NR 226: Quiz #4 Review Questions
with complete solution 2025/2026
What assessment findings would you see in a patient who has hypercalcemia/hypocalcemia? - correct
answer ✔Hypocalcemia:
- Physical findings:
- Numbness and tingling in fingers, toes, and circumoral region
- Chovstek Sign (Contractn of facial muscles when facial nerve is tapped)
- Hyperactive reflexes
- Muscle twitching/cramping
- Carpal and pedal spasms
- Tetany
- Seizures
- Laryngospasm
- Dysrhythmias
- ECG: Prolonged ST segments
Hypercalcemia:
- Physical findings:
- Anorexia
- Nausea/Vomiting
- Constipation
- Fatigue
- Lethargy
- Diminished reflexes
- Decreased level of consciousness
, - Confusion
- Personality changes
- Cardiac arrest, if severe
- ECG: Heart block, short ST segments
If you have a patient with multiple episodes of vomiting and diarrhea, what labs would you draw? -
correct answer ✔Kidney function: BUN >20
CBC: elevated HCT
Electrolytes: Hypernatremia, Hypocalcemia, Hypomagnesemia, Hypokalemia
Blood Gas:
- Metabolic acidosis d/t diarrhea
— pH <7.35
— PaCO2 normal if uncompensated or <35 mmHg if compensated
— HCO3 < 21 mEq/L
- Metabolic alkalosis d/t vomiting
— pH >74
— PaCO2 normal if uncompensated or >45 mmHg if compensated
— HCO3 >28 mEq/L
If you have a patient with elevated sodium, what would you put in plan of care or expect to see in the
orders? - correct answer ✔- Order labs: Blood gas, Electrolyte panel
- Replace their fluid output with enough intake of dilute fluids
- Measure I&O
- Doctor may order strict diet changes
Given a set of blood gas results ,be able to choose which diagnosis is correct? - correct answer
✔Respiratory Acidosis
with complete solution 2025/2026
What assessment findings would you see in a patient who has hypercalcemia/hypocalcemia? - correct
answer ✔Hypocalcemia:
- Physical findings:
- Numbness and tingling in fingers, toes, and circumoral region
- Chovstek Sign (Contractn of facial muscles when facial nerve is tapped)
- Hyperactive reflexes
- Muscle twitching/cramping
- Carpal and pedal spasms
- Tetany
- Seizures
- Laryngospasm
- Dysrhythmias
- ECG: Prolonged ST segments
Hypercalcemia:
- Physical findings:
- Anorexia
- Nausea/Vomiting
- Constipation
- Fatigue
- Lethargy
- Diminished reflexes
- Decreased level of consciousness
, - Confusion
- Personality changes
- Cardiac arrest, if severe
- ECG: Heart block, short ST segments
If you have a patient with multiple episodes of vomiting and diarrhea, what labs would you draw? -
correct answer ✔Kidney function: BUN >20
CBC: elevated HCT
Electrolytes: Hypernatremia, Hypocalcemia, Hypomagnesemia, Hypokalemia
Blood Gas:
- Metabolic acidosis d/t diarrhea
— pH <7.35
— PaCO2 normal if uncompensated or <35 mmHg if compensated
— HCO3 < 21 mEq/L
- Metabolic alkalosis d/t vomiting
— pH >74
— PaCO2 normal if uncompensated or >45 mmHg if compensated
— HCO3 >28 mEq/L
If you have a patient with elevated sodium, what would you put in plan of care or expect to see in the
orders? - correct answer ✔- Order labs: Blood gas, Electrolyte panel
- Replace their fluid output with enough intake of dilute fluids
- Measure I&O
- Doctor may order strict diet changes
Given a set of blood gas results ,be able to choose which diagnosis is correct? - correct answer
✔Respiratory Acidosis
