NP2 F&E/ABG quiz
1. An older adult client admitted with heart failure and a sodium level of 113 mEq/L is behaving
aggressively toward staff and does not recognize family members. When the family expresses
concern about the client’s behavior, the nurse would respond most appropriately by stating
a. “The client may be suffering from dementia, and hospitalization has worsened the
confusion.”
b. “Most older adults get confused while they are in the hospital.”
c. “The sodium level is low, and the confusion will resolve as the levels normalize.”
d. “The sodium level is high and the behavior is a result of dehydration.”
2. A client with a serum sodium of 115mEq/L has been receiving 3% saline solution at 50 ml/hr for 16
hours. This shift the client feels tired and short of breath. Which intervention is the priority?
a. Turn down the infusion rate
b. Check the latest sodium level
c. Assess for signs of fluid overload
d. Place a call to the physician
3. A client with pneumonia presents with arterial blood gases: pH 7.28, PaCO2 74, HCO3 28mEq/L
and PO2 45. Which is the most appropriate nursing intervention?
a. Administer a sedative
b. Place client in left lateral position
c. Place client in high-Fowler’s position
d. Assist the client to breathe into a paper bag
4. A client with renal failure enters the ED after missing 3 dialysis treatments. Which ABGs would indicate
metabolic acidosis?
a. Ph 7.43, PCO2 36, HCO3 26
b. pH 7.41, PCO2 49, HCO3 30
c. pH 7.33, PCO2 35, HCO3 17
d. pH 7.25, PCO2 56, HCO3 28
5. A client with anxiety disorder is very upset, has a respiratory rate of 32, and is complaining of
lightheadedness and tingling in the fingers. ABG values are Ph 7.48, PaCO2 20, HCO3 24, and O2 is 93%
on room air. Which is the priority nursing intervention?
a. Monitor intake and output
b. Encourage client to increase activity
c. Institute deep breathing exercises every hour
d. Administer ordered sedative