1|Page
NU136 EXAM 3 (GALEN) NEWEST 2025 ACTUAL EXAM
TEST BANK| NU 136 FUNDAMENTALS OF NURSING
EXAM 3 REVIEW WITH 350 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (BRAND NEW!!)
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
NS is an isotonic fluid and is appropriate for fluid (blood) loss
When caring for a patient at risk for fluid overload the nurse notices that
overnight the patient gained 6 pounds. The nurse interprets this as:
a. A 3L fluid gain
b. Impending renal failure
c. Excessive diuresis
d. A 6 L fluid gain - Correct Answer – A. a 3L fluid gain
1 kg equals 1 liter
pg. 1
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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
Chevostek's sign is associated with hypocalcemia and is a
hyperexcitability of the facial nerve when stimulated in front of the
earlobe.
In addition to its responsibility for fluid balance sodium is also
responsible for:
a. Good eyesight and vitamin balance
b. Bone structure
c. Impulse transmission
d. Muscle mass - Correct Answer – C. impulse transmission
Na+ transmits nerve impulses and contracts muscles.
A patient is admitted after several days of high fever, diarrhea and
diaphoresis. His urine output is scant and his skin turgor is poor. What
consequences would this assessment data imply that this patient is
experiencing?
a. Isotonic fluid volume deficit
b. Hyperosmotic fluid volume deficit
pg. 2
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c. Isotonic fluid volume excess
d. Hyperosmotic volume excess - Correct Answer – A. Isotonic fluid
volume deficit
Diarrhea and diaphoresis increase fluid and electrolyte loss.
The nurse anticipates that which of the following patients is at risk for
hypermagnesemia?
a. An anorexic teen
b. An alcoholic
c. A patient with history of a partial gastrectomy
d. A patient with renal failure - Correct Answer – D. a patient with renal
failure
Renal failure interferes with the excretion of electrolytes, including
magnesium. All the others have hypomagnesemia (low Mg+).
The nurse would expect a patient to have a high serum magnesium after
noting which of the following health problems listed in the medical
history?
a. Malabsorption
b. Anemia
c. Overuse of laxatives
d. Alcoholism - Correct Answer – C. overuse of laxatives
Laxatives contain high amounts of magnesium.
pg. 3
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The most common cause of hypocalcemia involves a dysfunction of:
a. Calcitonin.
b. Antidiuretic hormone (ADH).
c. Growth hormone.
d. Parathyroid hormone (PTH). - Correct Answer – D. parathyroid
hormone (PTH)
PTH is responsible for regulating Ca+ in the bloodstream and when it
decreses, the PTH increases.
A 55-year-old patient is semi-conscious, restless, and has tremors and
muscle weakness. Physical assessment reveals a dry tongue, elevated
temperature, and urine specific gravity of 1.037. The nurse knows that
the serum sodium value for this patient is most likely to be which of the
following?
a. 115 mEq/L
b. 125 mEq/L
c. 135 mEq/L
d. 155 mEq/L - Correct Answer – D. 155 mEq/L
Signs and symptoms of hypernatremia include all of the above. _
An adult patient comes into the clinic complaining of a cough, fever,
nausea, and vomiting for three days. Examination reveals dry tongue and
oral mucosa and concentrated urine. The patient also reports feeling
weak and dizzy. Which vital sign measurement would provide the best
indicator of current fluid status?
pg. 4
NU136 EXAM 3 (GALEN) NEWEST 2025 ACTUAL EXAM
TEST BANK| NU 136 FUNDAMENTALS OF NURSING
EXAM 3 REVIEW WITH 350 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (BRAND NEW!!)
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
NS is an isotonic fluid and is appropriate for fluid (blood) loss
When caring for a patient at risk for fluid overload the nurse notices that
overnight the patient gained 6 pounds. The nurse interprets this as:
a. A 3L fluid gain
b. Impending renal failure
c. Excessive diuresis
d. A 6 L fluid gain - Correct Answer – A. a 3L fluid gain
1 kg equals 1 liter
pg. 1
,2|Page
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
Chevostek's sign is associated with hypocalcemia and is a
hyperexcitability of the facial nerve when stimulated in front of the
earlobe.
In addition to its responsibility for fluid balance sodium is also
responsible for:
a. Good eyesight and vitamin balance
b. Bone structure
c. Impulse transmission
d. Muscle mass - Correct Answer – C. impulse transmission
Na+ transmits nerve impulses and contracts muscles.
A patient is admitted after several days of high fever, diarrhea and
diaphoresis. His urine output is scant and his skin turgor is poor. What
consequences would this assessment data imply that this patient is
experiencing?
a. Isotonic fluid volume deficit
b. Hyperosmotic fluid volume deficit
pg. 2
,3|Page
c. Isotonic fluid volume excess
d. Hyperosmotic volume excess - Correct Answer – A. Isotonic fluid
volume deficit
Diarrhea and diaphoresis increase fluid and electrolyte loss.
The nurse anticipates that which of the following patients is at risk for
hypermagnesemia?
a. An anorexic teen
b. An alcoholic
c. A patient with history of a partial gastrectomy
d. A patient with renal failure - Correct Answer – D. a patient with renal
failure
Renal failure interferes with the excretion of electrolytes, including
magnesium. All the others have hypomagnesemia (low Mg+).
The nurse would expect a patient to have a high serum magnesium after
noting which of the following health problems listed in the medical
history?
a. Malabsorption
b. Anemia
c. Overuse of laxatives
d. Alcoholism - Correct Answer – C. overuse of laxatives
Laxatives contain high amounts of magnesium.
pg. 3
, 4|Page
The most common cause of hypocalcemia involves a dysfunction of:
a. Calcitonin.
b. Antidiuretic hormone (ADH).
c. Growth hormone.
d. Parathyroid hormone (PTH). - Correct Answer – D. parathyroid
hormone (PTH)
PTH is responsible for regulating Ca+ in the bloodstream and when it
decreses, the PTH increases.
A 55-year-old patient is semi-conscious, restless, and has tremors and
muscle weakness. Physical assessment reveals a dry tongue, elevated
temperature, and urine specific gravity of 1.037. The nurse knows that
the serum sodium value for this patient is most likely to be which of the
following?
a. 115 mEq/L
b. 125 mEq/L
c. 135 mEq/L
d. 155 mEq/L - Correct Answer – D. 155 mEq/L
Signs and symptoms of hypernatremia include all of the above. _
An adult patient comes into the clinic complaining of a cough, fever,
nausea, and vomiting for three days. Examination reveals dry tongue and
oral mucosa and concentrated urine. The patient also reports feeling
weak and dizzy. Which vital sign measurement would provide the best
indicator of current fluid status?
pg. 4
