1|Page
NSG 3850 Exam 3 Galen College Of Nursing Actual Exam 2026-
2027 BANK QUESTIONS WITH DETAILED VERIFIED
ANSWERS EXAM QUESTIONS WILL COME FROM HERE
(100% CORRECT ANSWERS A+ GRADED
1. A nurse is assessing a patient with fluid volume deficit. Which finding
supports this diagnosis?
A. Jugular vein distention
B. Decreased skin turgor
C. Bounding peripheral pulses
D. Crackles in the lungs
Answer: B. Decreased skin turgor
Explanation: Decreased skin turgor is a classic sign of fluid volume
deficit, reflecting a loss of interstitial fluid that reduces skin elasticity.
Jugular vein distention, bounding pulses, and crackles indicate fluid
volume excess.
2. A patient with heart failure has gained 2 kg in 24 hours. The nurse
estimates this represents how much fluid retention?
A. 500 mL
B. 1000 mL
C. 2000 mL
D. 4000 mL
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Answer: C. 2000 mL
Explanation: One liter of fluid weighs approximately one kilogram.
Therefore, a 2 kg weight gain corresponds to roughly 2000 mL of
retained fluid, a critical indicator for monitoring fluid balance in heart
failure.
3. Which laboratory value is most important for the nurse to monitor in
a patient receiving furosemide?
A. Serum calcium
B. Serum potassium
C. Serum glucose
D. Serum albumin
Answer: B. Serum potassium
Explanation: Furosemide is a loop diuretic that promotes the excretion
of potassium, leading to hypokalemia. Monitoring serum potassium is
essential to prevent cardiac dysrhythmias and other complications.
4. A patient with hypokalemia is at greatest risk for which condition?
A. Renal calculi
B. Cardiac dysrhythmias
C. Deep vein thrombosis
D. Hyperactive reflexes
Answer: B. Cardiac dysrhythmias
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Explanation: Potassium is vital for myocardial cell conduction and
repolarization. Hypokalemia increases cardiac excitability, putting the
patient at significant risk for potentially life-threatening dysrhythmias.
5. A patient receiving a blood transfusion develops chills and fever.
What is the nurse's priority action?
A. Slow the infusion rate
B. Administer antipyretics
C. Stop the transfusion immediately
D. Notify the blood bank after the transfusion is complete
Answer: C. Stop the transfusion immediately
Explanation: Chills and fever are signs of a febrile non-hemolytic
transfusion reaction. The priority is to immediately stop the infusion to
prevent a more severe reaction, maintain the IV line, and then notify
the provider and blood bank.
6. A patient's serum calcium level is 7.0 mg/dL. Which nursing
intervention is most appropriate?
A. Encourage a low-calcium diet
B. Administer phosphorus binders
C. Initiate seizure precautions
D. Administer a loop diuretic
Answer: C. Initiate seizure precautions
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Explanation: A normal serum calcium is 8.5-10.5 mg/dL. Severe
hypocalcemia increases neuromuscular excitability, which can lead to
tetany and seizures. Seizure precautions are a safety priority.
7. The nurse is caring for a patient with syndrome of inappropriate
antidiuretic hormone. Which finding is expected?
A. Increased serum osmolality
B. Hypernatremia
C. Concentrated urine
D. Excessive thirst
Answer: C. Concentrated urine
Explanation: Syndrome of inappropriate antidiuretic hormone involves
excessive release of antidiuretic hormone, causing the body to retain
water. This leads to hemodilution, hyponatremia, and highly
concentrated urine.
8. A patient presents with muscle cramps and a positive Trousseau sign.
This indicates which imbalance?
A. Hypophosphatemia
B. Hyperchloremia
C. Hypocalcemia
D. Hypermagnesemia
Answer: C. Hypocalcemia
NSG 3850 Exam 3 Galen College Of Nursing Actual Exam 2026-
2027 BANK QUESTIONS WITH DETAILED VERIFIED
ANSWERS EXAM QUESTIONS WILL COME FROM HERE
(100% CORRECT ANSWERS A+ GRADED
1. A nurse is assessing a patient with fluid volume deficit. Which finding
supports this diagnosis?
A. Jugular vein distention
B. Decreased skin turgor
C. Bounding peripheral pulses
D. Crackles in the lungs
Answer: B. Decreased skin turgor
Explanation: Decreased skin turgor is a classic sign of fluid volume
deficit, reflecting a loss of interstitial fluid that reduces skin elasticity.
Jugular vein distention, bounding pulses, and crackles indicate fluid
volume excess.
2. A patient with heart failure has gained 2 kg in 24 hours. The nurse
estimates this represents how much fluid retention?
A. 500 mL
B. 1000 mL
C. 2000 mL
D. 4000 mL
,2|Page
Answer: C. 2000 mL
Explanation: One liter of fluid weighs approximately one kilogram.
Therefore, a 2 kg weight gain corresponds to roughly 2000 mL of
retained fluid, a critical indicator for monitoring fluid balance in heart
failure.
3. Which laboratory value is most important for the nurse to monitor in
a patient receiving furosemide?
A. Serum calcium
B. Serum potassium
C. Serum glucose
D. Serum albumin
Answer: B. Serum potassium
Explanation: Furosemide is a loop diuretic that promotes the excretion
of potassium, leading to hypokalemia. Monitoring serum potassium is
essential to prevent cardiac dysrhythmias and other complications.
4. A patient with hypokalemia is at greatest risk for which condition?
A. Renal calculi
B. Cardiac dysrhythmias
C. Deep vein thrombosis
D. Hyperactive reflexes
Answer: B. Cardiac dysrhythmias
,3|Page
Explanation: Potassium is vital for myocardial cell conduction and
repolarization. Hypokalemia increases cardiac excitability, putting the
patient at significant risk for potentially life-threatening dysrhythmias.
5. A patient receiving a blood transfusion develops chills and fever.
What is the nurse's priority action?
A. Slow the infusion rate
B. Administer antipyretics
C. Stop the transfusion immediately
D. Notify the blood bank after the transfusion is complete
Answer: C. Stop the transfusion immediately
Explanation: Chills and fever are signs of a febrile non-hemolytic
transfusion reaction. The priority is to immediately stop the infusion to
prevent a more severe reaction, maintain the IV line, and then notify
the provider and blood bank.
6. A patient's serum calcium level is 7.0 mg/dL. Which nursing
intervention is most appropriate?
A. Encourage a low-calcium diet
B. Administer phosphorus binders
C. Initiate seizure precautions
D. Administer a loop diuretic
Answer: C. Initiate seizure precautions
, 4|Page
Explanation: A normal serum calcium is 8.5-10.5 mg/dL. Severe
hypocalcemia increases neuromuscular excitability, which can lead to
tetany and seizures. Seizure precautions are a safety priority.
7. The nurse is caring for a patient with syndrome of inappropriate
antidiuretic hormone. Which finding is expected?
A. Increased serum osmolality
B. Hypernatremia
C. Concentrated urine
D. Excessive thirst
Answer: C. Concentrated urine
Explanation: Syndrome of inappropriate antidiuretic hormone involves
excessive release of antidiuretic hormone, causing the body to retain
water. This leads to hemodilution, hyponatremia, and highly
concentrated urine.
8. A patient presents with muscle cramps and a positive Trousseau sign.
This indicates which imbalance?
A. Hypophosphatemia
B. Hyperchloremia
C. Hypocalcemia
D. Hypermagnesemia
Answer: C. Hypocalcemia
