FUNDIES 2 EXAM 2 PRACTICE QUESTIONS

What is sleep apnea? A. temporary interruption of breathing during sleep B. sleeping for longer than 10 hours C. something that has to do with sleep D. i dont know

A. temporary interruption of breathing during sleep

Expelling feces from the body is: A. peristalsis B. erection C. defecation D. expulsion

C. defecation

treatments of fluid overload include all of the following except: A. administering diuretics B. fluid restriction C. limiting protein intake D. Restricting sodium intake

C. limiting protein intake

Ms. Dale states that she does not need the TV turned on because she cannot see very well, Normal visual changes in older adults include ll of the following except: 1. Double vision 2. Sensitivity to glare 3. Decreased visual acuity 4. Decreased accommodation to darkness

1. Double vision

Which sleep-hygiene actions at bedtime can the nurse delegate to the nursing assistant? (Select all that apply.) 1. Giving the patient a backrub 2. Turning on quiet music 3. Dimming the lights in the patient's room 4. Giving a patient a cup of coffee 5. Monitoring for the effect of the sleeping medication that was given

1. Giving the patient a backrub 2. Turning on quiet music 3. Dimming the lights in the patient's room

Peristalsis is: A. rhythmic contraction in the GI tract B. increased activity occurring during food consumption C. bearing down D. elimination pattern

A. rhythmic contraction in the GI tract

The 24-hour day-night cycle is know as: 1. ultradian rhythm 2. circadian rhythm 3. infradium rhythm 4. Non-REM rhythm

2. circadian rhythm

____________________ must return after an endoscopy prior to eating. A. muscle tone B. gag reflex C. swallow D. appetite

B. gag reflex

Blood visible in the stool is called: A. heme B. globin C. melena D. bloody show

C. melena

All are causes of metabolic acidosis except: A. Salicylate overdose B. Acute renal failure C. DKA (diabetic ketoacidosis) D. Sodium bicarbonate overdose

D. Sodium bicarbonate overdose

True or False: The flu makes us feel sleepy

True

TRUE OR FALSE: Bowel elimination should occur every day in every person:

false

True or False: People need less sleep as they grow older

false

TRUE OR FALSE: Oozing stool can be a sign of constipation:

true

TRUE OR FALSE: Stool shape can be indicative of bowel obstruction

true

True or False: Drowsy driving is similar to drunk driving.

true

True or False: Insomnia has the strongest link to depression

true

A chemotherapy client has gained 5 pounds in 2 days. Which assessment question by the nurse is most appropriate? A. "Are you following any weight loss program?" B. "How many calories a day do you consume?" C. "Do you have dry mouth or feel thirsty?" D. "How many times a day do you urinate?

D. "How many times a day do you urinate?

The school nurse is teaching health-promoting behaviors that improve sleep to a group of high-school students. Which points should be included in the education? (Select all that apply.) 1. Go to bed at the same time each night. 2. Study in your bedroom to have a quiet place. 3. Turn on the television to help you fall asleep. 4. Avoid drinking coffee or soda before bedtime 5. Turn off your cell phone at bedtime.

1. Go to bed at the same time each night. 4. Avoid drinking coffee or soda before bedtime 5. Turn off your cell phone at bedtime.

A 71-year-old patient enters the emergency department after falling down stairs in the home. The nurse is conducting a fall history with the patient and his wife. They live in a one-level ranch home. He has had diabetes for over 15 years and experiences some numbness in his feet. He wears bifocal glasses. His blood pressure is stable at 130/70. The patient does not exercise regularly and states that he experiences weakness in his legs when climbing stairs. He is alert, oriented, and able to answer questions clearly. What are the fall risk factors for this patient? (Select all that apply.) 1. Impaired vision 2. Residence design 3. Blood pressure 4. Leg weakness 5. Exercise history

1. Impaired vision 4. Leg weakness 5. Exercise history

The nurse sees a 76-year-old woman in the outpatient clinic. She states that she recently started noticing a glare in the lights at home. Her vision is blurred; and she is unable to play cards with her friends, read, or do her needlework. The nurse suspects that the woman may have: 1. Presbyopia. 2. Presbycusis 3. Cataract(s). 4. Depression.

