Multiple choice 1. KT is a 59-year old patient admitted with a 2-day history of vomiting with anorexia. Assessment fi
Posted: Wed Apr 27, 2022 7:24 am
Multiple choice
1. KT is a 59-year old patient admitted with a 2-day history of
vomiting with anorexia. Assessment findings include
distented abdomen and hypoactive bowel sounds. VS: BP
108/68, HR 96, R 24, T 99.9 F. IVF are ininniated and labs
are drawn with the following results: K+ 3.6,
Na+ 138, Hgb 10.2, Hct 30, BUN 52, creatinine 1.8,
ABG: pH 7.48, CO2 33, HCO3 24. An intestinal
obstruction is suspected. What is the most likely cause of
the lab values?
A. Due to the obstruction, inability of fluids and electrolytes
to pass through the GI system to the colon.
B. Due to repsiratory alkalosis, the hydrogen ion is moving out
of the cell.
C. The obstruction may be causing pressure on the ureter causing
acute kidney failure.
D. Due to vomiting, the loss of fluid and electrolytes.
2. KT is a 59-year old patient admitted with a 2-day history of
vomiting with anorexia. Assessment findings include
distented abdomen and hypoactive bowel sounds. IVS: BP
108/68, HR 96, R 24, T 99.9 F. IVF are ininniated and labs
are drawn with the following results: K+ 3.6,
Na+ 138, Hgb 10.2, Hct 30, BUN 52, creatinine 1.8,
ABG: pH 7.48, CO2 33, HCO3 24. An intestinal
obstruction is suspected. What is the most likely cause of
the ABG values?
A. The vomiting is causing a loss of acids.
B. Abdominal distention putting pressure on the diaphragm
causing shallow breathing.
C. The obstruction is causing the retention of HCO3 due to
decreased passge of chyme.
D. Possible perforation of the bowel causing a loss of fluids
and gastric acids.
3. MC is a 44-year old patient admitted with RUQ pain, pain
radiating to the right shoulder, and vomiting. The pain and
vomiting started several hours after eating. The patient has
a CT scan performed and the diagnosis of cholecystitis and
cholelithiasis is made. What is the cause of the pain?
A. Eating causes the release of bile from the gallbaldder and
the bile irritates the stomach.
B. The gallstones have rough edges that irritate the common or
cystic duct when bile is released from the gallbladder.
C. Eating causes the gallbladder to contract and release bile,
thus stones move in the common or cystic duct.
D. Inflammation of the gallbladder from impaired metabolism of
cholesterol, bile, and bile acids.
4. A nurse is reviewing the lab values of a patient diagnosed
with pancratitis. Which of the following lab values confirm
the diagnosis?
A. Amylase 480 u/L.
B. WBC 14.8 thousand/microL.
C. Bilirubin 23 mg/dL.
D. Alkaline phosphatase 157 u/L.
1. KT is a 59-year old patient admitted with a 2-day history of
vomiting with anorexia. Assessment findings include
distented abdomen and hypoactive bowel sounds. VS: BP
108/68, HR 96, R 24, T 99.9 F. IVF are ininniated and labs
are drawn with the following results: K+ 3.6,
Na+ 138, Hgb 10.2, Hct 30, BUN 52, creatinine 1.8,
ABG: pH 7.48, CO2 33, HCO3 24. An intestinal
obstruction is suspected. What is the most likely cause of
the lab values?
A. Due to the obstruction, inability of fluids and electrolytes
to pass through the GI system to the colon.
B. Due to repsiratory alkalosis, the hydrogen ion is moving out
of the cell.
C. The obstruction may be causing pressure on the ureter causing
acute kidney failure.
D. Due to vomiting, the loss of fluid and electrolytes.
2. KT is a 59-year old patient admitted with a 2-day history of
vomiting with anorexia. Assessment findings include
distented abdomen and hypoactive bowel sounds. IVS: BP
108/68, HR 96, R 24, T 99.9 F. IVF are ininniated and labs
are drawn with the following results: K+ 3.6,
Na+ 138, Hgb 10.2, Hct 30, BUN 52, creatinine 1.8,
ABG: pH 7.48, CO2 33, HCO3 24. An intestinal
obstruction is suspected. What is the most likely cause of
the ABG values?
A. The vomiting is causing a loss of acids.
B. Abdominal distention putting pressure on the diaphragm
causing shallow breathing.
C. The obstruction is causing the retention of HCO3 due to
decreased passge of chyme.
D. Possible perforation of the bowel causing a loss of fluids
and gastric acids.
3. MC is a 44-year old patient admitted with RUQ pain, pain
radiating to the right shoulder, and vomiting. The pain and
vomiting started several hours after eating. The patient has
a CT scan performed and the diagnosis of cholecystitis and
cholelithiasis is made. What is the cause of the pain?
A. Eating causes the release of bile from the gallbaldder and
the bile irritates the stomach.
B. The gallstones have rough edges that irritate the common or
cystic duct when bile is released from the gallbladder.
C. Eating causes the gallbladder to contract and release bile,
thus stones move in the common or cystic duct.
D. Inflammation of the gallbladder from impaired metabolism of
cholesterol, bile, and bile acids.
4. A nurse is reviewing the lab values of a patient diagnosed
with pancratitis. Which of the following lab values confirm
the diagnosis?
A. Amylase 480 u/L.
B. WBC 14.8 thousand/microL.
C. Bilirubin 23 mg/dL.
D. Alkaline phosphatase 157 u/L.