Nursing Fundamentals Exam 3 NEWEST ACTUAL EXAM
NURSING FUNDAMENTALS EXAM 3 NEWEST ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
1. You are working in the ER of a local hospital. A patient comes in "feeling ill". The
doctor orders electrolytes on the patient and finds that the Na+ is 135, the K+ is
2.7, chloride is 95 and C02 is 26. You would expect the doctor to order:
a. Na+ supplements IV
b. K+ supplements PO
c. Na+ supplements PO
d. Chloride PO - Correct Answer-B K+ supplements PO
Rationale_K+ is very low, the other values are normal. When able, K+ orally is
the best and safest method of replacement.
2. The skin turgor assessment of a patient with hypernatremia as a result of
extracellular fluid loss would show:
a. No skin "tenting"
b. Prolonged skin "tenting"
c. Prolonged pitting edema
d. Widespread non-pitting edema - Correct Answer-B Prolonged skin "tenting"
Rationale_Poor skin turgor is a measure of tissue hydration, fluid loss has less
elasticity of the skin. Edema is not present in fluid loss but in fluid overload.
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, Nursing Fundamentals Exam 3 NEWEST ACTUAL EXAM
3. Marathon runners are at risk for fluid volume deficit. Which of the following is a
related factor?
a. Decreased diuresis
b. Disease related processes
c. Decreased breathing and perspiration
d. Increased breathing and perspiration - Correct Answer-D Increased breathing
and perspiration
Rationale_Fluid losses increase through increased respirations and increased
perspiration from heavy physical activity.
4. During shift report, you are told that your patient has a positive Chvostek's sign.
You would expect his lab values to reveal:
a. Total serum calcium level below 8.5 mEq/L
b. Total serum calcium level above 10.1 mEq/L
c. Normal serum calcium level - Correct Answer-A Total serum calcium level below
8.5 mEq/L
Rationale_Chevostek's sign is associated with hypocalcemia and is a
hyperexcitability of the facial nerve when stimulated in front of the earlobe.
5. In addition to its responsibility for fluid balance sodium is also responsible for:
a. Good eyesight and vitamin balance
b. Bone structure
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, Nursing Fundamentals Exam 3 NEWEST ACTUAL EXAM
c. Impulse transmission
d. Muscle mass - Correct Answer-C impulse transmission
Rationale_Na+ transmits nerve impulses and contracts muscles.
6. An 83-year- old patient with heart failure develops hypokalemia as a result of
diuretic therapy. The nurse suggests that she increase her dietary intake of
potassium. Which foods should she consume?
a. Chocolate, mushrooms, and bananas
b. Canned soups, peas and mild
c. Apples, whole wheat bread, and oatmeal
d. Dairy products and whole grains - Correct Answer-A Chocolate, mushrooms,
and bananas
Rationale These items have higher K+ than the other food choices.
7. When assessing a patient with hypotonic fluid volume excess (FVE) the nurse
can expect to find:
a. Hyponatremia
b. Confusion
c. Headache
d. All of the above - Correct Answer-D all of the above
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, Nursing Fundamentals Exam 3 NEWEST ACTUAL EXAM
Rationale_Na+ decreases with FVE, confusion may result from cerebral swelling
as well as headache for the same reason.
8. The nurse evaluates that discharge teaching has been effective when the
patient with hypocalcemia states:
a. "I shouldn't take antacids such as TUMS."
b. "I should notify my healthcare provider if I start to feel tingling or numbness
around my mouth."
c. "I'll need to cut down on my protein in my diet."
d. "I will watch my urine for signs of kidney stones." - Correct Answer-B I should
notify my healthcare provider if I start to feel tingling or numbness around my
mouth
Rationale_Circumoral paresthesia is a sign of impending tetany (intermittent and
involuntary muscle spasms caused by low Ca+) and should alert the patient to
contact the physician.