1. Presbyopia. (farsightedness)

A nurse is caring for a patient preparing for discharge from the hospital the next day. The patient does not read. His family caregiver will be visiting before discharge. What can the nurse do to facilitate the patient's understanding of his discharge instructions? (Select all that apply.) 1. Yell so the patient can hear you. 2. Sit facing the patient so he is able to watch your lip movements and facial expressions. 3. Present one idea or concept at a time. 4. Send a written copy of the instructions home with him and tell him to have the family review them. 5. Include the family caregiver in the teaching session.

2. Sit facing the patient so he is able to watch your lip movements and facial expressions. 3. Present one idea or concept at a time. 5. Include the family caregiver in the teaching session.

A nursing care plan for a patient with sleep problems has been implemented. All of the following would be expected outcomes except: 1. patient reports satisfaction with amount of sleep 2. patient falls asleep within 1 hour of going to bed 3. patient reports no episodes of awakening during the night 4. Patient rates sleep as an 8 or above on the visual analog scale

2. patient falls asleep within 1 hour of going to bed

The nurse is working with an older adult after an acute hospitalization. The goal is to help this person be more in touch with time, place, and person. Which intervention will likely be most effective? 1. Reminiscence 2. Validation therapy 3 Reality orientation 4. Body image interventions

3 Reality orientation

Which statement made by an older adult best demonstrates understanding of taking a sleep medication? 1. "I'll take the sleep medicine for 4 or 5 weeks until my sleep problems disappear." 2. "Sleep medicines won't cause any sleep problems once I stop taking them." 3. "I'll talk to my health care provider before I use an over-the-counter sleep medication." 4. "I'll contact my health care provider if I feel extremely sleepy in the mornings."

3. "I'll talk to my health care provider before I use an over-the-counter sleep medication."

The nurse is taking a sleep history from a patient. Which statement made by the patient needs further follow-up? 1. "I feel refreshed when I wake up in the morning." 2. "I use soft music at night to help me relax." 3. "It takes me about 45 to 60 minutes to fall asleep." 4. "I take the pain medication for my leg pain about 30 minutes before I go to bed."

3. "It takes me about 45 to 60 minutes to fall asleep." (presleep should take 10-30 minutes)

A nurse is assessing an older adult brought to the emergency department following a fall and wrist fracture. She notes that the patient is very thin and unkept, has a stage 3 pressure ulcer to her coccyx, and has old bruising to the extremities in addition to her new bruises from the fall. She defers all of the questions to her caregivers son who accompanied her to the hospital. The nurse's next step is to: 1. Call social services to begin nursing home placement. 2. Ask the son to step out of the room so she can complete her assessment. 3. Call adult protective services because you suspect elder mistreatment. 4. Assess patient's cognitive status.

3. Call adult protective services because you suspect elder mistreatment.

Which of the following substances will promote normal sleep patterns? 1. alcohol 2. narcotics 3. L-Tryptophan 4. Beta-blockers

3. L-Tryptophan

Which of the following is most likely to result in respiratory alkalosis? 1. steroid use 2. fad dieting 3. hyperventilation 4. chronic alcoholism

3. hyperventilation

•Which statement made by the patient indicates a need for further teaching on sleep hygiene? 1. "I'm going to do my exercises before I eat dinner." 2. "I'm going to go to bed every night at about the same time." 3. "I set my alarm to get up at the same time every morning." 4. "I moved my computer to the bedroom so I could work before I go to sleep."

4. "I moved my computer to the bedroom so I could work before I go to sleep."

Mr. DeLone states that he is worried about his parents' plans to retire. All of the following would be appropriate responses regarding retirement of older adults except: 1. Retirement may affect an individual's physical and psychological functioning. 2. Positive adjustment is often related to how much a person planned for the retirement. 3. Reactions to retirement are influenced by the importance that has been attached to the work role. 4. Retirement for most persons represents a sudden shock that is irreversibly damaging to self-image and self-esteem.

