Pediatric Nursing ,Nursing process &Fundamentals of Nursing COMBINATION
examination 2025 -2026 QUESTIONS WITH CORRECT ANSWERS VERIFIED
100% GRADED A+
Fundamentals of Nursing Final Exam
which of the following might the nurse expect to be deficient in a patient who
claims he is a vegan?
a) niacin
b) cobalamin
c) vit A
d) calcium
b
(ONLY in animal foods - calcium in some leafy vegetables, although primarily dairy)
which of the following should the nurse assess for in a patient prescribed
heparin? select all that apply
a) serum calcium levels
b) petechiae
c) pitting edema
d) serum platelet levels
e) BP
f) pulse
b, d, f
(side fx include hyperkalemia which can lead to bradycardia; also causes
thrombocytopenia b/c it is an anticoagulant)
which patient is most at risk for hypomagnesemia?
a) 55 year old chronic alcoholic
b) 57 year old with hyperthroidism
c) patient reporting overuse of anatacids and laxatives
d) 25 year old suffering from hypoglycemia
a
which of the following IVs can be used to treat hypovolemia?
a) hypotonic
,b) isotonic
c) hypertonic
c
(temporary)
what electrolyte imbalance might a nurse most be on alert for in a patient that
has experienced a crushing injury?
a) hypovolemia
b) hyperphosphatemia
c) vit C sufficiency
d) hyperkalemia
d
which of the following findings might cause a nurse to question an order to
give herparin subQ?
a) pulse 100
b) platelet count: 450,000
c) taking tocopherol supplements concurrently
d) hates cabbage
c
(vit E enhances action of anticoagulant meds; hold if pt bradycardic, low platelets, or
ingesting/otherwise intaking lots of vitK which acts as an antidote)
which of the following findings observed by the nurse would indicate the need
to administer calcium gluconate intravenously?
a) lethargy
b) decreased deep tendon reflexes and muscle strength
c) renal calculi
d) hx of bone cancer
b
(used to treat hypERMg, which is rare w/ ok kidney fxn; others are s/sx or etiology of
hypERCa - decreased mm strength is also sign of hyperCa by itself)
which of the following would NOT fall under the category of droplet
precautions?
a) diphtheria/pertussis(whooping cough)
b) N. meningitis
c) influenza
d) MRSA
e) mumps
,d
(contact)
which of the following does NOT fall under the category of needing airdrop
precautions?
a) measles
b) meningitis
c) tuberculosis
d) varicella zoster (chickenpox)
e) SARS
b
(droplet)
which of the following does NOT fall under contact precautions?
a) herpes zoster (shingles)
b) MRSA
c) VRE
d) C. difficile
a
_______ solutions cause cell dehydration and help increase fluid in the
extracellular space.
a) Hypotonic
b) Osmosis
c) Isotonic
d) Hypertonic
d
When administering a hypertonic solution the nurse should closely watch for?
a) Signs of dehydration
b) Pulmonary Edema
c) Fluid volume deficient
d) Increased Lactate level
b
The nurse is reading a health care provider's (HCP's) progress notes in the
client's record and reads that the HCP has documented "insensible fluid loss
of approximately 800 mL daily." The nurse makes a notation that insensible
fluid loss occurs through which type of excretion?
a) urinary output
b) wound drainage
, c) integumentary output
d) gastrointestinal tract
c
What type of fluid would a patient with severe hyponatremia most likely be
started on?
a) Hypotonic
b) Hypertonic
c) Isotonic
d) Colloid
b
________ fluids remove water from the extracellular space into the intracellular
space.
a) Hypotonic
b) Hypertonic
c) Isotonic
d) Colloids
a
A patient is being admitted with dehydration due to nausea and vomiting.
Which fluid would you expect the patient to be started on?
a) 5% Dextrose in 0.9% Saline
b) 0.33% saline
c) 0.225% saline
d) 0.9% Normal Saline
d
The nurse is assigned to care for a group of clients. On review of the clients'
medical records, the nurse determines that which client is most likely at risk
for a fluid volume deficit?
a) pt w/ ileostomy
b) pt w/ HF
c) pt on long-term corticosteroid therapy
d) pt receiving frequent wound irrigations
a
The nurse caring for a client who has been receiving intravenous (IV) diuretics
suspects that the client is experiencing a fluid volume deficit. Which
assessment finding would the nurse note in a client with this condition?
