NUR 355 Exam 4 105 actual possible questions and answers + Key Concepts and Review Notes
2026 (Good note to study for exam 4) Arizona College of Nursing Arizona
Med surg Exam 4
1. A client is admitted with a blood pH of 7.49, PaCO₂ of 28 mmHg, and HCO₃ of 24 mEq/L. What is the most likely cause?
A. Metabolic Acidosis
B. Respiratory Alkalosis
C. Metabolic Alkalosis
D. Respiratory Acidosis
Answer: B. Respiratory Alkalosis
2. A nurse is caring for a client diagnosed with hypervolemia. Which symptom is most concerning?
A. Crackles in the lungs
B. Increased urine output
C. Mild peripheral edema
D. Elevated hematocrit
Answer: A. Crackles in the lungs
,3. A client with BPH reports difficulty initiating urination, a weak stream, and frequent urination at night. What additional symptom should the nurse
monitor for?
A. Hematuria
B. Flank pain
C. Urinary retention
D. Polyuria
Answer: C. Urinary retention
4. A client with a potassium level of 6.8 mEq/L is receiving emergency treatment. Which intervention is most appropriate?
A. Administer IV potassium chloride
, B. Administer IV calcium gluconate
C. Encourage potassium-rich foods
D. Provide IV fluids without dextrose
Answer: B. Administer IV calcium gluconate
5. A client with hypovolemia is receiving IV fluids. Which finding indicates effective treatment?
A. Increased urine output
B. Decreased blood pressure
C. Crackles in the lungs
D. Peripheral edema
Answer: A. Increased urine output
6. A client presents with a serum osmolality of 310 mOsm/kg and symptoms of dehydration. What is the most likely diagnosis?
A. Fluid volume excess
B. Fluid volume deficit
C. Hypokalemia
D. Hyponatremia
Answer: B. Fluid volume deficit
7. A nurse is caring for a client with a history of genital herpes. Which statement by the client indicates a need for further teaching?
A. “I can still spread the virus even when I don’t have symptoms.”
B. “Condoms will protect me from transmitting herpes.”
C. “Stress can trigger an outbreak.”
D. “Antiviral medications can reduce the frequency of outbreaks.”
Answer: B. “Condoms will protect me from transmitting herpes.”
2026 (Good note to study for exam 4) Arizona College of Nursing Arizona
Med surg Exam 4
1. A client is admitted with a blood pH of 7.49, PaCO₂ of 28 mmHg, and HCO₃ of 24 mEq/L. What is the most likely cause?
A. Metabolic Acidosis
B. Respiratory Alkalosis
C. Metabolic Alkalosis
D. Respiratory Acidosis
Answer: B. Respiratory Alkalosis
2. A nurse is caring for a client diagnosed with hypervolemia. Which symptom is most concerning?
A. Crackles in the lungs
B. Increased urine output
C. Mild peripheral edema
D. Elevated hematocrit
Answer: A. Crackles in the lungs
,3. A client with BPH reports difficulty initiating urination, a weak stream, and frequent urination at night. What additional symptom should the nurse
monitor for?
A. Hematuria
B. Flank pain
C. Urinary retention
D. Polyuria
Answer: C. Urinary retention
4. A client with a potassium level of 6.8 mEq/L is receiving emergency treatment. Which intervention is most appropriate?
A. Administer IV potassium chloride
, B. Administer IV calcium gluconate
C. Encourage potassium-rich foods
D. Provide IV fluids without dextrose
Answer: B. Administer IV calcium gluconate
5. A client with hypovolemia is receiving IV fluids. Which finding indicates effective treatment?
A. Increased urine output
B. Decreased blood pressure
C. Crackles in the lungs
D. Peripheral edema
Answer: A. Increased urine output
6. A client presents with a serum osmolality of 310 mOsm/kg and symptoms of dehydration. What is the most likely diagnosis?
A. Fluid volume excess
B. Fluid volume deficit
C. Hypokalemia
D. Hyponatremia
Answer: B. Fluid volume deficit
7. A nurse is caring for a client with a history of genital herpes. Which statement by the client indicates a need for further teaching?
A. “I can still spread the virus even when I don’t have symptoms.”
B. “Condoms will protect me from transmitting herpes.”
C. “Stress can trigger an outbreak.”
D. “Antiviral medications can reduce the frequency of outbreaks.”
Answer: B. “Condoms will protect me from transmitting herpes.”
