NSG 3800 (AHII) EXAM 1 ACTUAL
QUESTIONS & VERIFIED ANSWERS/ AHII
EXAM 1 PRACTICE COMPLETE QUESTIONS
WITH DETAILED VERIFIED ANSWERS
/ALREADY GRADED A+
You are the nurse caring for a 77 y/o male pt who has been involved in a motor
vehicle accident. You and your colleague note that the pt.;s labs indicate
minimally elevated serum creatinine levels, which your colleague dismisses. What
can this increase in creatinine indicate in older adults?
a. substantially reduced renal function
b. acute kidney injury
c. decreased cardiac output
d. alterations in ration of body fluids to muscle mass - CORRECT ANSWER ✔✔- A
You are caring for a pt. who is being treated on the oncology unit with a diagnosis
of lung cancer with bone metastases. During your assessment, you note the
patient complains of a new onset of weakness with abdominal pain. Further
assessment suggests that the patient likely has a fluid volume deficit. You should
recognize that this patient may be experiencing what electrolyte imbalance?
a. hypernatremia
b. hypomagnesemia
c. hypophosphatemia
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,d. hypercalcemia - CORRECT ANSWER ✔✔- D
The medical nurse educator is reviewing a pt's recent episode of metabolic
acidosis w/ members of the nursing staff. What should the educator describe
about the role of the kidneys in metabolic acidosis?
a. the kidneys retain hydrogen ions and excrete bicarbonate ions to help restore
balance
b. the kidneys excrete hydrogen ions and conserve bicarbonate ions to help
restore balance
c. the kidneys react rapidly to compensate for imbalances in the body
d. the kidneys regulate the bicarbonate level in the intracellular fluid - CORRECT
ANSWER ✔✔- B
The ICU nurse is caring for a pt who experienced trauma in a workplace accident.
The pt is complaining of having trouble breathing w/ abdominal pain. An ABG
reveals the following result: pH 7.28, PaCO2 50 mmHg, HCO3 23 mEq/L. The nurse
should recognize the likelihood of what acid base disorder?
a. respiratory acidosis
b. metabolic alkalosis
c. respiratory alkalosis
d. mixed acid-base disorder - CORRECT ANSWER ✔✔- D
A pt. has questioned the nurses administration of IV normal saline, asking
whether sterile water would be a amore appropriate choice than saltwater. Under
what circumstances would the nurse administer electrolyte-free water
intravenously?
a. never, bc it rapidly enters RBCs, causing them to rupture
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, b. when the pt is severely dehydrated resulting in neurologic s/s
c. when the pt is one excess of calcium and/or magnesium ions
d. when a pt's fluid volume deficit is due to acute or chronic renal failure -
CORRECT ANSWER ✔✔- A
A gerontologic nurse is teaching students about the high incidence and
prevalence of dehydration in older adults. What factors contribute to this
phenomenon? Select all that apply:
a. decreased kidney mass
b. increased conservation of sodium
c. increased total body water
d. decreased renal blood flow
e. decreased excretion of potassium - CORRECT ANSWER ✔✔- A, D, E
The nurse is assessing the pt for the presence of a Chvostek's sign. What
electrolyte imbalance would a positive Chvostek's sign indicate?
a. hypermagnesemia
b. hyponatremia
c. hypocalcemia
d. hyperkalemia - CORRECT ANSWER ✔✔- C
A critical care nurse is caring for a pt with autoimmune hemolytic anemia. The pt
is not responding to conservative treatments, and his condition is now becoming
life threatening. The nurse is aware that a treatment option in this case may
include what?
a. hepatectomy
3|Page
QUESTIONS & VERIFIED ANSWERS/ AHII
EXAM 1 PRACTICE COMPLETE QUESTIONS
WITH DETAILED VERIFIED ANSWERS
/ALREADY GRADED A+
You are the nurse caring for a 77 y/o male pt who has been involved in a motor
vehicle accident. You and your colleague note that the pt.;s labs indicate
minimally elevated serum creatinine levels, which your colleague dismisses. What
can this increase in creatinine indicate in older adults?
a. substantially reduced renal function
b. acute kidney injury
c. decreased cardiac output
d. alterations in ration of body fluids to muscle mass - CORRECT ANSWER ✔✔- A
You are caring for a pt. who is being treated on the oncology unit with a diagnosis
of lung cancer with bone metastases. During your assessment, you note the
patient complains of a new onset of weakness with abdominal pain. Further
assessment suggests that the patient likely has a fluid volume deficit. You should
recognize that this patient may be experiencing what electrolyte imbalance?
a. hypernatremia
b. hypomagnesemia
c. hypophosphatemia
1|Page
,d. hypercalcemia - CORRECT ANSWER ✔✔- D
The medical nurse educator is reviewing a pt's recent episode of metabolic
acidosis w/ members of the nursing staff. What should the educator describe
about the role of the kidneys in metabolic acidosis?
a. the kidneys retain hydrogen ions and excrete bicarbonate ions to help restore
balance
b. the kidneys excrete hydrogen ions and conserve bicarbonate ions to help
restore balance
c. the kidneys react rapidly to compensate for imbalances in the body
d. the kidneys regulate the bicarbonate level in the intracellular fluid - CORRECT
ANSWER ✔✔- B
The ICU nurse is caring for a pt who experienced trauma in a workplace accident.
The pt is complaining of having trouble breathing w/ abdominal pain. An ABG
reveals the following result: pH 7.28, PaCO2 50 mmHg, HCO3 23 mEq/L. The nurse
should recognize the likelihood of what acid base disorder?
a. respiratory acidosis
b. metabolic alkalosis
c. respiratory alkalosis
d. mixed acid-base disorder - CORRECT ANSWER ✔✔- D
A pt. has questioned the nurses administration of IV normal saline, asking
whether sterile water would be a amore appropriate choice than saltwater. Under
what circumstances would the nurse administer electrolyte-free water
intravenously?
a. never, bc it rapidly enters RBCs, causing them to rupture
2|Page
, b. when the pt is severely dehydrated resulting in neurologic s/s
c. when the pt is one excess of calcium and/or magnesium ions
d. when a pt's fluid volume deficit is due to acute or chronic renal failure -
CORRECT ANSWER ✔✔- A
A gerontologic nurse is teaching students about the high incidence and
prevalence of dehydration in older adults. What factors contribute to this
phenomenon? Select all that apply:
a. decreased kidney mass
b. increased conservation of sodium
c. increased total body water
d. decreased renal blood flow
e. decreased excretion of potassium - CORRECT ANSWER ✔✔- A, D, E
The nurse is assessing the pt for the presence of a Chvostek's sign. What
electrolyte imbalance would a positive Chvostek's sign indicate?
a. hypermagnesemia
b. hyponatremia
c. hypocalcemia
d. hyperkalemia - CORRECT ANSWER ✔✔- C
A critical care nurse is caring for a pt with autoimmune hemolytic anemia. The pt
is not responding to conservative treatments, and his condition is now becoming
life threatening. The nurse is aware that a treatment option in this case may
include what?
a. hepatectomy
3|Page
