NUR 155 Exam 2 Comprehensive Final Review 2026 | Galen
College of Nursing | High-Yield Study Guide
1. THE ADPIE ACRONYM FOR THE NURSING PROCESS REFERS TO WHICH OF
THE FOLLOWING:
ASSESSMENT, DIGGING, PRIORITIES, INTERDISCIPLINARY,
EVALUATION
ASSESSMENT, DIAGNOSIS, PLANNING, IMPLEMENTATION,
EVALUATION
APPLICATION, DIAGNOSIS, PLANNING, IMPLEMENTATION,
EXECUTION
ASSISTANCE, DVT, PROCESS, INTERNALIZE, EXAMINE
2. In a clinical scenario, if a patient is dehydrated and requires fluid
replacement, which type of solution would be most appropriate to
administer to help rehydrate the cells?
Hypertonic solution
Isotonic solution
Colloidal solution
Hypotonic solution
3. Which ml/day is considered a normal urine output?
800-2000
100
500
>2500-3000
,4. Describe how hypotonic fluid volume excess affects the body's electrolyte
balance.
Hypotonic fluid volume excess causes an increase in potassium levels.
Hypotonic fluid volume excess can lead to dilution of electrolytes,
particularly sodium, resulting in hyponatremia.
Hypotonic fluid volume excess increases calcium absorption.
Hypotonic fluid volume excess has no effect on electrolyte balance.
5. A patient presents with symptoms of fatigue and weakness. If a deficiency in
Pantothenic Acid (B5) is suspected, what metabolic process might be
impaired?
Carbohydrate digestion
Protein synthesis
Vitamin absorption
Fatty acid metabolism
6. Normal potassium level is considered to be what
3.5 - 5.0 mEq/L
6.1- 7.0 mEq/L
5.1 - 6.0 mEq/L
2.0 - 3.4 mEq/L
7. If a patient presents with symptoms of fatigue and weakness, which vitamin
deficiency might be suspected, and how would Niacin (Vitamin B3)
supplementation help?
, Niacin (Vitamin B3) deficiency might be suspected, and
supplementation would help improve energy metabolism.
Vitamin B12 deficiency might be suspected, and supplementation
would help improve nerve function.
Vitamin D deficiency might be suspected, and supplementation would
help strengthen bones.
Vitamin C deficiency might be suspected, and supplementation would
help enhance iron absorption.
8. Describe how Atrial natriuretic peptide (ANP) contributes to fluid balance in
the body.
ANP primarily regulates glucose levels in the bloodstream.
ANP has no significant role in fluid balance.
ANP helps maintain fluid balance by promoting the excretion of
sodium and water, which lowers blood volume and pressure.
ANP increases fluid retention by stimulating the kidneys to absorb
more water.
9. If a patient presents with a urine pH of 3.0, what condition might this suggest,
and what further assessments should be considered?
Normal health; no further assessments are necessary.
Acidosis; further assessments should include blood gas analysis and
metabolic panel.
Alkalosis; further assessments should include liver function tests.
Dehydration; further assessments should include urine specific gravity.
, 10. Describe the significance of maintaining normal hemoglobin levels in
patients.
Normal hemoglobin levels are only important for blood clotting.
Normal hemoglobin levels have no significant impact on overall
health.
Normal hemoglobin levels indicate hydration status in patients.
Normal hemoglobin levels are crucial for adequate oxygen
transport in the body, which is essential for cellular metabolism.
11. A patient with chronic kidney disease is advised to follow a low-potassium
diet. If they are looking for a snack, which of the following options would be
most appropriate?
Banana smoothie
Apple slices with peanut butter
Orange juice
Avocado toast
12. If a patient has a Vitamin K deficiency, which medical condition might they be
at risk for?
Fatigue
Increased bleeding
Muscle weakness
Bone fractures
13. Describe the importance of Folic Acid in the diet and its role in human
health.
College of Nursing | High-Yield Study Guide
1. THE ADPIE ACRONYM FOR THE NURSING PROCESS REFERS TO WHICH OF
THE FOLLOWING:
ASSESSMENT, DIGGING, PRIORITIES, INTERDISCIPLINARY,
EVALUATION
ASSESSMENT, DIAGNOSIS, PLANNING, IMPLEMENTATION,
EVALUATION
APPLICATION, DIAGNOSIS, PLANNING, IMPLEMENTATION,
EXECUTION
ASSISTANCE, DVT, PROCESS, INTERNALIZE, EXAMINE
2. In a clinical scenario, if a patient is dehydrated and requires fluid
replacement, which type of solution would be most appropriate to
administer to help rehydrate the cells?
Hypertonic solution
Isotonic solution
Colloidal solution
Hypotonic solution
3. Which ml/day is considered a normal urine output?
800-2000
100
500
>2500-3000
,4. Describe how hypotonic fluid volume excess affects the body's electrolyte
balance.
Hypotonic fluid volume excess causes an increase in potassium levels.
Hypotonic fluid volume excess can lead to dilution of electrolytes,
particularly sodium, resulting in hyponatremia.
Hypotonic fluid volume excess increases calcium absorption.
Hypotonic fluid volume excess has no effect on electrolyte balance.
5. A patient presents with symptoms of fatigue and weakness. If a deficiency in
Pantothenic Acid (B5) is suspected, what metabolic process might be
impaired?
Carbohydrate digestion
Protein synthesis
Vitamin absorption
Fatty acid metabolism
6. Normal potassium level is considered to be what
3.5 - 5.0 mEq/L
6.1- 7.0 mEq/L
5.1 - 6.0 mEq/L
2.0 - 3.4 mEq/L
7. If a patient presents with symptoms of fatigue and weakness, which vitamin
deficiency might be suspected, and how would Niacin (Vitamin B3)
supplementation help?
, Niacin (Vitamin B3) deficiency might be suspected, and
supplementation would help improve energy metabolism.
Vitamin B12 deficiency might be suspected, and supplementation
would help improve nerve function.
Vitamin D deficiency might be suspected, and supplementation would
help strengthen bones.
Vitamin C deficiency might be suspected, and supplementation would
help enhance iron absorption.
8. Describe how Atrial natriuretic peptide (ANP) contributes to fluid balance in
the body.
ANP primarily regulates glucose levels in the bloodstream.
ANP has no significant role in fluid balance.
ANP helps maintain fluid balance by promoting the excretion of
sodium and water, which lowers blood volume and pressure.
ANP increases fluid retention by stimulating the kidneys to absorb
more water.
9. If a patient presents with a urine pH of 3.0, what condition might this suggest,
and what further assessments should be considered?
Normal health; no further assessments are necessary.
Acidosis; further assessments should include blood gas analysis and
metabolic panel.
Alkalosis; further assessments should include liver function tests.
Dehydration; further assessments should include urine specific gravity.
, 10. Describe the significance of maintaining normal hemoglobin levels in
patients.
Normal hemoglobin levels are only important for blood clotting.
Normal hemoglobin levels have no significant impact on overall
health.
Normal hemoglobin levels indicate hydration status in patients.
Normal hemoglobin levels are crucial for adequate oxygen
transport in the body, which is essential for cellular metabolism.
11. A patient with chronic kidney disease is advised to follow a low-potassium
diet. If they are looking for a snack, which of the following options would be
most appropriate?
Banana smoothie
Apple slices with peanut butter
Orange juice
Avocado toast
12. If a patient has a Vitamin K deficiency, which medical condition might they be
at risk for?
Fatigue
Increased bleeding
Muscle weakness
Bone fractures
13. Describe the importance of Folic Acid in the diet and its role in human
health.