4. Retirement for most persons represents a sudden shock that is irreversibly damaging to self-image and self-esteem.

which statement describing delirium is correct? 1. symptoms of delirium are irreversible 2. the onset of delirium is slow and insidious 3. symptoms of delirium are stable and unchanging 4. causes include electrolyte imbalances and cerebral anoxia

4. causes include electrolyte imbalances and cerebral anoxia

All of the following are symptoms of sleep deprivation except: 1. irritability 2. hyperactivity 3. decreased motivation 4. rise in body temperature

4. rise in body temperature

A nursing student is caring for a 78-year-old patient with multiple sclerosis. The patient has had an indwelling Foley catheter in for 3 days. Eight hours ago the patient's temperature was 37.1 C (98.8 F). The student reports her recent assessment to the registered nurse (RN): the patients temperature is 37.1 C (98.8 F); the Foley catheter is still in place, draining dark urine; and the patient is uncertain what time of day it is. From what the RN knows about presentation of symptoms in older adults, what should he recommend first? 1. tell the student that temporary confusion is normal and requires reorientation 2. tell the student to increase the patients fluid intake since the urine is concentrated 3. tell the student that her assessment findings are normal for an older adults 4. tell the student that he will notify the patients health care provider of the findings and recommend a urine culture

4. tell the student that he will notify the patients health care provider of the findings and recommend a urine culture

Which of the following individuals would be at greatest risk of injury? A. 80-year-old who does not have an air condition or a fan B. 70-year-old who has new dentures C. 68-year-old who has difficulty tasting salt in food D. 84-year-old who needs hearing aids

A. 80-year-old who does not have an air condition or a fan (sweating decreases predisposing them to heat stroke)

The nurse is caring for a group of clients. Which client will the nurse see first? A. A client with D5W hanging with the blood B. A client with type A blood receiving type O blood C. A client with intravenous potassium chloride that is diluted D. A client with a right mastectomy and an intravenous site in the left arm

A. A client with D5W hanging with the blood (to prevent a medication error, prime tubing with normal saline, only have 4 hours to hang blood)

All are the correct for administering IV potassium chloride except: A. Administered IV push over 10-15 minutes B. Slow continuous IVPB C. Mixed in 1L of fluid and given over 8 hours D. Given at a rate of no more than 20MEQ/hr

A. Administered IV push over 10-15 minutes

A nurse is assessing an older client for the presence of infection. The client's temperature is 97.6° F (36.4° C). What response by the nurse is best? A. Assess the client for more specific signs B. Conclude that an infection is not present C. Document findings and continue to monitor D. Request the provider order blood cultures

A. Assess the client for more specific signs (older adults have bigger changes in temperature due to infection)

Which assessments will alert the nurse that a client's IV has infiltrated? (Select all that apply.) A. Edema of the extremity near the insertion site B. Reddish streak proximal to the insertion site C. Skin discolored or pale in appearance D. Pain and warmth at the insertion site E. Palpable venous cord F. Skin cool to the touch

A. Edema of the extremity near the insertion site C. Skin discolored or pale in appearance F. Skin cool to the touch

Which of the following might be a cause of stress for the older adult? (select all that apply) A. Financial security B. Planned retirement C. Housing D. Adjusting to decreasing health and physical strength

A. Financial security C. Housing D. Adjusting to decreasing health and physical strength

Which most appropriate client outcome statement would the nurse formulate for a 68 year old female client experiencing an acute episode of delirium? A. Have decreased confusion as evidenced by orientation to person, place, and time B. Remain free from self directed violence as evidenced by agreement to a no suicide contract C. Verbalize increased feelings of self esteem as evidenced by statements acknowledging ability to perform certain tasks independently D. Have intact tactile senses as evidenced by ability to recognize familiar objects placed in her hand

