NURS 4015 Practice Exam Questions
with Verified Answers A+ Rated
Latest 2025-2026
.
1. Acute & Chronic Renal Failure
2. Fluid & Electrolyte Imbalances (especially Na⁺, K⁺, Ca²⁺, Mg²⁺)
3. Acid-Base Disorders (ABGs + compensation)
4. Diabetes (Type 1 vs Type 2, DKA, HHS, meds)
5. Thyroid Disorders (hypo/hyper, myxedema, thyroid storm)
6. Adrenal Disorders (Addison’s, Cushing’s, adrenal crisis)
7. Pulmonary: Asthma, COPD, Pneumonia, PE
8. Anemia (iron-deficiency, B12/folate, sickle cell, aplastic)
9. Coagulation Disorders (DIC, ITP, TTP, hemophilia)
10. GI: Peptic Ulcer Disease, GERD, Inflammatory Bowel, Liver Failure
11. Neuro: Stroke, Seizures, Meningitis, Parkinson’s, Myasthenia
12. Pain Management & Opioids, Benzodiazepines, Antiepileptics
### 50 Brand-New Exam 2 Questions with Answers & Rationales
,#### Renal / Fluids / Electrolytes
1. **Stage 3 AKI: GFR 30–59 mL/min. Most common cause in
hospitalized patients?**
A. Prerenal (hypovolemia) → ATN
Answer: A → progresses to intrinsic if not corrected
2. **Hyperkalemia ECG progression:**
Peaked T → flattened P → widened QRS → sine wave
First treatment if ECG changes: Calcium gluconate
3. **Patient with SIADH: serum Na 124, urine osmolality 680, urine Na
45. Treatment of choice?**
A. 3% saline (if seizing) + fluid restriction + demeclocycline/tolvaptan if
chronic
Answer: A (acute symptomatic)
#### Diabetes & Endocrine
4. **DKA vs HHS – highest glucose & osmolality, no ketones?**
HHS (>600 mg/dL, >320 mOsm, negative ketones)
5. **Patient on metformin develops lactic acidosis. Biggest risk
factor?**
, A. AKI or CrCl <30
6. **Thyroid storm treatment order:**
Beta-blocker → PTU (or methimazole) → iodine (1 hr later) →
hydrocortisone
#### Pulmonary
7. **Asthma severity with PEFR 50–79% predicted, nighttime symptoms
>1×/week:**
Moderate persistent → ICS + LABA
8. **COPD GOLD Group D treatment (high symptoms + high risk):**
LAMA + LABA + ICS (triple therapy)
#### Hematology / Oncology Emergencies
9. **Tumor lysis labs:**
Hyperkalemia, hyperphosphatemia, hyperuricemia, hypocalcemia
10. **Sickle cell acute chest syndrome treatment:**
Oxygen, pain control, incentive spirometry, empiric antibiotics,
transfusion/exchange if severe
with Verified Answers A+ Rated
Latest 2025-2026
.
1. Acute & Chronic Renal Failure
2. Fluid & Electrolyte Imbalances (especially Na⁺, K⁺, Ca²⁺, Mg²⁺)
3. Acid-Base Disorders (ABGs + compensation)
4. Diabetes (Type 1 vs Type 2, DKA, HHS, meds)
5. Thyroid Disorders (hypo/hyper, myxedema, thyroid storm)
6. Adrenal Disorders (Addison’s, Cushing’s, adrenal crisis)
7. Pulmonary: Asthma, COPD, Pneumonia, PE
8. Anemia (iron-deficiency, B12/folate, sickle cell, aplastic)
9. Coagulation Disorders (DIC, ITP, TTP, hemophilia)
10. GI: Peptic Ulcer Disease, GERD, Inflammatory Bowel, Liver Failure
11. Neuro: Stroke, Seizures, Meningitis, Parkinson’s, Myasthenia
12. Pain Management & Opioids, Benzodiazepines, Antiepileptics
### 50 Brand-New Exam 2 Questions with Answers & Rationales
,#### Renal / Fluids / Electrolytes
1. **Stage 3 AKI: GFR 30–59 mL/min. Most common cause in
hospitalized patients?**
A. Prerenal (hypovolemia) → ATN
Answer: A → progresses to intrinsic if not corrected
2. **Hyperkalemia ECG progression:**
Peaked T → flattened P → widened QRS → sine wave
First treatment if ECG changes: Calcium gluconate
3. **Patient with SIADH: serum Na 124, urine osmolality 680, urine Na
45. Treatment of choice?**
A. 3% saline (if seizing) + fluid restriction + demeclocycline/tolvaptan if
chronic
Answer: A (acute symptomatic)
#### Diabetes & Endocrine
4. **DKA vs HHS – highest glucose & osmolality, no ketones?**
HHS (>600 mg/dL, >320 mOsm, negative ketones)
5. **Patient on metformin develops lactic acidosis. Biggest risk
factor?**
, A. AKI or CrCl <30
6. **Thyroid storm treatment order:**
Beta-blocker → PTU (or methimazole) → iodine (1 hr later) →
hydrocortisone
#### Pulmonary
7. **Asthma severity with PEFR 50–79% predicted, nighttime symptoms
>1×/week:**
Moderate persistent → ICS + LABA
8. **COPD GOLD Group D treatment (high symptoms + high risk):**
LAMA + LABA + ICS (triple therapy)
#### Hematology / Oncology Emergencies
9. **Tumor lysis labs:**
Hyperkalemia, hyperphosphatemia, hyperuricemia, hypocalcemia
10. **Sickle cell acute chest syndrome treatment:**
Oxygen, pain control, incentive spirometry, empiric antibiotics,
transfusion/exchange if severe