9. A 28 year old patient is admitted with severe bleeding from a fractured femur.
Which intravenous fluid does the nurse anticipate would be ordered as the most
appropriate to replace that fluid loss?
a. Normal Saline
b. 3% saline
c. 5% dextrose in water
d. 5% dextrose in 0.225 saline - Correct Answer-A Normal Saline
Rationale NS is an isotonic fluid and is appropriate for fluid (blood) loss
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NURSING FUNDAMENTALS EXAM 3 NEWEST ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
1. You are working in the ER of a local hospital. A patient comes in "feeling ill". The
doctor orders electrolytes on the patient and finds that the Na+ is 135, the K+ is
2.7, chloride is 95 and C02 is 26. You would expect the doctor to order:
a. Na+ supplements IV
b. K+ supplements PO
c. Na+ supplements PO
d. Chloride PO - Correct Answer-B K+ supplements PO
Rationale_K+ is very low, the other values are normal. When able, K+ orally is
the best and safest method of replacement.
2. The skin turgor assessment of a patient with hypernatremia as a result of
extracellular fluid loss would show:
a. No skin "tenting"
b. Prolonged skin "tenting"
c. Prolonged pitting edema
d. Widespread non-pitting edema - Correct Answer-B Prolonged skin "tenting"
Rationale_Poor skin turgor is a measure of tissue hydration, fluid loss has less
elasticity of the skin. Edema is not present in fluid loss but in fluid overload.
1|Page
, Nursing Fundamentals Exam 3 NEWEST ACTUAL EXAM
3. Marathon runners are at risk for fluid volume deficit. Which of the following is a
related factor?
a. Decreased diuresis
b. Disease related processes
c. Decreased breathing and perspiration
d. Increased breathing and perspiration - Correct Answer-D Increased breathing
and perspiration
Rationale_Fluid losses increase through increased respirations and increased
perspiration from heavy physical activity.
4. During shift report, you are told that your patient has a positive Chvostek's sign.
You would expect his lab values to reveal:
a. Total serum calcium level below 8.5 mEq/L
b. Total serum calcium level above 10.1 mEq/L
c. Normal serum calcium level - Correct Answer-A Total serum calcium level below
8.5 mEq/L
Rationale_Chevostek's sign is associated with hypocalcemia and is a
hyperexcitability of the facial nerve when stimulated in front of the earlobe.
5. In addition to its responsibility for fluid balance sodium is also responsible for:
a. Good eyesight and vitamin balance
b. Bone structure
2|Page
, Nursing Fundamentals Exam 3 NEWEST ACTUAL EXAM
c. Impulse transmission
d. Muscle mass - Correct Answer-C impulse transmission
Rationale_Na+ transmits nerve impulses and contracts muscles.
6. An 83-year- old patient with heart failure develops hypokalemia as a result of
diuretic therapy. The nurse suggests that she increase her dietary intake of
potassium. Which foods should she consume?
a. Chocolate, mushrooms, and bananas
b. Canned soups, peas and mild
c. Apples, whole wheat bread, and oatmeal
d. Dairy products and whole grains - Correct Answer-A Chocolate, mushrooms,
and bananas
Rationale These items have higher K+ than the other food choices.
7. When assessing a patient with hypotonic fluid volume excess (FVE) the nurse
can expect to find:
a. Hyponatremia
b. Confusion
c. Headache
d. All of the above - Correct Answer-D all of the above
3|Page
, Nursing Fundamentals Exam 3 NEWEST ACTUAL EXAM
Rationale_Na+ decreases with FVE, confusion may result from cerebral swelling
as well as headache for the same reason.
8. The nurse evaluates that discharge teaching has been effective when the
patient with hypocalcemia states:
a. "I shouldn't take antacids such as TUMS."
b. "I should notify my healthcare provider if I start to feel tingling or numbness
around my mouth."
c. "I'll need to cut down on my protein in my diet."
d. "I will watch my urine for signs of kidney stones." - Correct Answer-B I should
notify my healthcare provider if I start to feel tingling or numbness around my
mouth
Rationale_Circumoral paresthesia is a sign of impending tetany (intermittent and
involuntary muscle spasms caused by low Ca+) and should alert the patient to
contact the physician.
9. A 28 year old patient is admitted with severe bleeding from a fractured femur.
Which intravenous fluid does the nurse anticipate would be ordered as the most
appropriate to replace that fluid loss?
a. Normal Saline
b. 3% saline
c. 5% dextrose in water
d. 5% dextrose in 0.225 saline - Correct Answer-A Normal Saline
Rationale NS is an isotonic fluid and is appropriate for fluid (blood) loss
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