This Exam contains:
100% Guarantee Pass.
2025\2026 update
Multiple-Choice questions.
Each Question Includes The Correct answers
>contains 14 questions and answers with
rationales
NR 226 Exam 2 Practice NCLEX
QUESTIONS AND Answers ALL 100%
VERIFIED
1. A nurse assesses a patient with hypoparathyroidism. The
nurse notes a positive Chvostek’s sign and recognizes that it
indicates with electrolyte imbalance?
a. Hyperkalemia
b. Hypermagnesemia
c. Hypocalcemia
d. Hyponatremia
, Rationale: Serum calcium levels are maintained through
dietary intake and the parathyroid hormone. When more
calcium is needed, parathyroid hormone is released to
absorb calcium from bone, stimulate vitamin D activation,
inhibit kidney excretion of calcium and stimulate kidney
reabsorption of calcium. In hypoparathyroidism, the
parathyroid gland does not produce adequate parathyroid
hormone to maintain serum calcium levels, causing
hypocalcemia. Hypocalcemia is an electrolyte imbalance in
which total serum calcium is less than 8.5 mg/dL.
Hypocalcemia can cause neuromuscular excitability, as seen
in positive Chvostek sign. A positive Chvostek sign occurs
when the nurse taps on the facial nerve at the angle of the
jaw, resulting in contraction of the facial muscles.
2. A nurse receives a laboratory report for a client indicating a
potassium level of 5.3 mEq/L. When notifying the provider,
the nurse should expect which of the following actions?
A. Starting an IV infusion of 0.9% sodium chloride
B. Consulting with the dietician to increase intake of
potassium
C. Initiate continuous cardiac monitoring
D. Prepare the client for gastric lavage
100% Guarantee Pass.
2025\2026 update
Multiple-Choice questions.
Each Question Includes The Correct answers
>contains 14 questions and answers with
rationales
NR 226 Exam 2 Practice NCLEX
QUESTIONS AND Answers ALL 100%
VERIFIED
1. A nurse assesses a patient with hypoparathyroidism. The
nurse notes a positive Chvostek’s sign and recognizes that it
indicates with electrolyte imbalance?
a. Hyperkalemia
b. Hypermagnesemia
c. Hypocalcemia
d. Hyponatremia
, Rationale: Serum calcium levels are maintained through
dietary intake and the parathyroid hormone. When more
calcium is needed, parathyroid hormone is released to
absorb calcium from bone, stimulate vitamin D activation,
inhibit kidney excretion of calcium and stimulate kidney
reabsorption of calcium. In hypoparathyroidism, the
parathyroid gland does not produce adequate parathyroid
hormone to maintain serum calcium levels, causing
hypocalcemia. Hypocalcemia is an electrolyte imbalance in
which total serum calcium is less than 8.5 mg/dL.
Hypocalcemia can cause neuromuscular excitability, as seen
in positive Chvostek sign. A positive Chvostek sign occurs
when the nurse taps on the facial nerve at the angle of the
jaw, resulting in contraction of the facial muscles.
2. A nurse receives a laboratory report for a client indicating a
potassium level of 5.3 mEq/L. When notifying the provider,
the nurse should expect which of the following actions?
A. Starting an IV infusion of 0.9% sodium chloride
B. Consulting with the dietician to increase intake of
potassium
C. Initiate continuous cardiac monitoring
D. Prepare the client for gastric lavage
