NURS 225 Exam 2 Latest Questions
with Complete and All Correct
Solutions 2026 Updated.
A client who is NPO prior to surgery is complaining of thirst. What is the physiologic process that
drives the thirst factor? - Answer Decreased blood volume and intracellular dehydration
A client loses consciousness after strenuous exercise and needs to be admitted to a health care
facility. The client is diagnosed with dehydration. The nurse knows that the client needs
restoration of which of the following? - Answer Electrolytes
The oncoming nurse is assigned to the following patients. Which patient should the nurse assess
first? - Answer A newly admitted 88-year-old with a two-day history of vomiting and loose
stools
A client is taking a diuretic that increases her urinary output. What would be an appropriate
nursing diagnosis on which to base an educational plan? - Answer Risk for Deficient Fluid
Volume
A home care client reports weakness and leg cramps. Per order, the nurse draws blood and
requests a potassium level. What is the rationale for this request? - Answer The nurse
recognizes these symptoms of hypokalemia.
What is the lab test commonly used in the assessment and treatment of acid-base balance? -
Answer Arterial blood gas
Endurance athletes who exercise for long periods of time and consume only water may
experience a sodium deficit in their extracellular fluid. What is this electrolyte imbalance known
as? - Answer Hyponatremia
The client is admitted to the nurse's unit with a diagnosis of heart failure. His heart is not
pumping effectively, which is resulting in edema and coarse crackles in his lungs. The term for
this condition is which of the following? - Answer Fluid volume excess
A home care nurse is visiting a client with renal failure who is on fluid restriction. The client tells
the nurse, "I get thirsty very often. What might help?" Which of the following would the nurse
include as a suggestion for this client? - Answer Avoid salty or excessively sweet fluids.
A nursing responsibility in managing IV therapy is to monitor the fluid infusions and to replace
the fluid containers as needed. Which of the following is an accurate guideline for IV
, management that the nurse should consider? - Answer It is the responsibility of the nurse to
provide ongoing verification of the IV solution and the infusion rate with the physician's order.
A healthy patient eats a regular, balanced diet and drinks 3,000 mL of liquids during a 24-hour
period. In evaluating this patient's urine output for the same 24-hour period, the nurse realizes
that it should total approximately how many mL? - Answer 3,000
Which body fluid is the fluid within the cells, constituting about 70% of the total body water? -
Answer Intracellular fluid (ICF)
A client's most recent blood work indicates a K+ level of 7.2 mEq/L, a finding that constitutes
hyperkalemia. For what signs and symptoms should the nurse vigilantly monitor? - Answer
Cardiac irregularities
By what route do oxygen and carbon dioxide exchange in the lung? - Answer diffusion
The nurse is caring for a client who was found after spending two days without food or water in
the desert and was admitted through the Emergency Department. The client is severely
dehydrated. Which of the following are reasons why the human body requires fluid? Select all
that apply. - Answer • Facilitates cellular metabolism
• Helps maintain normal body temperature
• Acts as a solvent for electrolytes
A nursing instructor is preparing a class presentation for a group of nursing students on fluid
balance and developmental considerations. Which of the following would the instructor most
likely include when describing newborns and infants? Select all that apply. - Answer •
Greater amounts of water are found in the extracellular fluid compartment.
• Water makes up a larger percentage of their body weight.
• Insensible fluid losses are greater in this age group.
A nurse is preparing to measure jugular venous distention in a client. To ensure accuracy, the
nurse would elevate the head of the client's bed to which of the following? - Answer 45
degrees
A nurse is calculating the output of a client with renal failure and takes into account all modes of
fluid loss. When addressing the client's insensible fluid loss, which amount would the nurse
anticipate as the usual average? - Answer 300 to 400 mL/day
Which nursing diagnosis would the nurse make based on the effects of fluid and electrolyte
imbalance on human functioning? - Answer Acute Confusion related to cerebral edema
with Complete and All Correct
Solutions 2026 Updated.
A client who is NPO prior to surgery is complaining of thirst. What is the physiologic process that
drives the thirst factor? - Answer Decreased blood volume and intracellular dehydration
A client loses consciousness after strenuous exercise and needs to be admitted to a health care
facility. The client is diagnosed with dehydration. The nurse knows that the client needs
restoration of which of the following? - Answer Electrolytes
The oncoming nurse is assigned to the following patients. Which patient should the nurse assess
first? - Answer A newly admitted 88-year-old with a two-day history of vomiting and loose
stools
A client is taking a diuretic that increases her urinary output. What would be an appropriate
nursing diagnosis on which to base an educational plan? - Answer Risk for Deficient Fluid
Volume
A home care client reports weakness and leg cramps. Per order, the nurse draws blood and
requests a potassium level. What is the rationale for this request? - Answer The nurse
recognizes these symptoms of hypokalemia.
What is the lab test commonly used in the assessment and treatment of acid-base balance? -
Answer Arterial blood gas
Endurance athletes who exercise for long periods of time and consume only water may
experience a sodium deficit in their extracellular fluid. What is this electrolyte imbalance known
as? - Answer Hyponatremia
The client is admitted to the nurse's unit with a diagnosis of heart failure. His heart is not
pumping effectively, which is resulting in edema and coarse crackles in his lungs. The term for
this condition is which of the following? - Answer Fluid volume excess
A home care nurse is visiting a client with renal failure who is on fluid restriction. The client tells
the nurse, "I get thirsty very often. What might help?" Which of the following would the nurse
include as a suggestion for this client? - Answer Avoid salty or excessively sweet fluids.
A nursing responsibility in managing IV therapy is to monitor the fluid infusions and to replace
the fluid containers as needed. Which of the following is an accurate guideline for IV
, management that the nurse should consider? - Answer It is the responsibility of the nurse to
provide ongoing verification of the IV solution and the infusion rate with the physician's order.
A healthy patient eats a regular, balanced diet and drinks 3,000 mL of liquids during a 24-hour
period. In evaluating this patient's urine output for the same 24-hour period, the nurse realizes
that it should total approximately how many mL? - Answer 3,000
Which body fluid is the fluid within the cells, constituting about 70% of the total body water? -
Answer Intracellular fluid (ICF)
A client's most recent blood work indicates a K+ level of 7.2 mEq/L, a finding that constitutes
hyperkalemia. For what signs and symptoms should the nurse vigilantly monitor? - Answer
Cardiac irregularities
By what route do oxygen and carbon dioxide exchange in the lung? - Answer diffusion
The nurse is caring for a client who was found after spending two days without food or water in
the desert and was admitted through the Emergency Department. The client is severely
dehydrated. Which of the following are reasons why the human body requires fluid? Select all
that apply. - Answer • Facilitates cellular metabolism
• Helps maintain normal body temperature
• Acts as a solvent for electrolytes
A nursing instructor is preparing a class presentation for a group of nursing students on fluid
balance and developmental considerations. Which of the following would the instructor most
likely include when describing newborns and infants? Select all that apply. - Answer •
Greater amounts of water are found in the extracellular fluid compartment.
• Water makes up a larger percentage of their body weight.
• Insensible fluid losses are greater in this age group.
A nurse is preparing to measure jugular venous distention in a client. To ensure accuracy, the
nurse would elevate the head of the client's bed to which of the following? - Answer 45
degrees
A nurse is calculating the output of a client with renal failure and takes into account all modes of
fluid loss. When addressing the client's insensible fluid loss, which amount would the nurse
anticipate as the usual average? - Answer 300 to 400 mL/day
Which nursing diagnosis would the nurse make based on the effects of fluid and electrolyte
imbalance on human functioning? - Answer Acute Confusion related to cerebral edema