A. Have decreased confusion as evidenced by orientation to person, place, and time

The nurse is teaching about the process of passively moving water from an area of lower particle concentration to an area of higher particle concentration. Which process is the nurse describing? A. Osmosis B. Filtration C. Diffusion D. Active transport

A. Osmosis

A client is experiencing respiratory acidosis. Which organ system is responsible for compensation in this client? A. Renal B. Endocrine C. Respiratory D. Gastrointestinal

A. Renal

Mr. Frank is an 82-year-old patient who has had a 3-day history of vomiting and diarrhea. Which symptom would you expect to find on a physical examination? A. Tachycardia B. Hypertension C. Neck vein distention D. Crackles in the lungs

A. Tachycardia

Which pharmacokinetic/pharmacodynamic parameter does the aging process least affect A. absorption B. metabolism C. distribution D. excretion

A. absorption

A nurses teaching plan for an 80 year old with progressive hearing loss: A. hearing aids help but they may distort speech B. hearing aids are covered by Medicare Part B C. hearing aids will bring it back to normal D. hearing aids only help with loud noise

A. hearing aids help but they may distort speech

Which medication causes the elimination and potassium? A. lasix B. sodium bicarbonate C. spirinolactone D. calcium chloride

A. lasix

Fluid intake can influence bowel elimination; so can: A. neuromuscular function B. bowel length C. male vs female D. thickness of the bowel wall

A. neuromuscular function

Which group of people require up to 18 hours of sleep per day or night? A. newborns B. toddlers and preschoolers C. school aged children and teens D. senior adults

A. newborns

The nurse is caring for a diabetic client in renal failure who is in metabolic acidosis. Which laboratory findings are consistent with metabolic acidosis? A. pH 7.3, PaCO2 36 mm Hg, HCO3- 19 mEq/L B. pH 7.5, PaCO2 35 mm Hg, HCO3- 35 mEq/L C. pH 7.32, PaCO2 47 mm Hg, HCO3- 23 mEq/L D. pH 7.35, PaCO2 40 mm Hg, HCO3- 25 mEq/L

A. pH 7.3, PaCO2 36 mm Hg, HCO3- 19 mEq/L

The nurse has reviewed with the preoperative client the procedure for the administration of an enema. Which statement by the client would indicate the need for further instruction? A."The enema will be given while I am sitting on the toilet." B."I should try and hold the fluid as long as possible after it is instilled." C. "I know that there will be some cramping after the enema administration." D. "I should tell the nurse if cramping occurs during the instillation of the fluid."

A."The enema will be given while I am sitting on the toilet."

A hospitalized client shared with the nurse an inability to sleep through the night since admission 3 days ago. The nurse should conclude that which factor is most likely to have a negative effect on the client's sleep pattern? A.Presence of pain B.Absence of unfamiliar stimuli C.Ability to talk about day's events D.Moderate fatigue

A.Presence of pain

The nurse notes that an older client with dementia is unable to care for themselves. Which is an appropriate goal for this client? A.The client will function at the highest level of independence possible B.The client will be admitted to a long-term care facility to have activities of daily living (ADL) needs met C. The nursing staff will attend to all of the client's ADL needs during the hospital stay D. The client will complete all ADL independently within a one (1) hour time frame

A.The client will function at the highest level of independence possible (all clients regardless of age)

What fluid is most appropriate for the initial treatment of dehydration/hypovolemia? A. 0.45 % NS B. 0.9 % NS C. D5W D. D5/0.45 NS

B. 0.9 % NS

What causes the release of ADH (anti-diuretic hormone)? A. Fluid overload B. A drop in the blood pressure or blood volume C. A low sodium level D. A high potassium level

B. A drop in the blood pressure or blood volume

A patient suffers from sleep pattern disturbance. To promote adequate sleep, the most important nursing intervention is: A. administering a sleep aid. B. synchronizing the medication, treatment, and vital signs schedule. C. encouraging the patient to exercise immediately before sleep. D. discussing with the patient the benefits of beginning a long-term nighttime medication regimen.

