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NUR 2392 MDC2 EXAM 2 QUESTIONS & CORRECT ANSWERS GRADED A RASMUSSEN UNIVERSITY LATEST EX, Exams of Nursing

York UniversityNursing

NUR 2392 MDC2 EXAM 2 QUESTIONS & CORRECT ANSWERS GRADED A RASMUSSEN UNIVERSITY LATEST EXAM

Typology: Exams

2024/2025

Available from 06/20/2025

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NUR 2392 MDC2 EXAM 2 QUESTIONS & CORRECT
ANSWERS GRADED A RASMUSSEN UNIVERSITY
LATEST EXAM
1) When assessing arterial blood gas (ABG) results, after labeling the pH. What is the next step
that the nurse should take for ABG Interpretation?
a) Check for compensation
b) Notify the healthcare provider
c)Determine the primary cause.
d)Determine oxygenation.
2) A nurse is performing discharge teaching for a client who was recently diagnosed with
gastritis. Which of the following should be included in the teaching?
a) Limit Exercise
b) Eat three large meals each day
c) Limit alcohol intake
d) Take nonsteroidal anti-inflammatory drugs (NSAIDs) as prescribed.
3) Which of the following clients is an example of developing secondary stomatitis?
a) 67-vear-old client presenting with herpes stomatitis reports being stressed at work for the last
two weeks.
b) 25-year-old client presenting with aphthous stomatitis that reports anxiety preparing for a test.
c)16-vear-old client that reports accidentally biting the inside of his buccal mucosa.
d)64-year-old client with a history of metastatic breast cancer receiving chemotherapy presenting
with stomatitis.
4) Which of these is the priority goal for the nurse taking care or a client after an
esophagogastroduodenoscopy?
a) Monitor for rectal bleeding
b) Educate about a high fiber diet
c) Prevent and monitor for aspiration.
d)Administer oral analgesics.
5) A nurse is caring for a client who presented to the emergency department with an acute
asthma exacerbation. The respiratory rate is 36 breaths/min. and a pause oximeter is 85% on
room air with accessory muscle use to breathe. The nurse placed the client on oxygen 4 liters
nasal cannula. The arterial blood gas (ABG) is as follows: pH: 7.28, PaCO2: 50 mm Hg, Pa02:
75 mm Hg, and HCO3: 26 mEq/L. Which of the following treatments is the nurse's highest
priority?
a) Administer bronchodilators
b) Administer sodium bicarbonate
c)Administer methylprednisolone.
d)Perform a chest x-ray.
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NUR 2392 MDC2 EXAM 2 QUESTIONS & CORRECT

