1
NUR2212 FINAL EXAM QUESTION BANK A+
GRADED
NUR2212 FINAL EXAM QUESTION BANK 2023-2024
APPROVED EXAM QUESTIONS AND ANSWERS
1. Know S/S of CKD (Chronic Kidney Disease) HYPERKALEMIA
QUESTION
A client with a history of chronic kidney disease is hospitalized. The nurse assesses the client
for signs of related kidney insufficiency, which include:
1. Facial flushing
2. Edema and pruritus
3. Dribbling after voiding
4. Diminished force and caliber of stream
The nurse is reviewing a client’s record and notes that the primary health care provider has
documented that the client has chronic kidney disease. On review of the laboratory results, the
nurse most likely would expect to note which finding?
1. Elevated creatinine level
2. Decreased hemoglobin level
3. Decreased red blood cell count
4. Increased number of white blood cells in the urine
QUESTION
A client with CKD is experiencing Kussmaul respirations. Which acid-base imbalance should the
nurse suspect the client is experiencing?
A) Metabolic alkalosis
B) Metabolic acidosis
C) Respiratory acidosis
D) Respiratory alkalosis
,ANS: B) Metabolic acidosis
Rationale: As renal failure advances, the kidney loses the ability to excrete hydrogen ions. The
buffering action of the kidney becomes impaired. This leads to metabolic acidosis. Kussmaul
respirations (increasing rate and depth) are the body's attempt to compensate for the acidosis.
Metabolic alkalosis occurs with an increased excretion of hydrogen ions. Respiratory acidosis
occurs with retention of carbon dioxide. Respiratory alkalosis occurs with an increased loss of
carbon dioxide.
2
NUR2212 Advanced Medical-Surgical Nursing
2, 3. Know S/S of hypocalcemia (TWO QUESTIONS)
, 3
NUR2212 FINAL EXAM QUESTION BANK A+
GRADED
The nurse is assessing a client with a lactose intolerance disorder for a suspected diagnosis of
hypocalcemia. Which clinical manifestation would the nurse expect to note in the client?
1. Twitching
2. Hypoactive bowel sounds
3. Negative Trousseau’s sign
4. Hypoactive deep tendon reflexes
QUESTION
When taking the BP of a patient with severe acute pancreatitis, the nurse notices carpal spasm
of the patient's hand. Which action should the nurse take next? - Check the calcium level on the
chart.
Which assessment finding in a patient with acute pancreatitis would the nurse need to report
most quickly to the health care provider? -muscle twitching and finger numbness
A nurse is providing care to a client with hypocalcemia. The nurse would monitor the client’s
laboratory test results for which imbalance? Hyperphosphatemia
4. Know S/S of hyperkalemia
QUESTION
A nurse is caring for a client with a diagnosis of chronic kidney failure who has just been told by
the health care provider that hemodialysis is necessary. Which clinical manifestation indicates
the need for hemodialysis?
1. Ascites
2. Acidosis
3. Hypertension
4. Hyperkalemia Ans: 4
A client is diagnosed as having kidney failure. During the oliguric phase the nurse
should assess the client for: 1. Hyperkalemia
, 2. Hypocalcemia
NUR2212 FINAL EXAM QUESTION BANK A+
GRADED
NUR2212 FINAL EXAM QUESTION BANK 2023-2024
APPROVED EXAM QUESTIONS AND ANSWERS
1. Know S/S of CKD (Chronic Kidney Disease) HYPERKALEMIA
QUESTION
A client with a history of chronic kidney disease is hospitalized. The nurse assesses the client
for signs of related kidney insufficiency, which include:
1. Facial flushing
2. Edema and pruritus
3. Dribbling after voiding
4. Diminished force and caliber of stream
The nurse is reviewing a client’s record and notes that the primary health care provider has
documented that the client has chronic kidney disease. On review of the laboratory results, the
nurse most likely would expect to note which finding?
1. Elevated creatinine level
2. Decreased hemoglobin level
3. Decreased red blood cell count
4. Increased number of white blood cells in the urine
QUESTION
A client with CKD is experiencing Kussmaul respirations. Which acid-base imbalance should the
nurse suspect the client is experiencing?
A) Metabolic alkalosis
B) Metabolic acidosis
C) Respiratory acidosis
D) Respiratory alkalosis
,ANS: B) Metabolic acidosis
Rationale: As renal failure advances, the kidney loses the ability to excrete hydrogen ions. The
buffering action of the kidney becomes impaired. This leads to metabolic acidosis. Kussmaul
respirations (increasing rate and depth) are the body's attempt to compensate for the acidosis.
Metabolic alkalosis occurs with an increased excretion of hydrogen ions. Respiratory acidosis
occurs with retention of carbon dioxide. Respiratory alkalosis occurs with an increased loss of
carbon dioxide.
2
NUR2212 Advanced Medical-Surgical Nursing
2, 3. Know S/S of hypocalcemia (TWO QUESTIONS)
, 3
NUR2212 FINAL EXAM QUESTION BANK A+
GRADED
The nurse is assessing a client with a lactose intolerance disorder for a suspected diagnosis of
hypocalcemia. Which clinical manifestation would the nurse expect to note in the client?
1. Twitching
2. Hypoactive bowel sounds
3. Negative Trousseau’s sign
4. Hypoactive deep tendon reflexes
QUESTION
When taking the BP of a patient with severe acute pancreatitis, the nurse notices carpal spasm
of the patient's hand. Which action should the nurse take next? - Check the calcium level on the
chart.
Which assessment finding in a patient with acute pancreatitis would the nurse need to report
most quickly to the health care provider? -muscle twitching and finger numbness
A nurse is providing care to a client with hypocalcemia. The nurse would monitor the client’s
laboratory test results for which imbalance? Hyperphosphatemia
4. Know S/S of hyperkalemia
QUESTION
A nurse is caring for a client with a diagnosis of chronic kidney failure who has just been told by
the health care provider that hemodialysis is necessary. Which clinical manifestation indicates
the need for hemodialysis?
1. Ascites
2. Acidosis
3. Hypertension
4. Hyperkalemia Ans: 4
A client is diagnosed as having kidney failure. During the oliguric phase the nurse
should assess the client for: 1. Hyperkalemia
, 2. Hypocalcemia
