Saudi Prometric Nursing Medical-Surgical Nursing 2

Question 1

A patient is admitted with diabetic ketoacidosis (DKA). Which arterial blood gas result is expected?

Accepted Answer

pH 7.28, PaCO2 28, HCO3 14 (metabolic acidosis with respiratory compensation)

Answer

pH 7.50, PaCO2 48, HCO3 36 (metabolic alkalosis)

Answer

pH 7.35, PaCO2 40, HCO3 24 (normal)

Answer

pH 7.48, PaCO2 32, HCO3 24 (respiratory alkalosis)

Question 2

A nurse is caring for a patient with acute pancreatitis. Which position provides the most comfort?

Accepted Answer

Fetal position (knees drawn to chest)

Answer

Supine with legs extended

Answer

High Fowler's position

Answer

Left lateral decubitus

Question 3

A post-operative patient reports sudden chest pain and shortness of breath on day 2 after hip replacement surgery. The nurse should first suspect:

Accepted Answer

Pulmonary embolism

Answer

Pneumonia

Answer

Myocardial infarction

Answer

Pneumothorax

Question 4

The nurse is caring for a patient in acute liver failure. Which laboratory finding is of greatest concern?

Accepted Answer

INR of 4.5

Answer

ALT of 80 U/L

Answer

Albumin of 3.2 g/dL

Answer

Bilirubin of 2.5 mg/dL

Question 5

A patient with chronic renal failure has a serum potassium of 6.2 mEq/L. Which ECG change should the nurse monitor for?

Accepted Answer

Tall peaked T waves

Answer

ST depression

Answer

Prolonged PR interval

Answer

Widened QRS only

Question 6

The nurse is caring for a patient after a right-sided stroke. Where should the nurse expect motor deficits?

Accepted Answer

Left side of the body

Answer

Right side of the body

Answer

Both sides equally

Answer

Face only