B. synchronizing the medication, treatment, and vital signs schedule.

The nurse receives the client's most recent blood work results. Which laboratory value is of greatest concern? A. Sodium of 145 mEq/L B. Calcium of 15.5 mg/dL C. Potassium of 3.5 mEq/L D. Chloride of 100 mEq/L

B. Calcium of 15.5 mg/dL

What is the most reliable indicator of fluid status for a patient with chronic heart failure? A. pt. monitored intake and output B. daily weight C. sodium intake D. water intake

B. daily weight

Insomnia is... A. a food B. inability to sleep C. sleeping too much D. i dont know

B. inability to sleep

Changes in sleep stages that occur in the elderly include: A. decrease in stage 1, and increase in stage 4 B. increase in stage 1, and decrease in stage 4 C. decrease in all stages D. increase in stages 1 and 2 and decrease in stages 3 and 4

B. increase in stage 1, and decrease in stage 4

The valsalva maneuver: A. increases B/P; increases HR B. increases HR; decreases B/P C. decreases HR; decreases B/P D. decreases HR; increases B/P

B. increases HR; decreases B/P

Who is allowed to act legally on behalf of the elder's finances without court intervention? A. health care proxy for the older adult B. legal power of attorney for the person C. conservator for the person D. guardian of the person

B. legal power of attorney for the person

Risks for depression in the elderly include all of the following except? A. loss of spouse B. male gender C. Disability D. dementia

B. male gender

What is the first nursing intervention for a patient with a potassium level of 2.5 A. Assess respiratory rate and depth B. place on a cardiac monitor C. administer calcium chloride D. administer oral potassium chloride 40 MEQs

B. place on a cardiac monitor

Which of the following actions would the nurse consider first for a 75 year old patient who has osteoporosis? A. avoid stressful situations B. remove clutter from the floors of the home C. schedule an annual DXA/DEXA scan D. encourage consumption of a high protein diet

B. remove clutter from the floors of the home

A client with a colostomy asks the nurse about the effects of certain types of food on the stool. What foods should the nurse instruct the client to eat in order to avoid loose stools or leakage? A.Asparagus, beans, eggs, fish, onions B.Cheese, bananas, rice, tapioca, yogurt C.Fried foods, highly spiced foods, raw fruits and vegetables D.Carbonated drinks, fruit juices, oily foods, and pureed foods

B.Cheese, bananas, rice, tapioca, yogurt

The nurse is admitting a client with newly diagnosed diabetes mellitus and left-sided heart failure. Assessment reveals low blood pressure, increased respiratory rate and depth, drowsiness, and confusion. The client complains of headache and nausea. Based on the serum laboratory results below, how would the nurse interpret the client's acid-base balance? pH 7.34, HCO3 19 mEq, PaCO2 35 mmHg, PaO2 88 mmHg, K+ 5.3 mEq, Cl+ 102 mEq, Ca+ 10.4 mg/dL, Anion gap 30 mEq A.Metabolic alkalosis B.Metabolic acidosis C.Respiratory acidosis D.Respiratory alkalosis

B.Metabolic acidosis

The nurse is preparing to care for a client with a potassium deficit. The nurse reviews the client's record and determines that the client is at risk for developing the potassium deficit because of which situation? A.Sustained tissue damage B.Requires nasogastric suction C.Has a history of Addison's disease D.Uric acid level of 9.4 mg/dL (559 mmol/L)

B.Requires nasogastric suction

A client comes to the emergency department (ED) with status asthmatics. Based on the documentation note below, the nurse suspects that the client has what abnormality? Client is wheezing, RR 44, BP 140/90, Pulse 104, Temp 98.4 ABG results: pH 7.52, PaCO2 30mmHg, HCO3 26 mEq/L, PO2 77 mmHg A.Respiratory acidosis B.Respiratory alkalosis C.Metabolic acidosis D.Metabolic alkalosis

B.Respiratory alkalosis

Colonoscopy is recommended every: A. 3-5 years after 45 B. 50 years after 5 C. 5 years after 50 D. 5 years after 35

