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New Unit II Review

Total questions: 10

Worksheet time: 6mins

Name
Class
Date
1.

What are the goals of hemodialysis? (select all that apply)

a)

Removal of waste products

b)

Regulation of fluid balance

c)

Correction of electrolyte and acid/base balance

d)

Prevention of infection

2.

The client with end stage renal disease (ESRD) is scheduled for hemodialysis this morning is due to receive a daily dose of enalapril. The nurse should plan to administer this medication:

a)

Prior to dialysis

b)

During dialysis

c)

After dialysis

3.

You're caring for a patient with type II diabetes mellitus. The patient is scheduled for a coronary angiogram tomorrow. Which of the following scheduled medication orders should you question?

a)

simvastatin 80mg qHS

b)

lisinopril 20mg daily

c)

metformin 500mg BID

d)

metoprolol 25mg BID

4.

Plan a discharge teaching session for a patient recovering from pneumonia. Which topic should be emphasized to prevent recurrence?

a)

Importance of completing antibiotics

b)

Benefits of a high-protein diet

c)

Techniques for effective coughing

d)

Use of humidifiers

5.

A nurse is evaluating a patient's risk for electrolyte imbalance. Which of the following patients is at highest risk for developing hyperkalemia?

a)

A patient with chronic kidney disease

b)

A patient taking diuretics

c)

A patient with diarrhea

d)

A patient with excessive sweating

6.

A patient with a history of vomiting presents with the following lab values: pH 7.48, PaCO2 44 mmHg, HCO3- 30 mEq/L. Evaluate the acid-base disturbance and its likely cause.

a)

Metabolic acidosis due to diarrhea

b)

Respiratory acidosis due to hypoventilation

c)

Metabolic alkalosis due to loss of gastric acid

d)

Respiratory alkalosis due to hyperventilation

7.

Cayenne Fudge is a nursing student studying for the upcoming Unit II exam and last week learned that one of the following is a primary cause of respiratory acidosis. Which one is it?

a)

Hyperventilation

b)

Hypoventilation

c)

Diarrhea

d)

Vomiting

8.

Kiwi Dracula is studying for NSG 1600. Which of the following conditions is associated with respiratory acidosis?

a)

Hyperventilation

b)

Chronic obstructive pulmonary disease (COPD)

c)

Anxiety

d)

Climbing Mt. Kilimanjaro

9.

A patient presents with the following lab values: pH 7.28, PaCO2 61 mmHg, HCO3 24 mEq/L. Based on these values, evaluate the patient's acid-base status.

a)

Metabolic acidosis

b)

Respiratory acidosis

c)

Metabolic alkalosis

d)

Respiratory alkalosis

10.

A patient in the recovery room (PACU) recently received a large dose of midazolam from the CRNA. The client is unresponsive. The nurse will prepare for which immediate intervention?

a)

Hemodialysis

b)

Administration of flumazenil

c)

Administration of naloxone

d)

Administration of ondansetron