Extract:

Question 1 of 5

A nurse is reviewing the laboratory values of a client who has respiratory acidosis. Which of the following findings should the nurse expect?

A. HCO3- 30 mEq/LB. Potassium 3.3 mEq/LC. PaCO2 50 mm HgD. pH 7.45

Correct Answer: C

Rationale: Elevated PaCO2 (>45 mm Hg) is a hallmark of respiratory acidosis.

Question 2 of 5

Which of the following nursing interventions takes priority with a newly admitted client having suicidal ideations

A. Educate the patient at the time period before new medications before affectiveB. Have the client verbalize their plans for dischargeC. Encouraging the client to participate in group therapyD. Monitor the client closely but at random intervals

Correct Answer: D

Rationale: Close, random monitoring prevents self-harm in suicidal clients.

Question 3 of 5

Which is the priority initial assessment for a patient who is admitted to the post anesthesia care unit (PACU) after surgery with general anesthesia?

A. TemperatureB. Heart rateC. RespirationsD. Blood pressure

Correct Answer: C

Rationale: Airway and breathing are prioritized due to the risk of respiratory depression post-anesthesia.

Question 4 of 5

A nurse is assessing a client who has respiratory acidosis. Which of the following findings should the nurse expect?

A. Numbness of fingersB. Dry skinC. Abdominal painD. Lethargy

Correct Answer: D

Rationale: COâ‚‚ retention in respiratory acidosis causes CNS depression, leading to lethargy.

Question 5 of 5

Which of the following statements are true

A. Suicidal thoughts without a plan are not a cause for concernB. Suicide is the leading cause of death for Americans 50-65 years oldC. Greater than 90% percent of individuals who commit suicide have a diagnosed mental health disorderD. 10,000 Americans commit suicide each year

Correct Answer: C

Rationale: Research shows over 90% of suicide victims have a mental health disorder, making this statement true.