C. 5 years after 50

A nurse is checking orders. Which order should the nurse question? A. A normal saline enema to be repeated every 4 hours until stool is produced B. A hypertonic solution enema for a client with fluid volume excess C. A Kayexalate enema for a client with severe hypokalemia D. An oil retention enema for a client with constipation

C. A Kayexalate enema for a client with severe hypokalemia

A patient with chronic hypocalcemia should be instructed to do the following: A. Consume foods high in phosphorus and calcium B. Consume foods high in potassium and calcium C. Consume food low in phosphorus and high in calcium D. Consume foods high in both calcium and phosphorus

C. Consume food low in phosphorus and high in calcium

Mrs. Green's arterial blood gas results are as follows: pH 7.32; PaCO2 52 mm Hg; PaO2 78 mm Hg; HCO3- 24 mEq/L. Mrs. Green has: A. Metabolic acidosis B. Metabolic alkalosis C. Respiratory acidosis D. Respiratory alkalosis

C. Respiratory acidosis

The nurse is caring for a client who had a colostomy placed yesterday. The nurse should report which assessment finding immediately? A. Stoma is protruding from the abdomen B. Stoma is flush with the skin C. Stoma is purple D. Stoma is moist

C. Stoma is purple (indicates strangulation or necrosis)

What is a cause of hypomagnesenemia? A. excessive use of antacids containing magnesium B. chronic use of laxatives C. alcoholism D. anemia

C. alcoholism

What is the nurse's responsibility in promoting healthy aging? A. giving sound legal advice B. provide safety not security C. assessing for mistreatment D. making decisions for elderly patients

C. assessing for mistreatment

A prep is given to cleanse the bowel prior to: A. endoscopy B. laparoscopy C. colonoscopy D. capsule study

C. colonoscopy

A 4-year-old pediatric patient resists going to sleep. To assist this patient, the best action to take would be: A. adding a daytime nap. B. allowing the child to sleep longer in the morning. C. maintaining the child's home sleep routine. D. offering the child a bedtime snack.

C. maintaining the child's home sleep routine.

An elderly widow hooked up with a very old man in a long term care facility. What is the best response? A. such activity in a long-term care facility is inappropriate B. sexual desire is usually absent in older adults C. older adults need to express love and intimacy D. sexual activity can be dangerous for older adults

C. older adults need to express love and intimacy

Pt comes back from surgery, RR 10/min...You would expect the ABG to be.... A. pH: 7.55, PaCo2: 36 HCO3: 30 B. pH 7.54, PaCo2: 40, HCO3: 29 C. pH: 7.32, PaCo2: 48, HCO3: 24 D. pH: 7.37, PaCo2: 37, HCO3: 26

C. pH: 7.32, PaCo2: 48, HCO3: 24

Characteristics of the Self-Actualized include all EXCEPT A. courage B. humor C. regression D. alturism

C. regression

Why do we sleep? A. no one knows B. to cool the brain C. to ensure proper functioning of our nervous system D. to clean the brains memory slate

C. to ensure proper functioning of our nervous system

Insensible water loss occurs in all except one of the following: A. sweating B. breathing C. urinating D. Having a formed bowel movement

C. urinating

The nurse is performing an assessment on an older client who is having difficulty sleeping at night. Which statement by the client indicates the need for further teaching regarding measures to improve sleep? A."I swim 3 times a week." B."I have stopped smoking cigars." C."I drink hot chocolate before bedtime." D."I read for 40 minutes before bedtime."