ANSWERS GRADED A RASMUSSEN UNIVERSITY

LATEST EXAM

  1. When assessing arterial blood gas (ABG) results, after labeling the pH. What is the next step that the nurse should take for ABG Interpretation? a) Check for compensation b) Notify the healthcare provider c)Determine the primary cause. d)Determine oxygenation.
  2. A nurse is performing discharge teaching for a client who was recently diagnosed with gastritis. Which of the following should be included in the teaching? a) Limit Exercise b) Eat three large meals each day c) Limit alcohol intake d) Take nonsteroidal anti-inflammatory drugs (NSAIDs) as prescribed.
  3. Which of the following clients is an example of developing secondary stomatitis? a) 67 - vear-old client presenting with herpes stomatitis reports being stressed at work for the last two weeks. b) 25 - year-old client presenting with aphthous stomatitis that reports anxiety preparing for a test. c)16-vear-old client that reports accidentally biting the inside of his buccal mucosa. d)64-year-old client with a history of metastatic breast cancer receiving chemotherapy presenting with stomatitis.
  4. Which of these is the priority goal for the nurse taking care or a client after an esophagogastroduodenoscopy? a) Monitor for rectal bleeding b) Educate about a high fiber diet c) Prevent and monitor for aspiration. d)Administer oral analgesics.
  5. A nurse is caring for a client who presented to the emergency department with an acute asthma exacerbation. The respiratory rate is 36 breaths/min. and a pause oximeter is 85% on room air with accessory muscle use to breathe. The nurse placed the client on oxygen 4 liters nasal cannula. The arterial blood gas (ABG) is as follows: pH: 7.28, PaCO2: 50 mm Hg, Pa02: 75 mm Hg, and HCO3: 26 mEq/L. Which of the following treatments is the nurse's highest priority? a) Administer bronchodilators b) Administer sodium bicarbonate c)Administer methylprednisolone. d)Perform a chest x-ray.
  1. A nurse Is caring for a 56 - vear-old client who presented to the emergency department with a feeling of abdominal fullness and dyspepsia. The client reports a recent bloody emesis and long-term Ibuprofen use. Which of the following conditions could the client be exhibiting based on the symptoms? a) Peptic ulcer disease b) Gastritis c) Hiatal hernia d)Uvulitis
  2. What condition(S) does the nurse anticipate In a client with metabolic acidosis? (Select all that apply.) a) Diabetic ketoacidosis b) Seizure activity c)Starvation d)Kidney failure e) Airway obstruction
  3. A client has the following arterial blood gas (ABG) results. How does the nurse interpret these results? pH 7. PaCO2 28 mm Hg HCO3 18 mEq/L a) Metabolic acidosis without compensation b) Respiratory alkalosis without compensation c)Metabolic alkalosis with partial respirator compensation d)Metabolic acidosis with partial respirator compensation
  4. A nurse is caring for a client admitted with a fever, cough, and body aches with a positive influenza A screening. The client states the sickness started last week but could not afford to miss work with a new job and no health insurance. The client expresses financial concern with the hospital stay. Which of the following interventions would the nurse Implement to support the care or the client? (Select all that apply.) a) Consult social worker b) Notify the client's employer c) Notify the dietician. d) Consult client financial services. e) Nurse requests a psychiatric consult
  5. The nurse is caring for a client that presented with an asthma attack. The client was working out and forgot to take an inhaler. The respiratory rate is 24 breaths per minute. The pulse oximeter is 85% on room air. The arterial blood gas (pH) is as follows: pH:7.33 PaCO2: 50 mm Hg, Pa02: 70 mm Hg, HCO3: 26 mEq/L. What acid-base deficit is the client experiencing? a) Respiratory acidosis with partial metabolic compensation b) Respiratory acidosis without compensation c)Metabolic acidosis with full respiratory compensation d)Metabolic alkalosis without compensation
  1. The client's arterial blood gas (ABG) results show an increase in ph greater than 7.45. Which condition is most likely to contribute to this laboratory value? a) Renal failure b) Ketosis c)Hyperventilation d)Diarrhea
  2. A nurse is caring for a client with metabolic alkalosis. Which of the following symptoms would the nurse expect the client to exhibit? a)Tachycardia. b)Kussmaul respirations c)Bradycardia d)Decreased reflexes.
  3. The nurse is caring for a 50-year-old client admitted to the emergency department for a suspected upper gastrointestinal bleed. Which Of the following clinical findings would support this diagnosis? (Select all that apply.) a) Bright red or coffee-ground vomitus b) Vertigo or dizziness c)Increased blood pressure. d)Weak peripheral pulses e) Decreased hemoglobin and hematocrit value
  4. A nurse is caring for a client diagnosed with severe gastroesophageal reflux disease (GERD). Which of the following medications would the nurse expect the provider to order? a) Pantoprazole b) Metoclopramide c)Diphenoxylate/atropine d)Sucralfate
  5. The nurse is caring for a client who recently ingested a large amount of antacids. Which of the following conditions is this client at risk for? a) Metabolic acidosis b) Metabolic alkalosis c)Respiratory alkalosis d)Respiratory acidosis
  6. A client has the following arterial blood gas (ABG) results. How would the nurse interpret these results? pH 7. PaCO2 58 mm Hg HCO330 mEq/L a) Metabolic acidosis with full respiratory compensation b) Metabolic alkalosis with partial respiratory compensation c)Respiratory acidosis with full metabolic compensation d)Respiratory acidosis with partial metabolic compensation
