NSG 3800 EXAM 1 2026/2027 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST |BRAND NEW VERSION|JUST
RELEASED!!
A nurse is planning care for a nephrology patient with a new nursing graduate. The nurse states,
A patient in renal failure partially loses the ability to regulate changes in pH. What is the cause
of this partial inability?
a. The kidneys regenerate and reabsorb bicarbonate to maintain a stable pH
You are caring for a 65-year-old male patient admitted to your medical unit 72 hours ago with
pyloric stenosis. A nasogastric tube placed upon admission has been on low intermittent suction
ever since. Upon review of the mornings blood work, you notice that the patients potassium is
below reference range. You should recognize that the patient may be at risk for what
imbalance?
a. Metabolic alkalosis
A patient who is being treated for pneumonia starts complaining of sudden shortness of breath.
An arterial blood gas (ABG) is drawn. The ABG has the following values: pH 7.21, PaCO2 64 mm
Hg, HCO3= 24 mm Hg. What does the ABG reflect?
a. Respiratory acidosis
1|Page
, One day after a patient is admitted to the medical unit, you note that the patient is oliguric. You
notify the acute-care nurse practitioner who orders a fluid challenge of 200 mL of normal saline
solution over 15 minutes. This intervention will achieve which of the following?
a. Help distinguish reduced renal blood flow from decreased renal function
The community health nurse is performing a home visit to an 84-year-old woman recovering
from hip surgery. The nurse notes that the woman seems uncharacteristically confused and has
dry mucous membranes. When asked about her fluid intake, the patient states, I stop drinking
water early in the day
because it is just too difficult to get up during the night to go to the bathroom. What would be
the nurses best response?
a. Limiting your fluids can create imbalances in your body that can result in confusion. Maybe
we need to adjust the timing of your fluids
A 73-year-old man comes into the emergency department (ED) by ambulance after slipping on a
small carpet in his home. The patient fell on his hip with a resultant fracture. He is alert and
oriented; his pupils are equal and reactive to light and accommodation. His heart rate is
elevated, he is anxious and thirsty, a Foley catheter is placed, and 40 mL of urine is present.
What is the nurses most likely explanation for the low urine output?
a. The man is having a sympathetic reaction, which has stimulated the
reninangiotensinaldosterone system that results in diminished urine output.
You are the nurse evaluating a newly admitted patients laboratory results, which include several
values that are outside of reference ranges. Which of the following would cause the release of
antidiuretic hormone (ADH)?
a. Increased serum sodium
The nurse is providing care for a patient with chronic obstructive pulmonary disease. When
describing the process of respiration the nurse explains how oxygen and carbon dioxide are
2|Page
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST |BRAND NEW VERSION|JUST
RELEASED!!
A nurse is planning care for a nephrology patient with a new nursing graduate. The nurse states,
A patient in renal failure partially loses the ability to regulate changes in pH. What is the cause
of this partial inability?
a. The kidneys regenerate and reabsorb bicarbonate to maintain a stable pH
You are caring for a 65-year-old male patient admitted to your medical unit 72 hours ago with
pyloric stenosis. A nasogastric tube placed upon admission has been on low intermittent suction
ever since. Upon review of the mornings blood work, you notice that the patients potassium is
below reference range. You should recognize that the patient may be at risk for what
imbalance?
a. Metabolic alkalosis
A patient who is being treated for pneumonia starts complaining of sudden shortness of breath.
An arterial blood gas (ABG) is drawn. The ABG has the following values: pH 7.21, PaCO2 64 mm
Hg, HCO3= 24 mm Hg. What does the ABG reflect?
a. Respiratory acidosis
1|Page
, One day after a patient is admitted to the medical unit, you note that the patient is oliguric. You
notify the acute-care nurse practitioner who orders a fluid challenge of 200 mL of normal saline
solution over 15 minutes. This intervention will achieve which of the following?
a. Help distinguish reduced renal blood flow from decreased renal function
The community health nurse is performing a home visit to an 84-year-old woman recovering
from hip surgery. The nurse notes that the woman seems uncharacteristically confused and has
dry mucous membranes. When asked about her fluid intake, the patient states, I stop drinking
water early in the day
because it is just too difficult to get up during the night to go to the bathroom. What would be
the nurses best response?
a. Limiting your fluids can create imbalances in your body that can result in confusion. Maybe
we need to adjust the timing of your fluids
A 73-year-old man comes into the emergency department (ED) by ambulance after slipping on a
small carpet in his home. The patient fell on his hip with a resultant fracture. He is alert and
oriented; his pupils are equal and reactive to light and accommodation. His heart rate is
elevated, he is anxious and thirsty, a Foley catheter is placed, and 40 mL of urine is present.
What is the nurses most likely explanation for the low urine output?
a. The man is having a sympathetic reaction, which has stimulated the
reninangiotensinaldosterone system that results in diminished urine output.
You are the nurse evaluating a newly admitted patients laboratory results, which include several
values that are outside of reference ranges. Which of the following would cause the release of
antidiuretic hormone (ADH)?
a. Increased serum sodium
The nurse is providing care for a patient with chronic obstructive pulmonary disease. When
describing the process of respiration the nurse explains how oxygen and carbon dioxide are
2|Page