C."I drink hot chocolate before bedtime." (avoid caffeinated beverages such as tea, cola, and chocolate)

The nurse is caring for a client with heart failure. On assessment, the nurse notes that the client is dyspneic, and crackles are audible on auscultation. What additional manifestations would the nurse expect to note in this client if excess fluid volume is present? A.Weight loss and dry skin B.Flat neck and hand veins and decreased urinary output C.An increase in blood pressure and increased respirations D.Weakness and decreased central venous pressure (CVP)

C.An increase in blood pressure and increased respirations

Which of the following blood products does the nurse anticipate the healthcare provider will prescribe for a client diagnosed with hemophilia? A.Whole blood B.Packed red blood cells (PRBCs) C.Fresh frozen plasma (FFP) D.Albumin

C.Fresh frozen plasma (FFP)

A trauma victim admitted to the emergency department (ED) is hemorrhaging, in shock, and has lost a significant percentage of blood volume. Because there is no time to perform a cross-match, which actions should the nurse take immediately? (Select all that apply.) A.Transfuse type AB, Rh+ (positive) blood B.Transfuse albumin to expand the remaining plasma volume C.Transfuse type O, Rh- (negative) blood D.Transfuse platelets to restore adequate clotting ability E.Establish an intravenous line

C.Transfuse type O, Rh- (negative) blood E.Establish an intravenous line

The body fluids constituting the interstitial fluid and blood plasma are: A. Hypotonic B. Hypertonic C. Intracellular D. Extracellular

D. Extracellular

Mrs. Peterson complains of difficulty falling asleep, awakening earlier than desired, and not feeling rested. She attributes these problems to leg pain that is secondary to her arthritis. What would be the appropriate nursing diagnosis for her? A. Fatigue related to leg pain. B. Insomnia related to arthritis. C. Deficient knowledge related to sleep hygiene measures. D. Insomnia related to chronic leg pain.

D. Insomnia related to chronic leg pain.

All are treatments for hyperkalemia except: A. D50% (12.5 GM)+regular insulin 10 units IV push B. Restricting foods high in potassium C. sodium polystyrene sulfate 15 GM po D. Lactated ringers at 150ml/hr

D. Lactated ringers at 150ml/hr

A client has an acute intravascular hemolytic reaction to a blood transfusion. After discontinuing the blood transfusion, which is the nurse's next action? A. Discontinue the IV catheter B. Return the blood to the blood bank C. Run normal saline through the existing tubing D. Start normal saline at TKO rate using new tubing

D. Start normal saline at TKO (to keep vein open) rate using new tubing

A nurse who has recently graduated has been assigned to be a primary nurse on a geriatric unit. After completing a review of development and aging, the nurse recalls that changes for the older adult include: A. a transition from young adulthood. B. the ability of the older adult to achieve sexual arousal. C. a time when cognitive performance begins to peak. D. adjusting to decreasing health and physical strength.

D. adjusting to decreasing health and physical strength

What causes sleep deprivation? A. number of health problems B. injury or quality of life C. mental illness D. all of the above

D. all of the above

Compared with acute pain, persistent pain requires the nurse to: A. monitor vital signs more frequently B. document the character of the pain as burning C. administer analgesics at least every 4 hours D. educate the client about specific lifestyle changes

D. educate the client about specific lifestyle changes

causes of hypocalcemia include all of the following except: A. hypoparathyroidism B. administration of 4 units of PRBCs C. hypomagnesenemia D. hypokalemia

D. hypokalemia

Signs of dehydration include all of the following except: A. A high urine specific gravity B. Low blood pressure and high heart rate C. Low urinary output D. low urine specific gravity

D. low urine specific gravity

Perceived constipation is called: A. psychoconstipation B. bowel obstruction C. pseudobowel D. pseudoconstipation

D. pseudoconstipation

During rounds on the night shift, you note that a patient stops breathing for 1 to 2 minutes several times during the shift. This condition is known as: A. cataplexy. B. insomnia. C. narcolepsy. D. sleep apnea.

D. sleep apnea

A client's blood gases reveal the following findings: pH, 7.3; carbon dioxide (PaCO2), 58 mm Hg; bicarbonate (HCO3) 26 mEq/L. What is the interpretation of these gases?

Respiratory acidosis

A nurse is caring for a client with history of chronic intestinal irritation. The client asks, "Is there any type of colostomy where I would not need a continuous colostomy bag?" Indicate the location where a client could have an ostomy that eventually might not require wearing an ostomy bag.

Sigmoid colon (feces are most formed here so the client may be able to gain control of elimination)