FULL TESTBANK | RATED GRADE A|MULTICHOICES | DETAILED
RATIONALES|LATEST UPDATE| GUARANTEED PASS| 100% PASS
Chamberlain College of Nursing NR 224
Fundamentals of Nursing Exam Bundle
Exams 3 FULL EXAM | + 200 FREQUENTLY
TESTED QUESTIONS WITH CORRECT
ANSWERS | BRAND NEW(2025/2026)
1. When assessing a patient with hypotonic fluid volume
excess (FVE) the nurse can expect to find:
a. Hyponatremia
b. Confusion
c. Headache
d. All of the above
Answer: D all of the above
,Rationale_Na+ decreases with FVE, confusion may result from
cerebral swelling as well as headache for the same reason.
2. The nurse evaluates that discharge teaching has been
effective when the patient with hypocalcemia states:
a. "I shouldn't take antacids such as TUMS."
b. "I should notify my healthcare provider if I start to feel
tingling or numbness around my mouth."
c. "I'll need to cut down on my protein in my diet."
d. "I will watch my urine for signs of kidney stones."
Answer: B I should notify my healthcare provider if I start to
feel tingling or numbness around my mouth
Rationale_Circumoral paresthesia is a sign of impending tetany
(intermittent and involuntary muscle spasms caused by low
Ca+) and should alert the patient to contact the physician.
3. A 28 year old patient is admitted with severe bleeding from
a fractured femur. Which intravenous fluid does the nurse
anticipate would be ordered as the most appropriate to
replace that fluid loss?
a. Normal Saline
b. 3% saline
c. 5% dextrose in water
d. 5% dextrose in 0.225 saline
,Answer: A Normal Saline
Rationale NS is an isotonic fluid and is appropriate for fluid
(blood) loss
4. When caring for a patient at risk for fluid overload the nurse
notices that overnight the patient gained 6 pounds. The nurse
interprets this as:
a. A 3L fluid gain
b. Impending renal failure
c. Excessive diuresis
d. A 6 L fluid gain
Answer: A a 3L fluid gain
Rationale_1 kg equals 1 liter
5. You are working in the ER of a local hospital. A patient
comes in "feeling ill". The doctor orders electrolytes on the
patient and finds that the Na+ is 135, the K+ is 2.7, chloride is
95 and C02 is 26. You would expect the doctor to order:
a. Na+ supplements IV
b. K+ supplements PO
c. Na+ supplements PO
d. Chloride PO
Answer: B K+ supplements PO
, Rationale_K+ is very low, the other values are normal. When
able, K+ orally is the best and safest method of replacement.
6. The skin turgor assessment of a patient with hypernatremia
as a result of extracellular fluid loss would show:
a. No skin "tenting"
b. Prolonged skin "tenting"
c. Prolonged pitting edema
d. Widespread non-pitting edema
Answer: B Prolonged skin "tenting"
Rationale_Poor skin turgor is a measure of tissue hydration,
fluid loss has less elasticity of the skin. Edema is not present in
fluid loss but in fluid overload.
7. Marathon runners are at risk for fluid volume deficit. Which
of the following is a related factor?
a. Decreased diuresis
b. Disease related processes
c. Decreased breathing and perspiration
d. Increased breathing and perspiration
Answer: D Increased breathing and perspiration
Rationale_Fluid losses increase through increased respirations
and increased perspiration from heavy physical activity.