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NUR 2392 MDC2 Exam 1 Review 2026/2027 Latest Update | Complete Questions with 100% Verified Correct Answers | Fluid, Electrolytes & Acid-Base | Graded A+

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This is the complete NUR 2392 MDC2 Exam 1 Review for the 2026/2027 academic year — 50 high-yield multiple-choice and select-all-that-apply questions covering the core content tested in Medical-Surgical Nursing 2 examinations, with 100% verified correct answers on every single question. The focus is laser-targeted on the three clinical areas that make or break most MDC2 students: fluid and electrolyte imbalances, acid-base disorders, and ABG interpretation. Fluid and electrolyte content covers hypovolemia and hypervolemia recognition, clinical signs of hyponatremia, hypernatremia, hypokalemia, hyperkalemia, hypomagnesemia, and hypercalcemia, appropriate IV fluid selection across isotonic, hypotonic, hypertonic, and colloid categories, Trousseau's and Chvostek's sign interpretation, and priority interventions for electrolyte emergencies including cardiac monitoring, dietary counseling, and medication safety. Acid-base questions walk through full, partial, and uncompensated metabolic and respiratory acidosis and alkalosis using real ABG values — including step-by-step interpretation logic starting with pH labeling. Clinical scenarios address aspirin toxicity, DKA, COPD-related respiratory acidosis, NG suction-induced metabolic alkalosis, asthma exacerbation, and ventilator management for acidotic patients. Multidimensional care questions integrate cultural competence, case management, financial services consultation, interpreter use, and dietician referral — reflecting the full scope of what modern nursing exams demand. Every question is scenario-based and written at the application level, making this equally effective as a study guide, a self-assessment tool, and a last-minute exam review.

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MDC2 Exam 1 Review – 2026/2027

1. You are caring for a 68-year-old male client admitted with fever and cough for
several days. He has COPD and diabetes. HR 128 BPM, BP 80/50, dry mucous
membranes, urine output 100 cc all day. Which condition is the patient exhibiting?

A. Hypervolemia
B. Sepsis
C. Hypovolemia
D. Acute renal failure

Answer: C. Hypovolemia


2. A 36-year-old female presents with abdominal pain and diarrhea for 3 days.
Magnesium level is 1.4. Which assessment finding would you expect?

A. Hypotension
B. Bradycardia
C. Trousseau's sign
D. Bone pain

Answer: C. Trousseau's sign


3. A client has CHF and renal failure. Which statement by the client requires further
education of the client to assist the client in avoiding hypervolemia episodes?

A. I will eat foods low in salt
B. I will monitor my weight daily
C. I will eat ham instead of chicken
D. I will go to the ER if I have difficulty breathing

Answer: C. I will eat ham instead of chicken

, 4. A client has a sodium of 131 mEq/L. What does the nurse anticipate the physician
will order?

A. FR
B. Sodium IV Push
C. Free water
D. banana

Answer: A. FR


5. A client has the following ABG results. How does the nurse interpret these results?
pH: 7.45, PaCO2: 50, HCO3: 30

A. fully comp metabolic alkalosis
B. Partially Comp metabolic alkalosis
C. uncomp. Resp alkalosis
D. normal

Answer: A. fully comp metabolic alkalosis


6. A client has the following ABG results. How does the nurse interpret these results?
pH: 7.36, PaCO2: 60, HCO3: 38

A. fully comp metabolic alkalosis
B. Part. Comp metabolic alkalosis
C. fully comp resp acidosis
D. part comp resp acidosis

Answer: C. fully comp resp acidosis


7. A client has the following ABG results. How does the nurse interpret these results?
pH: 7.25, PaCO2: 34, HCO3: 13

A. part comp metabolic acidosis
B. uncomp resp alkalosis
C. normal
D. part comp metabolic alkalosis

Answer: A. part comp metabolic acidosis

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