NUR 325 Exam 2 Review Questions 2026 Exam
UPDATED EXAM ACTUAL LATEST VERSIONS
150 QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH RATIONALES (100%
CORRECT) A+ GRADED ASSURED
A 22-yr-old man is admitted to the emergency department with a stab wound to the abdomen.
The patient's vital signs are blood pressure 82/56 mm Hg, pulse 132 beats/min, respirations 28
breaths/min, and temperature 97.9° F (36.6° C). Which fluid, if ordered by the health care
provider, should the nurse question?
a. D5W
b. 0.9% saline
c. Packed red blood cells
d. Lactated Ringer's solution CORRECT ANSWER: A (IV administration of 0.45% saline is
hypotonic and is used for maintenance fluid replacement and dilutes the extracellular fluid. IV
solutions used for volume expansion for hypovolemic shock include lactated Ringer's solution
and 0.9% saline. If hypovolemia is due to blood loss, blood may be administered.)
A deficiency in iron would be indicated by:
a. Dermatitis, diarrhea, dementia, death
b. Bleeding tendency, scurvy
c. Anemia, fatigue, poor growth
d. Rickets, bone disease, muscle pain, falls CORRECT ANSWER: C
A deficiency in magnesium would be indicated by:
,a. Hypertension, dysrhythmia, preeclampsia
b. Bleeding tendency, scurvy
c. Anemia, fatigue, poor growth
d. Rickets, bone disease, muscle pain, falls CORRECT ANSWER: A
A deficiency in vitamin B12 would be indicated by:
a. Hair loss
b. Pernicious anemia
c. Bleeding tendency
d. Fatigue CORRECT ANSWER: B
A deficiency in vitamin B3 would be indicated by:
a. Night blindness
b. Hair loss
c. Dermatitis, diarrhea, dementia, death
d. Anemia CORRECT ANSWER: C
A deficiency in vitamin C would be indicated by:
a. Night blindness
b. Anemia, fatigue, poor growth
c. Bleeding tendency, scurvy
d. Rickets, bone disease, muscle pain, falls CORRECT ANSWER: C
A deficiency in vitamin D would be indicated by:
,a. Dermatitis, diarrhea, dementia, death
b. Bleeding tendency, scurvy
c. Anemia, fatigue, poor growth
d. Rickets, bone disease, muscle pain, falls CORRECT ANSWER: D
A frail older adult with recent severe weight loss is instructed to eat a high-protein, high-calorie
diet at home. Which foods would the nurse suggest for breakfast?
a. Orange juice and dry toast
b. Oatmeal with butter and cream
c. Waffles with fresh strawberries
d. Banana and unsweetened yogurt CORRECT ANSWER: B (Oatmeal, butter, and cream are all
examples of breakfast items that would be appropriate to include for a patient on a high-protein,
high-calorie diet.)
A malnourished patient has been diagnosed with protein deficiency. Which complications should
the nurse anticipate (select all that apply.)?
a. Edema
b. Asthma
c. Anemia
d. Malabsorption syndrome
e. Impaired wound healing
f. Gastrointestinal bleeding CORRECT ANSWER: A C E (Protein deficiency can cause
complications such as edema, anemia, and impaired wound healing. Decreased albumin in the
vascular space allows fluids to leak into the interstitial spaces causing edema. Without adequate
protein, blood formation is impaired. Adequate protein is required for wound healing. Asthma
does not develop due to protein deficiency. However, protein deficiency causes muscle weakness
that could contribute to exacerbation of many conditions. A malabsorption syndrome may affect
, the amount of nutrients that are absorbed causing protein deficiency. Gastrointestinal bleeding is
not a complication of protein deficiency.)
A nurse in a home setting is assessing a 79-year-old male patient's risk for malnutrition. The
nurse suspects malnutrition when reviewing which laboratory results? (Select all that apply.)
a. Body mass index (BMI) of 17
b. Waist-to-hip ratio of 1.0
c. Weight loss of 6% since last month's visit
d. Prealbumin level of 16 mg/dL
e. Hematocrit level of 50%
f. Hemoglobin level of 8.2 g/dL CORRECT ANSWER: A C F (A BMI of 18.5 to 24.9 is normal,
and this patient's BMI is below normal; a major weight loss is defined as more than a 2% weight
change over 1 week; and the expected hemoglobin level for a man is 14 to 18 g/dL. The patient's
values may also indicate dehydration. The expected level for prealbumin is 15 to 36 mg/dL. A
hematocrit level of 50% is within normal limits.)
A nurse is caring for a client who has hypernatremia and requires IV fluid therapy due to his
NPO status. Which of the following solutions should the nurse prepare to infuse for this client?
a. Lactated Ringer's
b. Dextrose 5% in 0.9% sodium chloride
c. 0.45% sodium chloride
d. Dextrose 10% in water CORRECT ANSWER: C (This is the only hypotonic solution)
A nurse is caring for a client with heart failure and is taking a new prescription for furosemide.
