Exam 4 review questions

Question 1

Which is not a primary organ of homeostasis?

Answer 1

Liver

Question 2

The Lungs and Kidneys are the organs mainly responsible for regulating acid base balance: T/F

Answer 2

True

Question 3

What is not a function of body fluids?

Answer 3

Break down electrolytes

Question 4

What is the best method for assessing fluid status:

Answer 4

Weight

Question 5

Which diagnostic test is non-invasive and is able to assess the blood flow and valves of the heart?

Answer 5

Echocardiogram

Question 6

Your patient has fluid volume excess and pitting edema. Which lab finding would you expect?

Answer 6

Low albumin (it keeps fluid in the intravascular areas)

Question 7

Why should the electrolyte level K of 6.8 be reported to the physician immediately?

Answer 7

• Potassium should be 3.5-5.0

- Can cause cardiovascular issues

Question 8

Your patient has a calcium level of 14.5. What is the patient at highest risk for?

Answer 8

Bone fracture (because it is pulling the calcium out of the bones)

Question 9

Which electrolyte disturbance causes tingling of hands and fingers?

Answer 9

HYPOCALCEMIA

Question 10

The nurse recognizes that a patient’s peripheral IV has symptoms of infiltration, the nurse should:

Answer 10

discontinue the IV

Question 11

Blood transfusions require a 18-20 gauge IV catheter. T/F

Answer 11

True

Question 12

The patient has a 120 mEq/L serum sodium level. What would the nurse assess for?

Answer 12

Neurological changes and seizure activity

Question 13

On average, a healthy adult produces how much urine in a 24 hour period?

Answer 13

1.5 L

Question 14

Polyuria is a sign of significant infection of the urinary tract? T/F

Answer 14

False

Question 15

Anuria is defined as how much urinary output in 24 hours?

Answer 15

50-100 mls

Question 16

Post renal kidney failure is related to a mechanical or functional obstruction of the flow of urine. T/F

Answer 16

TRUE (if its renal its more related to the kidney, if its pre renal its before the kidneys blood flow)

Question 17

A patient that is prescribed furosemide (Lasix) should be monitored for what electrolyte imbalance?

Answer 17

K (potassium) (this is a diuretic and affects K)

Question 18

Which respiratory organ is the site of gas exchange?

Answer 18

Alveoli

Question 19

What physiological factor places an older adult at the greatest risk during surgery?

Answer 19

Respiratory excursion

Question 20

Which is the best assessment to determine that pain medicine was effective to relieve pain?

Answer 20

PT reports 0 on the pain scale

Question 21

Which type of IV device does not need radiographic confirmation prior to use?

Answer 21

Peripheral IV (PICC, Implanted port, Central venous catheter require sterile technique and DO REQUIRE radiographic confirmation).

Question 22

Which term is used to describe intestinal gas?

Answer 22

Flatus

Question 23

Which of the following laxative increases muscle contractions that move stool, and is more likely to cause side effects?

Answer 23

Stimulant laxative

Question 24

What diagnostic study is a visual examination of the large intestine from the anus to the ileocecal valve?

Answer 24

Colonoscopy

Question 25

If a patient is facing a terminal illness, ___ is a priority

Answer 25

Spirituality

Question 26

__ml in 1 oz.

Answer 26

30