NURS 225 Exam 2 Questions and
Answers A+ Graded (2025)
A .client .who .is .NPO .prior .to .surgery .is .complaining .of .thirst. .What .is .the
.physiologic .process .that .drives .the .thirst . factor? .- .CORRECT .ANSWER-
Decreased .blood .volume .and .intracellular .dehydration
A .client .loses .consciousness .after .strenuous .exercise .and .needs .to .be .admitted
.to .a .health .care .facility. .The .client .is .diagnosed .with .dehydration. .The .nurse
.knows .that .the .client .needs .restoration .of .which .of .the .following? .- .CORRECT
.ANSWER-Electrolytes
The .oncoming .nurse .is .assigned .to .the .following .patients. .Which .patient .should
.the .nurse .assess .first? .- .CORRECT .ANSWER-A .newly .admitted .88-year-old .with
.a .two-day .history .of .vomiting .and .loose .stools
A .client .is .taking .a .diuretic .that .increases .her .urinary .output. .What .would .be .an
.appropriate .nursing .diagnosis .on .which .to .base .an .educational .plan? .-
.CORRECT .ANSWER-Risk .for .Deficient .Fluid .Volume
A .home .care .client .reports .weakness .and .leg .cramps. .Per .order, .the .nurse
.draws .blood .and .requests .a .potassium .level. .What .is .the . rationale .for .this
.request? .- .CORRECT .ANSWER-The .nurse .recognizes .these .symptoms .of
.hypokalemia.
What .is .the .lab .test .commonly .used .in .the .assessment .and .treatment .of .acid-
base .balance? .- .CORRECT .ANSWER-Arterial .blood .gas
Endurance .athletes .who .exercise .for .long .periods .of .time .and .consume .only
.water .may .experience .a .sodium .deficit .in .their .extracellular .fluid. .What .is .this
.electrolyte .imbalance .known .as? .- .CORRECT .ANSWER-Hyponatremia
The .client .is .admitted .to .the .nurse's .unit .with .a .diagnosis .of .heart .failure. .His
.heart .is .not .pumping .effectively, .which .is . resulting .in .edema .and .coarse
.crackles .in .his .lungs. .The .term .for .this .condition .is .which .of .the .following? .-
.CORRECT .ANSWER-Fluid .volume .excess
, A .home .care .nurse .is .visiting .a .client .with .renal .failure .who .is .on .fluid
.restriction. .The .client .tells .the .nurse, ."I .get .thirsty . very .often. .What .might .help?"
.Which .of .the .following .would .the .nurse .include .as .a .suggestion .for .this .client? .-
.CORRECT .ANSWER-Avoid .salty .or .excessively .sweet .fluids.
A .nursing .responsibility .in .managing .IV .therapy .is .to .monitor .the .fluid .infusions
.and .to .replace .the .fluid .containers .as .needed. .Which .of .the .following .is .an
.accurate .guideline .for .IV .management .that .the .nurse .should .consider? .-
.CORRECT .ANSWER-It .is .the . responsibility .of .the .nurse .to .provide .ongoing
.verification .of .the .IV .solution .and .the .infusion .rate .with .the .physician's .order.
A .healthy .patient .eats .a .regular, .balanced .diet .and .drinks .3,000 .mL .of .liquids
.during .a .24-hour .period. .In .evaluating .this .patient's .urine .output .for .the .same
.24-hour .period, .the .nurse .realizes .that .it .should .total .approximately .how .many
.mL? .- .CORRECT .ANSWER-3,000
Which .body .fluid .is .the .fluid .within .the .cells, .constituting .about .70% .of .the .total
.body .water? .- .CORRECT .ANSWER-Intracellular .fluid .(ICF)
A .client's .most .recent .blood .work .indicates .a .K+ .level .of .7.2 .mEq/L, .a .finding
.that .constitutes .hyperkalemia. .For .what .signs .and .symptoms .should .the .nurse
.vigilantly .monitor? .- .CORRECT .ANSWER-Cardiac .irregularities
By .what .route .do .oxygen .and .carbon .dioxide .exchange .in .the .lung? .- .CORRECT
.ANSWER-diffusion
The .nurse .is .caring .for .a .client .who .was .found .after .spending .two .days .without
.food .or .water .in .the .desert .and .was .admitted .through .the .Emergency
.Department. .The .client .is .severely .dehydrated. .Which .of .the .following .are
.reasons .why .the .human .body .requires .fluid? .Select .all .that .apply. .- .CORRECT
.ANSWER-• .Facilitates .cellular .metabolism .
• .Helps .maintain .normal .body .temperature .
• .Acts .as .a .solvent .for .electrolytes
A .nursing .instructor .is .preparing .a .class .presentation .for .a .group .of .nursing
.students .on .fluid .balance .and .developmental .considerations. .Which .of .the
.following .would .the .instructor .most .likely .include .when .describing .newborns
.and .infants? .Select .all .that .apply. .- .CORRECT .ANSWER-• .Greater .amounts .of
.water .are .found .in .the .extracellular .fluid .compartment.
• .Water .makes .up .a .larger .percentage .of .their .body .weight.
• .Insensible .fluid .losses .are .greater .in .this .age .group.