For which of the following affects should the nurse monitor for?
a. Hypervolemia
b. Hypertension
UPDATED EXAM ACTUAL LATEST VERSIONS
150 QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH RATIONALES (100%
CORRECT) A+ GRADED ASSURED
A 22-yr-old man is admitted to the emergency department with a stab wound to the abdomen.
The patient's vital signs are blood pressure 82/56 mm Hg, pulse 132 beats/min, respirations 28
breaths/min, and temperature 97.9° F (36.6° C). Which fluid, if ordered by the health care
provider, should the nurse question?
a. D5W
b. 0.9% saline
c. Packed red blood cells
d. Lactated Ringer's solution CORRECT ANSWER: A (IV administration of 0.45% saline is
hypotonic and is used for maintenance fluid replacement and dilutes the extracellular fluid. IV
solutions used for volume expansion for hypovolemic shock include lactated Ringer's solution
and 0.9% saline. If hypovolemia is due to blood loss, blood may be administered.)
A deficiency in iron would be indicated by:
a. Dermatitis, diarrhea, dementia, death
b. Bleeding tendency, scurvy
c. Anemia, fatigue, poor growth
d. Rickets, bone disease, muscle pain, falls CORRECT ANSWER: C
A deficiency in magnesium would be indicated by:
,a. Hypertension, dysrhythmia, preeclampsia
b. Bleeding tendency, scurvy
c. Anemia, fatigue, poor growth
d. Rickets, bone disease, muscle pain, falls CORRECT ANSWER: A
A deficiency in vitamin B12 would be indicated by:
a. Hair loss
b. Pernicious anemia
c. Bleeding tendency
d. Fatigue CORRECT ANSWER: B
A deficiency in vitamin B3 would be indicated by:
a. Night blindness
b. Hair loss
c. Dermatitis, diarrhea, dementia, death
d. Anemia CORRECT ANSWER: C
A deficiency in vitamin C would be indicated by:
a. Night blindness
b. Anemia, fatigue, poor growth
c. Bleeding tendency, scurvy
d. Rickets, bone disease, muscle pain, falls CORRECT ANSWER: C
A deficiency in vitamin D would be indicated by:
,a. Dermatitis, diarrhea, dementia, death
b. Bleeding tendency, scurvy
c. Anemia, fatigue, poor growth
d. Rickets, bone disease, muscle pain, falls CORRECT ANSWER: D
A frail older adult with recent severe weight loss is instructed to eat a high-protein, high-calorie
diet at home. Which foods would the nurse suggest for breakfast?
a. Orange juice and dry toast
b. Oatmeal with butter and cream
c. Waffles with fresh strawberries
d. Banana and unsweetened yogurt CORRECT ANSWER: B (Oatmeal, butter, and cream are all
examples of breakfast items that would be appropriate to include for a patient on a high-protein,
high-calorie diet.)
A malnourished patient has been diagnosed with protein deficiency. Which complications should
the nurse anticipate (select all that apply.)?
a. Edema
b. Asthma
c. Anemia
d. Malabsorption syndrome
e. Impaired wound healing
f. Gastrointestinal bleeding CORRECT ANSWER: A C E (Protein deficiency can cause
complications such as edema, anemia, and impaired wound healing. Decreased albumin in the
vascular space allows fluids to leak into the interstitial spaces causing edema. Without adequate
protein, blood formation is impaired. Adequate protein is required for wound healing. Asthma
does not develop due to protein deficiency. However, protein deficiency causes muscle weakness
that could contribute to exacerbation of many conditions. A malabsorption syndrome may affect
, the amount of nutrients that are absorbed causing protein deficiency. Gastrointestinal bleeding is
not a complication of protein deficiency.)
A nurse in a home setting is assessing a 79-year-old male patient's risk for malnutrition. The
nurse suspects malnutrition when reviewing which laboratory results? (Select all that apply.)
a. Body mass index (BMI) of 17
b. Waist-to-hip ratio of 1.0
c. Weight loss of 6% since last month's visit
d. Prealbumin level of 16 mg/dL
e. Hematocrit level of 50%
f. Hemoglobin level of 8.2 g/dL CORRECT ANSWER: A C F (A BMI of 18.5 to 24.9 is normal,
and this patient's BMI is below normal; a major weight loss is defined as more than a 2% weight
change over 1 week; and the expected hemoglobin level for a man is 14 to 18 g/dL. The patient's
values may also indicate dehydration. The expected level for prealbumin is 15 to 36 mg/dL. A
hematocrit level of 50% is within normal limits.)
A nurse is caring for a client who has hypernatremia and requires IV fluid therapy due to his
NPO status. Which of the following solutions should the nurse prepare to infuse for this client?
a. Lactated Ringer's
b. Dextrose 5% in 0.9% sodium chloride
c. 0.45% sodium chloride
d. Dextrose 10% in water CORRECT ANSWER: C (This is the only hypotonic solution)
A nurse is caring for a client with heart failure and is taking a new prescription for furosemide.
For which of the following affects should the nurse monitor for?
a. Hypervolemia
b. Hypertension
