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NSG 3800 Med Surg 2 Exam 1 Review (150+ Questions) | Fluid & Electrolyte Balance, GI Disorders, Hematologic Disorders & Acid-Base Imbalances Study Guide | Galen College of Nursing

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This comprehensive NSG 3800 Med Surg 2 Exam 1 Review study guide contains more than 150 detailed nursing exam questions and verified answers focused on fluid and electrolyte imbalances, acid-base disorders, gastrointestinal diseases, hematologic disorders, parenteral nutrition, and medical-surgical nursing care. The document is designed to help nursing students strengthen critical thinking, improve clinical judgment, and prepare effectively for nursing school exams and NCLEX-style medical-surgical nursing assessments. Major fluid and electrolyte concepts covered include syndrome of inappropriate antidiuretic hormone secretion (SIADH), acute kidney injury (AKI), dehydration, third spacing, hypovolemia, hypercalcemia, hypocalcemia, hypermagnesemia, hypophosphatemia, potassium imbalances, osmosis, diffusion, hydrostatic pressure, respiratory acidosis, respiratory alkalosis, metabolic acidosis, metabolic alkalosis, and arterial blood gas (ABG) interpretation. The guide also reviews intravenous therapy complications, infiltration, extravasation, total parenteral nutrition (TPN), parenteral nutrition administration, and electrolyte replacement therapy. The gastrointestinal section includes extensive review of bowel obstruction, diverticulitis, appendicitis, inflammatory bowel disease (IBD), Crohn disease, ulcerative colitis, colorectal cancer, ileostomy and colostomy care, hemorrhoids, malabsorption syndromes, constipation management, lactose intolerance, ostomy nursing care, and postoperative gastrointestinal complications. Nursing interventions, nutritional therapy, client education, and complication prevention strategies are emphasized throughout the material. The hematology and oncology content reviews anemia, iron-deficiency anemia, pernicious anemia, thrombocytopenia, immune thrombocytopenic purpura (ITP), hemophilia, von Willebrand disease, disseminated intravascular coagulation (DIC), leukemia, multiple myeloma, sickle cell disease, neutropenia, clotting disorders, blood transfusion considerations, and oncology nursing priorities. The document also reinforces pharmacologic management, bleeding precautions, infection prevention, and patient safety principles commonly tested in advanced nursing courses. This exam review includes multiple-choice questions, select-all-that-apply (SATA) questions, clinical prioritization scenarios, and evidence-based nursing interventions that help students master complex medical-surgical nursing concepts. The structured question-and-answer format supports exam preparation, classroom review, clinical success, and NCLEX readiness. This resource is especially valuable for students enrolled in medical-surgical nursing, adult health nursing, critical care nursing, pathophysiology, hematology, and advanced nursing assessment courses. It is particularly beneficial for Galen College of Nursing students as well as ADN and BSN nursing students seeking high-quality Med Surg review material and comprehensive exam preparation support. The concepts discussed in this document align with evidence-based nursing standards and authoritative nursing references, including: Lewis, S. L., Bucher, L., Heitkemper, M. M., Harding, M., Kwong, J., & Roberts, D. (2023). Medical-Surgical Nursing: Assessment and Management of Clinical Problems (12th ed.). Elsevier. Ignatavicius, D. D., Workman, M. L., & Rebar, C. R. (2024). Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care (11th ed.). Elsevier. Hinkle, J. L., & Cheever, K. H. (2021). Brunner & Suddarth’s Textbook of Medical-Surgical Nursing (15th ed.). Wolters Kluwer. American Society of Hematology (ASH). (2024). Hematologic Disorders and Clinical Practice Guidelines. This organized and in-depth medical-surgical nursing review resource is ideal for exam preparation, concept reinforcement, NCLEX review, clinical study sessions, and mastering complex Med Surg nursing care principles. Keywords medical surgical nursing, fluid and electrolyte imbalance, acid base disorders, SIADH, acute kidney injury, respiratory acidosis, respiratory alkalosis, metabolic acidosis, metabolic alkalosis, arterial blood gas interpretation, hypokalemia, hypercalcemia, hypocalcemia, hypermagnesemia, gastrointestinal disorders, bowel obstruction, diverticulitis, Crohn disease, ulcerative colitis, inflammatory bowel disease, ileostomy care, colostomy nursing, parenteral nutrition, TPN nursing care, hematologic disorders, anemia nursing, thrombocytopenia, hemophilia, leukemia nursing, multiple myeloma, sickle cell disease, oncology nursing, Med Surg exam questions, NCLEX med surg review, adult health nursing, Galen College of Nursing, NSG 3800, nursing study guide, medical surgical exam review

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NSG 3800 MedSurge 2 Exam 1
Chapter 10, 41, 29, & 30. 2026
Exam Questions and Answers |
100% Pass



The nurse is caring for a client who has a diagnosis of syndrome of

inappropriate antidiuretic hormone secretion. The plan of care includes

assessment of specific gravity every four hours. The results of this test

will allow the nurse to assess which aspect of the client's health?




A. Nutritional status

,B. Potassium balance

C. Calcium balance


D. Fluid volume status - ANSWER ✔✔D. Fluid volume status


The nurse is caring for a client admitted with a diagnosis of acute kidney

injury. When reviewing the client's most recent laboratory reports, the

nurse notes that the client's magnesium levels are high. The nurse

should prioritize assessment for what health problem?




A. Diminished deep tendon reflexes

B. Tachycardia

C. Cool, clammy skin


D. Acute flank pain - ANSWER ✔✔A. Diminished deep tendon

reflexes

The nurse is working on a burn unit and an acutely ill client is exhibiting

signs and symptoms of third spacing. Based on this change in status,

the nurse should expect the client to exhibit signs and symptoms of

which imbalance?

,A. Metabolic alkalosis

B. Hypermagnesemia

C. Hypercalcemia


D. Hypovolemia - ANSWER ✔✔D. Hypovolemia


A client with a longstanding diagnosis of generalized anxiety disorder

presents to the emergency room. The triage nurse notes upon

assessment that the client is hyperventilating. The triage nurse is aware

that hyperventilation is the most common cause of which acid-base

imbalance?




A. Respiratory acidosis

B. Respiratory alkalosis

C. Increased PaCO2


D. Metabolic acidosis - ANSWER ✔✔B. Respiratory alkalosis


The emergency-room nurse is caring for a trauma client who has the

following arterial blood gas results: pH 7.26, PaCO2 28, HCO3 11

mEq/L. How should the nurse interpret these results?




COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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3

, A. Respiratory acidosis with no compensation

B. Metabolic alkalosis with compensatory alkalosis

C. Metabolic acidosis with no compensation

D. Metabolic acidosis with compensatory respiratory alkalosis -

ANSWER ✔✔D) Metabolic acidosis with a compensatory respiratory

alkalosis

While assessing a client's peripheral IV site, the nurse observes edema

and coolness around the insertion site. How should the nurse document

this observation?




A. Air embolism

B. Phlebitis

C. Infiltration


D. Fluid overload - ANSWER ✔✔C. Infiltration


The nurse is performing an admission assessment on a 79-year-old

client newly admitted for end-stage liver disease. What principle should

guide the nurse's assessment of the client's skin turgor?

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