Exam 3 NURS 3632 Study Guide
Questions with Actual Answers 2025-
2026 Latest Updated.
A client who is recovering from surgery has been advanced from a clear liquid diet to a full
liquid diet. The client is looking forward to the diet change because he has been "bored" with
the clear liquid diet. The nurse would offer which full liquid item to the client?
1. Tea
2. Gelatin
3. Custard
4. Popsicle - Answer 3. Custard
A patient on a clear liquid diet is asking for something more. Of the available options, which is
appropriate? Select all that apply.
a. Chicken broth
b. Chicken noodle soup
c. Popsicles
d. Jello
e. Coffee with cream
f. Grape juice - Answer a. Chicken broth
c. Popsicles
d. Jello
A patient is NPO after midnight for a surgical procedure. Which statement if made by the
patient, indicates further teaching for instruction?
a. I can only have sips of water after midnight
b. I can take nothing at all by mouth after midnight
c. If the doctor orders it, I can take my oral meds with just a sip of water after midnight
d. My stomach and bowels will actually be affected by the anesthesia, just like my consciousness
will - Answer a. I can only have sips of water after midnight
The nurse is making initial rounds on the nursing unit ti assess the condition of an assigned
client. The nurse notes that a client's IV site is cool, pale, and swollen, and the solution is not
infusing. The nurse concludes that which of the following complications has occurred?
,1. Infection
2. Phlebitis
3. Infiltration
4. Thrombosis - Answer 3. Infiltration
The patient has 20 mg furosemide ordered IV. Before giving it, the nurse checks on the latest K+
values, knowing that furosemide is a loop diuretic and will decrease potassium significantly.
What is the minimum value that the nurse will give medication without notifying the physician
of hypokalemia? (mEq/L)
A. 3.4
B. 4.1
C. 4.5
D. 5.2 - Answer B. 4.1 mEq/L
A patient has been admitted with dehydration secondary to N/V/D after salmonella infection.
The nurse expects an isotonic IV solution to be ordered. Which of the following are isotonic?
SATA (table 40-7)
a. NS
b. D5W
c. D5RL
d. Lactated Ringer
e. D5NS - Answer a. NS
b. D5W
d. Lactated Ringer
A patient is in the ICU and has the following blood gases. ABGs: pH 7.32, PCo2 46, HCO3 25.
How should this be categorized?
a. Metabolic Acidosis
b. Metabolic Alkalosis
c. Respiratory Acidosis
d. Respiratory Alkalosis - Answer c. Respiratory Acidosis
What are the causes of respiratory acidosis?
,a. decreased respiratory rate
b. increased respiratory rate
c. diarrhea for several days
d. vomiting or gastric suction - Answer a. decreased respiratory rate
A patient with vomiting from early pregnancy has been admitted. She is quite dehydrated. Her
electrolytes and ABGs were drawn to determine her status and fluid needs. The values are listed
below. Which electrolytes are out of normal range, and what is the acid-base status?
Na 129; K+ 3.4, Mg 1.6
ABGs: pH 7.47; pCO2 46; HCO3 27
List the abnormal values
a. metabolic alkalosis
b. metabolic acidosis
c. respiratory acidosis
d. respiratory alkalosis - Answer Abnormal values: Na 129, K+ 3.4, all ABGs (all except Mg)
a. metabolic alkalosis
A patient with vomiting from early pregnancy has been admitted. She is quite dehydrated. Her
electrolytes and ABGs were drawn to determine her status and fluid needs. The values are listed
below. What IV fluids might be anticipated?
Na 129; K+ 3.4, Mg 1.6
ABGs: pH 7.47; pCO2 46; HCO3 27
a. 1/2 NS at 100 ml/hr
b. D5W at 100 ml/hr
c. D5RL at 100 ml/hr
d. NS with 20 mEq KCL at 100 ml/hr - Answer D. NS with 20 mEc KCL at 100 ml/hr
A patient has the following ABGs:
pH: 7.51
pCO2: 48
HCO3: 32
, What is going on here?
A. metabolic acidosis
B. metabolic alkalosis
C. respiratory acidosis
D. respiratory alkalosis - Answer B. metabolic alkalosis
A patient has the following ABGs:
pH: 7.51
pCO2: 48
HCO3: 32
The respiratory is starting to compensate because the pCO2, which is an acid, is also high. When
metabolic alkalosis is fully compensated, which values might we see in this patient?
a. pH 7.45; pCO2 49; HCO3 32
b. pH 7.35; pCO2 45; HCO3 26
c. pH 7.34; pCO2 47; HCO3 21
d. pH 7.46; pCO2 47; HCO3 27 - Answer a. pH 7.45; pCO2 49; HCO3 32
Arterial blood gases on a client with pneumonia indicate the client is in respiratory acidosis. In
order to best improve this acid-base imbalance, the nurse implements which of the following
interventions? Select all that apply.
1. Restrict oral fluid intake to water only
2. Ambulate client in hallways twice a shift
3. Encourage frequent cough and deep breathing exercises
4. Medicate with nonopiate pain medication frequently for intercostal muscle pain
5. Give magnesium - Answer 3. Encourage frequent cough and deep breathing exercises
4. Medicate with nonopiate pain medications frequently for intercostal muscle pain
Which of the following arterial blood gases (ABGs) would the nurse expect to see when a client
has apnea and develops acidosis?
