AHT 2 Exam 2 Review Questions With Correct Answers. Complete Solution.1. A nurse is having difficulty arousing a client following
... [Show More] an
esophagogastrostroduodenoscopy (EGD). Which of the following is the priority
action by the nurse?
a. Assess the airway
b. Allow the client to sleep
c. Prepare to administer an antidote to the sedative
d. Evaluate procedure lab findings9*
2. A patient is scheduled for a liver biopsy. Which laboratory results would be of
most concern to the nurse?
a. Hemoglobin of 11 g/dL
b. Prothrombin time of 32 seconds
c. Serum ammonia level of 56 mcg N/dL
d. White blood cell count of 14.2 x 103/µL
3. The nurse listens to bowel sounds for 60 seconds and does not hear gurgling.
Which action should the nurse take next?
a. Document the bowel sounds as hypoactive.
b. Continue to listen for at least another 60 seconds.
c. Administer the prescribed drug for constipation.
d. Review the patient's dietary intake for the past 24 hours
4. During the postoperative care of a 76-year-old patient, the nurse monitors the
patient's intake and output carefully, knowing that the patient is at risk for fluid
and electrolyte imbalances primarily because
a. older adults have an impaired thirst mechanism and need reminding to drink
fluids.
b. water accounts for a greater percentage of body weight in the older adult than
in younger adults.
c. older adults are more likely than younger adults to lose extracellular fluid
during surgical procedures.
d. small losses of fluid are significant because body fluids account for 45% to
50% of body weight in older adults.
5. In a patient with prolonged vomiting, the nurse monitors for fluid volume deficit
because vomiting results in
a. Fluid movement from the cells into the interstitial space and the blood vessels
b. Excretion of large amounts of interstitial fluid with depletion of extracellular
fluids
c. An overload of extracellular fluid with a significant increase in intracellular fluid
volume
d. Fluid movement from the vascular system into the cells, causing cellular
swelling and rupture
6. Which assessment action will help the nurse determine if an obese patient has
metabolic syndrome?
a. Take the patient's apical pulse.
b. Check the patient's blood pressure.
c. Ask the patient about dietary intake.
d. Dipstick the patient's urine for protein
7. A patient is admitted to a medical unit with a diagnosis of malnutrition. The
student nurse asks the nurse assigned to this patient about the relationship
between drugs and nutrition. What is the most appropriate response for the nurse
to make?
a. "Foods alter the absorption or bioavailability of all drugs."
b. "If the patient skips a meal, drugs may not be taken."
c. "Some drugs increase the requirements for essential nutrients."
d. "Drugs should be taken with food to prevent GI irritation."
8. The nurse obtains a drug history from a patient with ascites and elevated
aspartate and alanine aminotransferase levels. The nurse is most concerned if
the patient makes which statement?
a. "Occasionally I will use Benadryl for my allergies."
b. "Sometimes probiotics can make me feel bloated."
c. "I add flaxseed powder to my cereal every morning."
d. "I take acetaminophen 4 to 5 times a day for back pain."
9. - M.H., a 62-year-old female, was admitted with confusion and lethargy related to
hyponatremia.
- Her husband tells you that M.H. had c/o diarrhea over the past week and was
drinking lots of water to prevent dehydration.
What caused M.H.'s serum sodium level to fall?
a. Excessive diarrhea can cause fluid and sodium loss
b. Constipation
c. Adequate nutrition
d. Excessive vomiting and increase drainage from nasogastric tube
10.An older woman was admitted to the medical unit with GI bleeding and fluid
volume deficit. Clinical manifestations of this problem are (select all that apply)
a. weight loss.
b. dry oral mucosa.
c. full bounding pulse.
d. engorged neck veins.
e. decreased central venous pressure.
11.The nursing care for a patient with hyponatremia and fluid volume excess
includes
a. fluid restriction.
b. administration of hypotonic IV fluids.
c. administration of a cation-exchange resin.
d. placement of an indwelling urinary catheter.
12.The nurse should be alert for which manifestations in a patient receiving a loop
diuretic?
a. Restlessness and agitation
b. Paresthesias and irritability
c. Weak, irregular pulse and poor muscle tone
d. Increased blood pressure and muscle spasms
13.Priority Decision: A 75-year-old patient who is breathing room air has the
following arterial blood gas (ABG) results: pH 7.40, PaO2 74 mm Hg, SaO2 92%, [Show Less]