  1. Which of the following laboratory tests does the nurse need to assess to determine it the client's acid-base imbalance is respiratory or metabolic? a) complete blood count b) Liver function test c) Arterial blood gas d)???????
  2. The nurse Is caring for a client who Is concerned about developing oral tumors. Which client statement requires immediate nursing intervention? a) "I used to chew tobacco but quit five years ago." b) "I use sunscreen to cover my face and body when I'm at the beach.” c) "I don't have dental insurance, so I can't get dental check-ups.” d) "I only drink alcohol on special occasions like my birthday and anniversary”
  3. A nurse is caring for a client diagnosed with metabolic alkalosis from loss of gastric secretions through vomiting. Which of the following would the nurse include in the care plan for this client? a) Administer sodium bicarbonate b) Provide ventilatory support c)Administer antiemetics. d)Administer bronchodilators.
  4. A client's arterial blood gas (ABG) reveals respiratory acidosis. Which of the following causes respiratory acidosis? a) Hyperventilation b) Pregnancy c)Hypoventilation d)High Altitude
  5. The client is at risk for acid-base imbalance. Which laboratory value indicates that the client is acidotic? a) PaC02=55 mm Hg b) HC03= 25 mEq/L c)Lactate =2.5mmol/L d)pH=7.
  6. While performing an oral assessment on a client with stomatitis, the nurse should assess which of the following? (Select all that apply.) a) Recent infections b) Changes in nutrition or oral hygiene c) Sleep patterns d) Medications and supplements e) Recent oral traumas
  1. The provider ordered clindamycin oral suspension 800 mg PO twice daily. Available is clindamycin oral suspension 100 mg/2 mL. How many mL will the nurse administer per dose! (Record answer as a whole number. Do not use a tralling zero.) 16
  2. Which of the following signs and symptoms should the nurse investigate first when assessing a client diagnosed with respiratory acidosis? a) Warm flushed skin b) Skeletal muscle weakness c)Confusion d)Respiratory rate or 8 breaths/minute
  3. The nurse is providing education for a client recently diagnosed with gastroesophageal reflux disease (GERD) Which of the following foods should the client avoid? a) Low-fat foods b) Salad c) Caffeinated beverages. d)White bread
  4. A nurse is caring for a client admitted with acute confusion and weakness. The client admitted to ingesting a large amount of aspirin. Vital signs reveal blood pressure 102/ 70 mm Hg, heart rate 120 beats/minute, and deep respirations at 42 breaths/minute Arterial blood gas (ABG) results reveal pH: 7.2, PaCO2: 35 mm Hg, Pa02: 90 mm Hg, and HCO3: 18 mEg/L. How does the nurse interpret these results? a) Metabolic acidosis without compensation b) Respiratory acidosis without compensation c) Metabolic alkalosis with partial respiratory compensation d)Metabolic acidosis with full respiratory compensation
  5. The nurse is caring for a 42 - year-old Hispanic client with diabetic ketoacidosis. The client speaks limited English. There is no family at the bedside. Which of the following is an appropriate intervention? a) Attempt to notify the family b) Perform assessment and treatment despite the language barrier c) Obtain an interpreter for the client. d)????
  6. A 42 - year-old client was recently diagnosed with gastric cancer. The client has a wife and three small children. The client and the wife are having difficulty dealing with the recent diagnosis. Which of the following nursing interventions is appropriate for this client? a) Educate on treatment options b) Consult the dietician regarding nutritional needs c) Monitor lab values for abnormalities d) Consult social services to provide support to the client and family.
  1. While discharging a client with peptic ulcer disease. which of these should the nurse include in the education? (Select all that apply.) a) Resume diet as preferred b) Avoid alcohol consumption c) Adhere to prescribed medications. d) When to notify the healthcare provider. e) Encourage non-steroidal anti-inflammatory drugs (NSAIDs) for pain
  2. Which of the following imbalances would be the priority to address in a client with end- stage renal failure? a) Hyperkalemia b) Hyponatremia c)Hypercalcemia d)Hypermagnesemia
  3. Which of the following interventions would the nurse not include in the care of a client with stomatitis? a) Perform oral hygiene after each meal b) Use a soft toothbrush or oral rinse with saline or baking soda solution c)Encourage the continued use of dentures to assist with chewing. d)Select soft. bland, and non-acidic meals
  4. The following arterial blood gas (ABG) reflects a pH 7.32 PaCO2 50 mm He Pa02 79 mm He, HCO3 30 mEg/L. Which of the following Is the correct interpretation of the client's ABG? a) Respiratory acidosis with partial metabolic compensation b) Metabolic acidosis with partial respiratory compensation c) Normal arterial blood gas d) Respiratory alkalosis with full metabolic compensation
  5. The nurse observes electrocardiogram (ECG) changes on a client with metabolic acidosis. Before notifying the health care provider, the nurse also assesses the results or which laboratory test? a) Serum calcium b) Serum glucose c) Serum potassium d) Serum magnesium
  6. A nurse is caring for a client diagnosed with oral cancer who recently underwent surgery. Which of the following is a post-operative nursing priority? a) Airway management b) Advance diet c) Monitor vital signs. d) Provide alternate means of communication.