A .nurse .is .preparing .to .measure .jugular .venous .distention .in .a .client. .To .ensure
.accuracy, .the . nurse .would .elevate .the .head .of .the .client's .bed .to .which .of .the
.following? .- .CORRECT .ANSWER-45 .degrees
A .nurse .is .calculating .the .output .of .a .client .with .renal .failure .and .takes .into
.account .all .modes .of .fluid .loss. .When .addressing .the .client's .insensible .fluid
Answers A+ Graded (2025)
A .client .who .is .NPO .prior .to .surgery .is .complaining .of .thirst. .What .is .the
.physiologic .process .that .drives .the .thirst . factor? .- .CORRECT .ANSWER-
Decreased .blood .volume .and .intracellular .dehydration
A .client .loses .consciousness .after .strenuous .exercise .and .needs .to .be .admitted
.to .a .health .care .facility. .The .client .is .diagnosed .with .dehydration. .The .nurse
.knows .that .the .client .needs .restoration .of .which .of .the .following? .- .CORRECT
.ANSWER-Electrolytes
The .oncoming .nurse .is .assigned .to .the .following .patients. .Which .patient .should
.the .nurse .assess .first? .- .CORRECT .ANSWER-A .newly .admitted .88-year-old .with
.a .two-day .history .of .vomiting .and .loose .stools
A .client .is .taking .a .diuretic .that .increases .her .urinary .output. .What .would .be .an
.appropriate .nursing .diagnosis .on .which .to .base .an .educational .plan? .-
.CORRECT .ANSWER-Risk .for .Deficient .Fluid .Volume
A .home .care .client .reports .weakness .and .leg .cramps. .Per .order, .the .nurse
.draws .blood .and .requests .a .potassium .level. .What .is .the . rationale .for .this
.request? .- .CORRECT .ANSWER-The .nurse .recognizes .these .symptoms .of
.hypokalemia.
What .is .the .lab .test .commonly .used .in .the .assessment .and .treatment .of .acid-
base .balance? .- .CORRECT .ANSWER-Arterial .blood .gas
Endurance .athletes .who .exercise .for .long .periods .of .time .and .consume .only
.water .may .experience .a .sodium .deficit .in .their .extracellular .fluid. .What .is .this
.electrolyte .imbalance .known .as? .- .CORRECT .ANSWER-Hyponatremia
The .client .is .admitted .to .the .nurse's .unit .with .a .diagnosis .of .heart .failure. .His
.heart .is .not .pumping .effectively, .which .is . resulting .in .edema .and .coarse
.crackles .in .his .lungs. .The .term .for .this .condition .is .which .of .the .following? .-
.CORRECT .ANSWER-Fluid .volume .excess
, A .home .care .nurse .is .visiting .a .client .with .renal .failure .who .is .on .fluid
.restriction. .The .client .tells .the .nurse, ."I .get .thirsty . very .often. .What .might .help?"
.Which .of .the .following .would .the .nurse .include .as .a .suggestion .for .this .client? .-
.CORRECT .ANSWER-Avoid .salty .or .excessively .sweet .fluids.
A .nursing .responsibility .in .managing .IV .therapy .is .to .monitor .the .fluid .infusions
.and .to .replace .the .fluid .containers .as .needed. .Which .of .the .following .is .an
.accurate .guideline .for .IV .management .that .the .nurse .should .consider? .-
.CORRECT .ANSWER-It .is .the . responsibility .of .the .nurse .to .provide .ongoing
.verification .of .the .IV .solution .and .the .infusion .rate .with .the .physician's .order.
A .healthy .patient .eats .a .regular, .balanced .diet .and .drinks .3,000 .mL .of .liquids
.during .a .24-hour .period. .In .evaluating .this .patient's .urine .output .for .the .same
.24-hour .period, .the .nurse .realizes .that .it .should .total .approximately .how .many
.mL? .- .CORRECT .ANSWER-3,000
Which .body .fluid .is .the .fluid .within .the .cells, .constituting .about .70% .of .the .total
.body .water? .- .CORRECT .ANSWER-Intracellular .fluid .(ICF)
A .client's .most .recent .blood .work .indicates .a .K+ .level .of .7.2 .mEq/L, .a .finding
.that .constitutes .hyperkalemia. .For .what .signs .and .symptoms .should .the .nurse
.vigilantly .monitor? .- .CORRECT .ANSWER-Cardiac .irregularities
By .what .route .do .oxygen .and .carbon .dioxide .exchange .in .the .lung? .- .CORRECT
.ANSWER-diffusion
The .nurse .is .caring .for .a .client .who .was .found .after .spending .two .days .without
.food .or .water .in .the .desert .and .was .admitted .through .the .Emergency
.Department. .The .client .is .severely .dehydrated. .Which .of .the .following .are
.reasons .why .the .human .body .requires .fluid? .Select .all .that .apply. .- .CORRECT
.ANSWER-• .Facilitates .cellular .metabolism .
• .Helps .maintain .normal .body .temperature .
• .Acts .as .a .solvent .for .electrolytes
A .nursing .instructor .is .preparing .a .class .presentation .for .a .group .of .nursing
.students .on .fluid .balance .and .developmental .considerations. .Which .of .the
.following .would .the .instructor .most .likely .include .when .describing .newborns
.and .infants? .Select .all .that .apply. .- .CORRECT .ANSWER-• .Greater .amounts .of
.water .are .found .in .the .extracellular .fluid .compartment.
• .Water .makes .up .a .larger .percentage .of .their .body .weight.
• .Insensible .fluid .losses .are .greater .in .this .age .group.
A .nurse .is .preparing .to .measure .jugular .venous .distention .in .a .client. .To .ensure
.accuracy, .the . nurse .would .elevate .the .head .of .the .client's .bed .to .which .of .the
.following? .- .CORRECT .ANSWER-45 .degrees
A .nurse .is .calculating .the .output .of .a .client .with .renal .failure .and .takes .into
.account .all .modes .of .fluid .loss. .When .addressing .the .client's .insensible .fluid
