FINAL EXAM REVIEW

A client has a serum calcium level of 7.2 mg/dl. During the physical examination, the nurse expects to assess:

• Trousseau's sign

• Homans' sign

• Nothing, this is a normal finding

• Hegar's sign

Which of the following assessment tools will be most effective when assessing for pain in a four-year-old client?

• Numeric

• FLACC

• FACES

• Linear

A client reports tingling in the fingers as well as feeling depressed. The nurse assesses positive Trousseau’s and Chvostek’s signs. Which decreased laboratory results does the nurse observe when the client’s laboratory work has returned?

• Calcium

• Phosphorus

• Sodium

• Potassium

When a client's ventilation is impaired, the body retains which substance?

• Sodium bicarbonate

• Carbon dioxide

• Nitrous oxide

• Oxygen

The nurse knows which is the normal serum value for potassium?

• 135–145 mEq/L

• 96–106 mEq/L

• 3.5–5.0 mEq/L

• 8.5–10.5 mg/dL

Which of the following is the most common cause of symptomatic hypomagnesemia in the United States?

• Drug use

• Exercise

• Eating disorders

• Alcoholism

Which combination of arterial blood gas (ABG) values confirms respiratory acidosis?

• pH, 7.5; PaCO₂ 30 mm Hg

• pH, 7.40; PaCO₂ 35 mm Hg

• pH, 7.35; PaCO₂ 40 mm Hg

• pH, 7.25; PaCO₂ 50 mm Hg

Which of the following pain assessment tools is most commonly used in adults?

• FACES

• FLACC

• Numeric

• Yes or No

A priority nursing intervention for a client with hypervolemia involves which of the following?

• Establishing I.V. access with a large-bore catheter.

• Drawing a blood sample for typing and crossmatching.

• Encouraging the client to consume sodium-free fluids.

• Monitoring respiratory status for signs and symptoms of pulmonary complications.

Which of the following ABG results indicates respiratory acidosis?

• pH: 7.20, PaCO₂: 65 mm Hg, HCO_3–: 26 mEq/L

• pH: 7.32, PaCO₂: 40 mm Hg, HCO_3–: 18 mEq/L

• pH: 7.50, PaCO₂: 30 mm Hg, HCO_3–: 24 mEq/L

• pH: 7.40, PaCO₂: 40 mm Hg, HCO_3–: 24 mEq /L