.
"I guess I should feel satisfied with what I've achieved in life,
but I'm never content, and nothing I achieve makes me feel good
about myself.... I hate my father for making me feel like I'm no
good. This is an awful way to live." What self-concept
disturbance is this person experiencing?
a. Personal Identity Disturbance
b. Body Image Disturbance
c. Self-Esteem Disturbance
d. Altered Role Performance Correct Answers c. Self-Esteem
Disturbance
A 36-year-old is admitted with vomiting and dehydration after
having the flu for 3 days. ABG results are pH 7.46, PaCO2 50,
,HCO3 33, SaO2 95%. What do these values indicate to the
nurse?
1. metabolic acidosis, uncompensated
2. respiratory acidosis, compensated
3. metabolic alkalosis, partially compensated
4. metabolic alkalosis, uncompensated Correct Answers 3.
metabolic alkalosis, partially compensated
A 36-year-old woman enters the emergency department with
severe burns and cuts on her face after an auto accident in a car
driven by her fiancé of 3 months. Three weeks later, her fiancé
has not yet contacted her. The patient states that she is very busy
and she is too tired to have visitors anyway. The patient
frequently lies with her eyes closed and head turned away. What
do these data suggest?
a. There is no disturbance in self-concept.
b. This patient has ego strength and high self-esteem but may
have a disturbance of body image.
c. The area of self-esteem has very low priority at this time and
should be ignored until much later.
d. It is probable that there are disturbances in self-esteem and
body image Correct Answers d. It is probable that there are
disturbances in self-esteem and body image
A 57-year-old client is admitted with a diagnosis of acute
myocardial infarction. ABG results are pH 7.36, PaCO2 29,
HCO3 20, SaO2 100%. The nurse interprets that this client is:
1. well-oxygenated with uncompensated respiratory alkalosis
,2. hypoxemia with compensated respiratory acidosis
3. well-oxygenated with compensated metabolic acidosis
4. hypoxemia with compensated metabolic acidosis Correct
Answers 3. well-oxygenated with compensated metabolic
acidosis
A 70-year-old patient who has had a number of strokes refuses
further life-sustaining interventions, including artificial nutrition
and hydration. She is competent, understands the consequences
of her actions, is not depressed, and persists in refusing
treatment. Her health care provider is adamant that she cannot
be allowed to die this way, and her daughter agrees. An ethics
consult has been initiated. Who would be the appropriate
decision maker?
a. The patient
b. The patient's daughter
c. The patient's health care provider
d. The ethics consult team Correct Answers a. The patient
A 71-year-old client develops HTN, tachycardia, and increased
respirations two days after surgery. ABG results are pH 7.29,
PaCO2 52, HCO3 24, SaO2 95%. The nurse interprets that these
results indicate which of the following?
1. Respiratory acidosis, uncompensated
2. Respiratory acidosis, partially compensated
3. Respiratory acidosis, uncompensated
4. Metabolic acidosis , partially compensated Correct Answers
1. Respiratory acidosis, uncompensated
, A client admitted to the emergency department with chest
injuries following a motor vehicle accident complains that it
hurts to breathe. The client's respiratory rate is 12 and very
shallow. The nurse would anticipate which of the following
results on the ABGs?
1. pH 7.42, PaCO2 41, HCO3 23, SaO2 96%
2. pH 7.31, PaCO2 49, HCO3 24, SaO2 87%
3. pH 7.49, PaCO2 34, HCO3 30, SaO2 89%
4. pH 7.38, PaCO2 38, HCO3 22, SaO2 90% Correct Answers
2. pH 7.31, PaCO2 49, HCO3 24, SaO2 87%
A client who is recovering from surgery has been advanced from
a clear liquid diet to a full liquid diet. The client is looking
forward to the diet change because he has been "bored" with the
clear liquid diet. The nurse would offer which full liquid item to
the client?
1. Tea
2. Gelatin
3. Custard
4. Popsicle Correct Answers 3. Custard
A client with COPD is admitted to the hospital with an
exacerbation of the disease. Arterial blood gas (ABG) results are
pH 7.30, PaCO2 51, and HCO3 25. How would the nurse
interpret these?
1. Respiratory acidosis, uncompensated
2. Respiratory alkalosis, partially compensated
3. Respiratory acidosis, compensated
