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NR 464 Exam 4: Course Standards & Assessment Guide

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Prepare for NR 464 Exam 4 with official course standards, core concepts, and structured assessment readiness guidance aligned to exam objectives.

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1. The nurse is evaluating a patient's A
laboratory results. Based upon the
laboratory findings, what results will
cause the release of an antidiuretic
hormone (ADH)?


a. Increased serum sodium
b. Decreased serum sodium
c. Decrease in serum osmolality
d. Decrease in thirst

2. Your patient has alcoholism, and you A
may suspect during your assessment that
his serum magnesium is low. What will
the nurse potentially expect to assess to
hypomagnesemia?


a. Tremor
b. Pruritus
c. Edema
d. Decreased blood pressure

,3. A nurse sees a variety of patients in the B
community health clinic. Which of the
following patients would be at the
greatest risk of dehydration?


a. An 18 year old basketball player with a
stress fracture of the right foot
b. An infant with diarrhea
c. A 45 year old with stomach flu
d. An elderly patient living alone

,4. The nurse is caring for a post- D
thyroidectomy patient at risk for
hypocalcemia. What action should the
nurse take when assessing for
hypocalcemia?


a. Monitor laboratory daily for an
elevated thyroid-stimulating hormone


b. Observe for swelling of the neck,
tracheal deviation and severe pain


c. Evaluate the quality of the patient's
voice postoperatively, noting any drastic
changes


d. Observe for muscle twitching and
numbness or tingling of the lips, fingers
and toes

, 5. The nurse in the intensive care unit A
receives arterial blood gases (ABG) with
a patient who is complaining of being
"short of breath." The ABG has the
following values: pH = 7.21, PaCO2 = 64
mmHg, HCO3 = 24 mmHg. The labs
reflect:


a. Respiratory acidosis
b. Metabolic alkalosis
c. Respiratory alkalosis
d. Metabolic acidosis

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