MDC2 Exam 2 Kahoot - Acid-Base Imbalance

  1. pH 7.32 HCo3 20 CO2 37 metabolic alkalosis with full metabolic compensation metabolic acidosis uncompensated respiratory acidosis with partial metabolic compensation respiratory alkalosis with full metabolic compensation
  2. Who is at risk for developing stomatitis? obese client client with heart failure client with kidney disease client with liver cancer
  3. A patient with GERD should avoid which of the following? coffee bread milk eggs
  4. What procedure is used for treatment of GERD? vagotomy nissen fundoplication colectomy gastrectomy
  5. A 29 year old presents with vomiting bright red blood what orders would you question? clear liquid diet NPO NS at 100 mL per hour CBC and CMP
  6. A patient was just diagnosed with PUD what is not included in education? continue drinking alcohol avoid spicy foods follow medication regimen signs and symptoms to report to provider
  7. A patient complains of a feeling of fullness, chest pain what is suspected she is suffering from? diverticulitis crohns disease hiatal hernia GERD
  1. A patient was just diagnosed with gastric cancer and him and his wife are having difficulty with the diagnosis. consult a dietician. recommend homeopathic therapies. recommend the patient ask for an antidepressant. consult a social worker for resources.
  2. A patient is diagnosed with GERD what education would you expect to be given? diet modifications patient can continue to smoke cigarettes. patient should eat right before bedtime. patient can continue to drink alcohol.
  3. What is a common test to diagnose esophageal disorders? barium enema EGD colonoscopy EEG
  4. A patient presents with loss of appetite, weight loss, and heartburn, what is she suspected of having? bowel obstruction diverticulitis gastric cancer thrush
  5. A patient with gastritis would need what education? you can continue smoking. decrease stress. avoid laxatives. eat a large meal for dinner before bedtime.
  6. A patient had an EGD what is the priority assessment before allowing food? mental status peripheral pulses gag reflex heart rate
  7. COPD results in what type of acid base imbalance? Respiratory acidosis respiratory alkalosis metabolic acidosis metabolic alkalosis
  8. Diabetic ketoacidosis causes which acid base imbalance? metabolic alkalosis
  1. The nurse notes a positive chvosteks sign in her patient, which electrolyte imbalance is the patient suffering from? hypophosphatemia hypokalemia hyperkalemia hypocalcemia
  2. pH 7.30 HCO3 44 CO2 89 respiratory alkalosis respiratory acidosis metabolic acidosis metabolic alkalosis
  3. pH 7.49 CO2 49 HCO3 34 metabolic alkalosis metabolic acidosis respiratory acidosis respiratory alkalosis
  4. pH 7.46 CO2 49 HCO3 28 metabolic alkalosis metabolic acidosis respiratory alkalosis respiratory acidosis
  5. pH 7.40 HCO3 24 CO2 40 respiratory acidosis respiratory alkalosis metabolic acidosis normal ABG
  6. Your patient is suffering from fever, HR 128, BP 80/46. What imbalance do you expect? hypervolemia hypovolemia acute renal failure Arthritis
  7. Your teaching your client about high salt foods to avoid which food is correct? chicken ham eggs milk
  1. A patient is suffering from a bowel obstruction and is currently being treated with an NG tube, what imbalance? metabolic acidosis respiratory acidosis respiratory alkalosis metabolic alkalosis
  2. pH 7.28 HCO3 26 CO2 50 respiratory alkalosis metabolic alkalosis metabolic acidosis respiratory acidosis
  3. pH 7.30 HCO3 30 CO2 54 compensated respiratory alkalosis uncompensated respiratory acidosis respiratory acidosis with partial metabolic compensation respiratory alkalosis with partial metabolic compensation
  4. pH 7.38 HCO3 26 CO2 40 respiratory acidosis respiratory alkalosis metabolic alkalosis normal ABG
  5. Which imbalance would be a result of aspirin toxicity? metabolic acidosis respiratory acidosis
  6. A patient suffering from diarrhea would have which imbalance? respiratory acidosis respiratory alkalosis metabolic acidosis metabolic alkalosis
  7. A patient having an anxiety attack would have which imbalance? metabolic acidosis metabolic alkalosis respiratory alkalosis respiratory acidosis
  8. Your patient is suffering from hypomagnesmia and hypocalcemia, what assessment technique would be positive? Trousseau's sign Homans sign Turners sign

metabolic acidosis respiratory alkalosis respiratory acidosis

  1. A patient is suffering from diarrhea due to food poisoning what acid base imbalance would you expect? respiratory acidosis metabolic alkalosis respiratory alkalosis metabolic acidosis
  2. A patient is showing tall T waves on the EKG, what acid base imbalance is occurring? metabolic alkalosis metabolic acidosis respiratory acidosis respiratory alkalosis
  3. What intervention is appropriate for a patient with metabolic acidosis? replacing fluids and electrolytes ammonium chloride
  4. A patient is suffering from metabolic acidosis which symptom is appropriate? decreased appetite. kussmauls respirations high blood pressure seizure activity
  5. A patient reports 4lb weight gain, what would be the suspected diagnosis? hypovolemia hypervolemia loss of appetite diarrhea
  6. The first step in interpreting an ABG is to label the pH HCO Co
  7. True or false. Aspirin toxicity can result in 2 acid base imbalances True False
  8. which body systems work to correct the acid base imbalance? lungs and kidneys kidneys and GI tract lungs and liver

lungs and heart

  1. A normal pH is within which range 7.45-7. 7.55-7. 7.35-7. 7.25-7.