a) weight loss and poor skin turgor
b) lung congestion and increased heart rate
c) decreased hematocrit and increased urine output
d) increased respirations and increased blood pressure
examination 2025 -2026 QUESTIONS WITH CORRECT ANSWERS VERIFIED
100% GRADED A+
Fundamentals of Nursing Final Exam
which of the following might the nurse expect to be deficient in a patient who
claims he is a vegan?
a) niacin
b) cobalamin
c) vit A
d) calcium
b
(ONLY in animal foods - calcium in some leafy vegetables, although primarily dairy)
which of the following should the nurse assess for in a patient prescribed
heparin? select all that apply
a) serum calcium levels
b) petechiae
c) pitting edema
d) serum platelet levels
e) BP
f) pulse
b, d, f
(side fx include hyperkalemia which can lead to bradycardia; also causes
thrombocytopenia b/c it is an anticoagulant)
which patient is most at risk for hypomagnesemia?
a) 55 year old chronic alcoholic
b) 57 year old with hyperthroidism
c) patient reporting overuse of anatacids and laxatives
d) 25 year old suffering from hypoglycemia
a
which of the following IVs can be used to treat hypovolemia?
a) hypotonic
,b) isotonic
c) hypertonic
c
(temporary)
what electrolyte imbalance might a nurse most be on alert for in a patient that
has experienced a crushing injury?
a) hypovolemia
b) hyperphosphatemia
c) vit C sufficiency
d) hyperkalemia
d
which of the following findings might cause a nurse to question an order to
give herparin subQ?
a) pulse 100
b) platelet count: 450,000
c) taking tocopherol supplements concurrently
d) hates cabbage
c
(vit E enhances action of anticoagulant meds; hold if pt bradycardic, low platelets, or
ingesting/otherwise intaking lots of vitK which acts as an antidote)
which of the following findings observed by the nurse would indicate the need
to administer calcium gluconate intravenously?
a) lethargy
b) decreased deep tendon reflexes and muscle strength
c) renal calculi
d) hx of bone cancer
b
(used to treat hypERMg, which is rare w/ ok kidney fxn; others are s/sx or etiology of
hypERCa - decreased mm strength is also sign of hyperCa by itself)
which of the following would NOT fall under the category of droplet
precautions?
a) diphtheria/pertussis(whooping cough)
b) N. meningitis
c) influenza
d) MRSA
e) mumps
,d
(contact)
which of the following does NOT fall under the category of needing airdrop
precautions?
a) measles
b) meningitis
c) tuberculosis
d) varicella zoster (chickenpox)
e) SARS
b
(droplet)
which of the following does NOT fall under contact precautions?
a) herpes zoster (shingles)
b) MRSA
c) VRE
d) C. difficile
a
_______ solutions cause cell dehydration and help increase fluid in the
extracellular space.
a) Hypotonic
b) Osmosis
c) Isotonic
d) Hypertonic
d
When administering a hypertonic solution the nurse should closely watch for?
a) Signs of dehydration
b) Pulmonary Edema
c) Fluid volume deficient
d) Increased Lactate level
b
The nurse is reading a health care provider's (HCP's) progress notes in the
client's record and reads that the HCP has documented "insensible fluid loss
of approximately 800 mL daily." The nurse makes a notation that insensible
fluid loss occurs through which type of excretion?
a) urinary output
b) wound drainage
, c) integumentary output
d) gastrointestinal tract
c
What type of fluid would a patient with severe hyponatremia most likely be
started on?
a) Hypotonic
b) Hypertonic
c) Isotonic
d) Colloid
b
________ fluids remove water from the extracellular space into the intracellular
space.
a) Hypotonic
b) Hypertonic
c) Isotonic
d) Colloids
a
A patient is being admitted with dehydration due to nausea and vomiting.
Which fluid would you expect the patient to be started on?
a) 5% Dextrose in 0.9% Saline
b) 0.33% saline
c) 0.225% saline
d) 0.9% Normal Saline
d
The nurse is assigned to care for a group of clients. On review of the clients'
medical records, the nurse determines that which client is most likely at risk
for a fluid volume deficit?
a) pt w/ ileostomy
b) pt w/ HF
c) pt on long-term corticosteroid therapy
d) pt receiving frequent wound irrigations
a
The nurse caring for a client who has been receiving intravenous (IV) diuretics
suspects that the client is experiencing a fluid volume deficit. Which
assessment finding would the nurse note in a client with this condition?
a) weight loss and poor skin turgor
b) lung congestion and increased heart rate
c) decreased hematocrit and increased urine output
d) increased respirations and increased blood pressure
