NSG 320/NSG 320(NEW 2025/2026 Adult Health Nursing Questions &
Answers 100% Correct (Verified Solutions)|Graded A Final Exam Review.
What is the most common cause of hy-
Renal failure
perkalemia?
Movement of ICF to ECF (burn or crush
What are causes of hyperkalemia? injury, tumor lysis, massive infections, in-
tense exercises)
fatigue, confusion, tetany, muscle
Signs and symptoms of hyperkalemia
cramps, paresthesia, weakness
IV regular insulin with dextrose, IV calci-
What IV solution can be given for hyper- um chloride or calcium gluconate (does
kalemia? not lower potassium but reverses the tox-
ic effects)
What should be given to a patient that
IV calcium immediately (monitor BP bc
is experiencing dangerous rhythms from
calcium can cause hypotension)
hyperkalemia?
What should the IV KCl infusion rate nev-
10 mEq/hr
er exceed?
digoxin can increased risk of toxicity if
serum potassium is low. monitor for dig-
Importance of digoxin and hypokalemia
italis toxicity (confusion, N/V, GI prob-
lems, lethargy)
Discharge teaching should be given... during preoperative phase
What is the most common cause of
smoking
COPD
-incentive spirometry (raise o2 stats)
Priority nursing intervention for patient -assess triggers that may cause exacer-
with COPD bation
-SMOKING CESSATION
pH: low
Respiratory Acidosis PaCo2: high
HCo3: Normal
pH: high
Respiratory Alkalosis Paco2: low
Hco3: normal
, ph: low Paco2:
Metabolic Acidosis normal Hco3:
low
pH: high
Metabolic Alkalosis Paco2: normal
HCo3: high
blood test that measures glycosylated
hemoglobin (HbA1c) to assess glucose
A1C
control
> 6.5% indicates diabetes
measurement of blood sugar after fasting
Fasting blood glucose for 12 hrs
> 126 mg/dL indicated diabetes
Rapid Acting Insulins Lispro, Aspart, Glulisine
Rapid Acting Onset 10-30 min
Rapid Acting Peak 30 min-1 hr
Rapid Acting Duration 3-5 hrs
Short Acting Insulins Regular (Humulin R, Novolin R)
Short Acting Onset 30 min-1 hr
Short Acting Peak 2-5 hrs
Short Acting Duration 5-8 hrs
intermediated Acting insulins NPH
Intermediate Acting Onset 1.5-4 hrs
Intermediate Acting Peak 4-12 hours
Intermediate Acting Duration 12-18 hours
Long Acting Insulins glargine, detemir
Long Acting Onset 0.8-4 hrs
Long Acting Peak non
Lon Acting Duration 16-24 hrs
What types of insulins are cloudy? NPH, Lispro, Aspart
Answers 100% Correct (Verified Solutions)|Graded A Final Exam Review.
What is the most common cause of hy-
Renal failure
perkalemia?
Movement of ICF to ECF (burn or crush
What are causes of hyperkalemia? injury, tumor lysis, massive infections, in-
tense exercises)
fatigue, confusion, tetany, muscle
Signs and symptoms of hyperkalemia
cramps, paresthesia, weakness
IV regular insulin with dextrose, IV calci-
What IV solution can be given for hyper- um chloride or calcium gluconate (does
kalemia? not lower potassium but reverses the tox-
ic effects)
What should be given to a patient that
IV calcium immediately (monitor BP bc
is experiencing dangerous rhythms from
calcium can cause hypotension)
hyperkalemia?
What should the IV KCl infusion rate nev-
10 mEq/hr
er exceed?
digoxin can increased risk of toxicity if
serum potassium is low. monitor for dig-
Importance of digoxin and hypokalemia
italis toxicity (confusion, N/V, GI prob-
lems, lethargy)
Discharge teaching should be given... during preoperative phase
What is the most common cause of
smoking
COPD
-incentive spirometry (raise o2 stats)
Priority nursing intervention for patient -assess triggers that may cause exacer-
with COPD bation
-SMOKING CESSATION
pH: low
Respiratory Acidosis PaCo2: high
HCo3: Normal
pH: high
Respiratory Alkalosis Paco2: low
Hco3: normal
, ph: low Paco2:
Metabolic Acidosis normal Hco3:
low
pH: high
Metabolic Alkalosis Paco2: normal
HCo3: high
blood test that measures glycosylated
hemoglobin (HbA1c) to assess glucose
A1C
control
> 6.5% indicates diabetes
measurement of blood sugar after fasting
Fasting blood glucose for 12 hrs
> 126 mg/dL indicated diabetes
Rapid Acting Insulins Lispro, Aspart, Glulisine
Rapid Acting Onset 10-30 min
Rapid Acting Peak 30 min-1 hr
Rapid Acting Duration 3-5 hrs
Short Acting Insulins Regular (Humulin R, Novolin R)
Short Acting Onset 30 min-1 hr
Short Acting Peak 2-5 hrs
Short Acting Duration 5-8 hrs
intermediated Acting insulins NPH
Intermediate Acting Onset 1.5-4 hrs
Intermediate Acting Peak 4-12 hours
Intermediate Acting Duration 12-18 hours
Long Acting Insulins glargine, detemir
Long Acting Onset 0.8-4 hrs
Long Acting Peak non
Lon Acting Duration 16-24 hrs
What types of insulins are cloudy? NPH, Lispro, Aspart