1. pH 7.43; pCO2 48; HCO3 25
2. pH 7.29; pCO2 62; HCO3 23
3. pH 7.36; pCO2 42; HCO3 26
Questions with Actual Answers 2025-
2026 Latest Updated.
A client who is recovering from surgery has been advanced from a clear liquid diet to a full
liquid diet. The client is looking forward to the diet change because he has been "bored" with
the clear liquid diet. The nurse would offer which full liquid item to the client?
1. Tea
2. Gelatin
3. Custard
4. Popsicle - Answer 3. Custard
A patient on a clear liquid diet is asking for something more. Of the available options, which is
appropriate? Select all that apply.
a. Chicken broth
b. Chicken noodle soup
c. Popsicles
d. Jello
e. Coffee with cream
f. Grape juice - Answer a. Chicken broth
c. Popsicles
d. Jello
A patient is NPO after midnight for a surgical procedure. Which statement if made by the
patient, indicates further teaching for instruction?
a. I can only have sips of water after midnight
b. I can take nothing at all by mouth after midnight
c. If the doctor orders it, I can take my oral meds with just a sip of water after midnight
d. My stomach and bowels will actually be affected by the anesthesia, just like my consciousness
will - Answer a. I can only have sips of water after midnight
The nurse is making initial rounds on the nursing unit ti assess the condition of an assigned
client. The nurse notes that a client's IV site is cool, pale, and swollen, and the solution is not
infusing. The nurse concludes that which of the following complications has occurred?
,1. Infection
2. Phlebitis
3. Infiltration
4. Thrombosis - Answer 3. Infiltration
The patient has 20 mg furosemide ordered IV. Before giving it, the nurse checks on the latest K+
values, knowing that furosemide is a loop diuretic and will decrease potassium significantly.
What is the minimum value that the nurse will give medication without notifying the physician
of hypokalemia? (mEq/L)
A. 3.4
B. 4.1
C. 4.5
D. 5.2 - Answer B. 4.1 mEq/L
A patient has been admitted with dehydration secondary to N/V/D after salmonella infection.
The nurse expects an isotonic IV solution to be ordered. Which of the following are isotonic?
SATA (table 40-7)
a. NS
b. D5W
c. D5RL
d. Lactated Ringer
e. D5NS - Answer a. NS
b. D5W
d. Lactated Ringer
A patient is in the ICU and has the following blood gases. ABGs: pH 7.32, PCo2 46, HCO3 25.
How should this be categorized?
a. Metabolic Acidosis
b. Metabolic Alkalosis
c. Respiratory Acidosis
d. Respiratory Alkalosis - Answer c. Respiratory Acidosis
What are the causes of respiratory acidosis?
,a. decreased respiratory rate
b. increased respiratory rate
c. diarrhea for several days
d. vomiting or gastric suction - Answer a. decreased respiratory rate
A patient with vomiting from early pregnancy has been admitted. She is quite dehydrated. Her
electrolytes and ABGs were drawn to determine her status and fluid needs. The values are listed
below. Which electrolytes are out of normal range, and what is the acid-base status?
Na 129; K+ 3.4, Mg 1.6
ABGs: pH 7.47; pCO2 46; HCO3 27
List the abnormal values
a. metabolic alkalosis
b. metabolic acidosis
c. respiratory acidosis
d. respiratory alkalosis - Answer Abnormal values: Na 129, K+ 3.4, all ABGs (all except Mg)
a. metabolic alkalosis
A patient with vomiting from early pregnancy has been admitted. She is quite dehydrated. Her
electrolytes and ABGs were drawn to determine her status and fluid needs. The values are listed
below. What IV fluids might be anticipated?
Na 129; K+ 3.4, Mg 1.6
ABGs: pH 7.47; pCO2 46; HCO3 27
a. 1/2 NS at 100 ml/hr
b. D5W at 100 ml/hr
c. D5RL at 100 ml/hr
d. NS with 20 mEq KCL at 100 ml/hr - Answer D. NS with 20 mEc KCL at 100 ml/hr
A patient has the following ABGs:
pH: 7.51
pCO2: 48
HCO3: 32
, What is going on here?
A. metabolic acidosis
B. metabolic alkalosis
C. respiratory acidosis
D. respiratory alkalosis - Answer B. metabolic alkalosis
A patient has the following ABGs:
pH: 7.51
pCO2: 48
HCO3: 32
The respiratory is starting to compensate because the pCO2, which is an acid, is also high. When
metabolic alkalosis is fully compensated, which values might we see in this patient?
a. pH 7.45; pCO2 49; HCO3 32
b. pH 7.35; pCO2 45; HCO3 26
c. pH 7.34; pCO2 47; HCO3 21
d. pH 7.46; pCO2 47; HCO3 27 - Answer a. pH 7.45; pCO2 49; HCO3 32
Arterial blood gases on a client with pneumonia indicate the client is in respiratory acidosis. In
order to best improve this acid-base imbalance, the nurse implements which of the following
interventions? Select all that apply.
1. Restrict oral fluid intake to water only
2. Ambulate client in hallways twice a shift
3. Encourage frequent cough and deep breathing exercises
4. Medicate with nonopiate pain medication frequently for intercostal muscle pain
5. Give magnesium - Answer 3. Encourage frequent cough and deep breathing exercises
4. Medicate with nonopiate pain medications frequently for intercostal muscle pain
Which of the following arterial blood gases (ABGs) would the nurse expect to see when a client
has apnea and develops acidosis?
1. pH 7.43; pCO2 48; HCO3 25
2. pH 7.29; pCO2 62; HCO3 23
3. pH 7.36; pCO2 42; HCO3 26
