RN Physiological Adaptation 2

Question 1

A patient with COPD has a PaO2 of 55 mmHg and PaCO2 of 60 mmHg on arterial blood gas. How should the nurse interpret this?

Accepted Answer

Respiratory acidosis with hypoxemia

Answer

Respiratory alkalosis with hypoxia

Answer

Compensated metabolic acidosis

Answer

Metabolic alkalosis

Question 2

Which nursing action is most appropriate for a patient experiencing status epilepticus?

Accepted Answer

Turn the patient to the side and time the seizure

Answer

Restrain the patient's extremities

Answer

Insert a tongue blade to protect the airway

Answer

Administer oral anticonvulsants immediately

Question 3

A patient with heart failure has crackles in bilateral lung bases, JVD, and peripheral edema. The nurse recognizes these as signs of:

Accepted Answer

Both right- and left-sided heart failure

Answer

Right-sided heart failure only

Answer

Left-sided heart failure only

Answer

Hypovolemic shock

Question 4

A nurse is caring for a patient with increased intracranial pressure (ICP). Which position is most appropriate?

Accepted Answer

Head of bed elevated 30 degrees with head midline

Answer

Trendelenburg position

Answer

Prone position

Answer

Head of bed flat

Question 5

Which assessment finding is most concerning in a patient 24 hours after a spinal cord injury at C5?

Accepted Answer

Blood pressure of 98/60 mmHg with bradycardia

Answer

Temperature of 99.1°F (37.3°C)

Answer

Urine output of 50 mL/hour

Answer

Mild anxiety

Question 6

A patient with liver cirrhosis develops sudden onset confusion, asterixis, and fetor hepaticus. The nurse should prepare to administer:

Accepted Answer

Lactulose

Answer

IV dextrose 50%

Answer

Naloxone

Answer

Furosemide