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Galen Nur 155 exam 2 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
would the nurse expect?
A. Bounding peripheral pulses
B. Warm, flushed skin
C. Decreased skin turgor
D. Generalized crackles on auscultation
Answer: C. Decreased skin turgor is a classic sign of fluid volume deficit
resulting from the loss of interstitial fluid, which reduces skin elasticity.
2. The nurse is caring for a patient receiving intravenous potassium
chloride. Which assessment is most critical before initiating the
infusion?
A. Oral temperature
B. Urine output
C. Bowel sounds
D. Pupil reaction
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Answer: B. Urine output must be verified as adequate (typically >30
mL/hr) before administering potassium to prevent life-threatening
hyperkalemia if the kidneys are not excreting potassium properly.
3. A patient develops tetany and a positive Chvostek sign after a
thyroidectomy. Which electrolyte imbalance is most likely responsible?
A. Hyperkalemia
B. Hypermagnesemia
C. Hypocalcemia
D. Hyponatremia
Answer: C. Hypocalcemia increases neuromuscular excitability, leading
to tetany and positive Chvostek and Trousseau signs; it can occur after
thyroidectomy if parathyroid glands are inadvertently removed or
damaged.
4. The nurse is monitoring a patient with syndrome of inappropriate
antidiuretic hormone (SIADH). Which finding is characteristic of this
condition?
A. Excessive thirst and polyuria
B. Fluid retention and dilutional hyponatremia
C. Hypernatremia and dry mucous membranes
D. Increased serum osmolality
Answer: B. SIADH causes excessive release of ADH, leading to water
retention, dilution of serum sodium, and concentrated urine.
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5. A patient’s arterial blood gas shows pH 7.30, PaCO2 50 mm Hg,
HCO3- 24 mEq/L. How does the nurse interpret this?
A. Metabolic acidosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Respiratory alkalosis
Answer: B. The low pH indicates acidosis, and the elevated PaCO2
points to a respiratory origin; the bicarbonate is within normal range,
indicating no metabolic compensation.
6. A patient with heart failure is receiving furosemide. Which
assessment finding indicates a potential adverse effect of this
medication?
A. Facial flushing
B. Muscle weakness and cardiac dysrhythmias
C. Increased appetite
D. Dry, nonproductive cough
Answer: B. Furosemide is a loop diuretic that causes excretion of
potassium, and hypokalemia manifests as muscle weakness and may
precipitate serious cardiac dysrhythmias.
7. The nurse is teaching a patient about preventing osteoporosis. Which
dietary recommendation is most appropriate?
A. Increase intake of high-phosphorus foods
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B. Ensure adequate calcium and vitamin D intake
C. Avoid all dairy products
D. Decrease protein intake to minimum levels
Answer: B. Adequate calcium and vitamin D are essential for bone
mineralization and the prevention of osteoporosis.
8. A patient is admitted with diabetic ketoacidosis. Which laboratory
value would the nurse expect?
A. Decreased blood glucose
B. Elevated serum bicarbonate
C. Low serum ketones
D. Low serum pH
Answer: D. DKA results in metabolic acidosis characterized by a low
serum pH due to the accumulation of ketoacids.
9. The nurse identifies a Trousseau sign in a patient with
hypoparathyroidism. This sign is correctly elicited by which action?
A. Tapping the facial nerve near the ear
B. Inflating a blood pressure cuff above systolic pressure
C. Checking deep tendon reflexes
D. Observing pupillary response to light
Answer: B. Trousseau sign is elicited by inflating a blood pressure cuff
on the arm, causing carpal spasm due to neuromuscular irritability from
hypocalcemia.
Galen Nur 155 exam 2 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
would the nurse expect?
A. Bounding peripheral pulses
B. Warm, flushed skin
C. Decreased skin turgor
D. Generalized crackles on auscultation
Answer: C. Decreased skin turgor is a classic sign of fluid volume deficit
resulting from the loss of interstitial fluid, which reduces skin elasticity.
2. The nurse is caring for a patient receiving intravenous potassium
chloride. Which assessment is most critical before initiating the
infusion?
A. Oral temperature
B. Urine output
C. Bowel sounds
D. Pupil reaction
,2|Page
Answer: B. Urine output must be verified as adequate (typically >30
mL/hr) before administering potassium to prevent life-threatening
hyperkalemia if the kidneys are not excreting potassium properly.
3. A patient develops tetany and a positive Chvostek sign after a
thyroidectomy. Which electrolyte imbalance is most likely responsible?
A. Hyperkalemia
B. Hypermagnesemia
C. Hypocalcemia
D. Hyponatremia
Answer: C. Hypocalcemia increases neuromuscular excitability, leading
to tetany and positive Chvostek and Trousseau signs; it can occur after
thyroidectomy if parathyroid glands are inadvertently removed or
damaged.
4. The nurse is monitoring a patient with syndrome of inappropriate
antidiuretic hormone (SIADH). Which finding is characteristic of this
condition?
A. Excessive thirst and polyuria
B. Fluid retention and dilutional hyponatremia
C. Hypernatremia and dry mucous membranes
D. Increased serum osmolality
Answer: B. SIADH causes excessive release of ADH, leading to water
retention, dilution of serum sodium, and concentrated urine.
,3|Page
5. A patient’s arterial blood gas shows pH 7.30, PaCO2 50 mm Hg,
HCO3- 24 mEq/L. How does the nurse interpret this?
A. Metabolic acidosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Respiratory alkalosis
Answer: B. The low pH indicates acidosis, and the elevated PaCO2
points to a respiratory origin; the bicarbonate is within normal range,
indicating no metabolic compensation.
6. A patient with heart failure is receiving furosemide. Which
assessment finding indicates a potential adverse effect of this
medication?
A. Facial flushing
B. Muscle weakness and cardiac dysrhythmias
C. Increased appetite
D. Dry, nonproductive cough
Answer: B. Furosemide is a loop diuretic that causes excretion of
potassium, and hypokalemia manifests as muscle weakness and may
precipitate serious cardiac dysrhythmias.
7. The nurse is teaching a patient about preventing osteoporosis. Which
dietary recommendation is most appropriate?
A. Increase intake of high-phosphorus foods
, 4|Page
B. Ensure adequate calcium and vitamin D intake
C. Avoid all dairy products
D. Decrease protein intake to minimum levels
Answer: B. Adequate calcium and vitamin D are essential for bone
mineralization and the prevention of osteoporosis.
8. A patient is admitted with diabetic ketoacidosis. Which laboratory
value would the nurse expect?
A. Decreased blood glucose
B. Elevated serum bicarbonate
C. Low serum ketones
D. Low serum pH
Answer: D. DKA results in metabolic acidosis characterized by a low
serum pH due to the accumulation of ketoacids.
9. The nurse identifies a Trousseau sign in a patient with
hypoparathyroidism. This sign is correctly elicited by which action?
A. Tapping the facial nerve near the ear
B. Inflating a blood pressure cuff above systolic pressure
C. Checking deep tendon reflexes
D. Observing pupillary response to light
Answer: B. Trousseau sign is elicited by inflating a blood pressure cuff
on the arm, causing carpal spasm due to neuromuscular irritability from
hypocalcemia.
