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NURS 122 EXAM WITH COMPLETE FINAL EXAM
QUESTIONS WITH ACCURATE ANSWERS 2026-27
LATEST VERSION
What type of acid-base imbalance would you expect Alan to have?
correct answer metabolic acidosis
Alan is a 17-year-old male who comes to the clinic with c/o feeling
"bad," fatigue, constant thirst, and frequent urination.
Focused assessment reveals rapid deep respirations (rate 28) with a
fruity breath odor.
A capillary blood glucose is 484 mg/dL.
What type of compensation would you expect or not expect? explain
correct answer Deep, rapid resp rate [Kussmaul resp] demonstrate resp
compensation - may be partial or full, depending on longevity of
hyperglycemia
Alan is a 17-year-old male who comes to the clinic with c/o feeling
"bad," fatigue, constant thirst, and frequent urination.
Focused assessment reveals rapid deep respirations (rate 28) with a
fruity breath odor.
A capillary blood glucose is 484 mg/dL.
,2
What will Alan's ABGs look like? [pH, PCO2 < HCO3] correct answer
Diabetic ketoacidosis is metabolic acidosis indicated by pH < 7.35 &
HCO3 < 20 mEq/L
-PCO2 will be within normal range if acidosis is uncompensated but will
be < 35 mm Hg if compensation has occured
-PaO2 will not be affected
Albumin: correct answer protein
-what does it do? Holds fluid where it is supposed to be in vascular
space
Alkalosis
Hypocalcemia correct answer -paresthesia around mouth
-twitching, cramps, tetany, tremors
-positive Chvostek and/or Trousseau signs
Alkalosis is associated with correct answer hypokalemia
,3
All preop orders are correct answer discontinued at time of surgery
-new orders are written for care in pacu
-we don't use preop orders
Along with wounds are often correct answer drains
-is there purulent or excessive drainage?
-is surgical site hot to touch, painful beyond expected?
-redness, abrasions, skin breakdown.
Alterations in acid-base balance
Classifications of imbalances correct answer -Respiratory [CO2] or
metabolic [HCO3]
-Acidosis or alkalosis
-Acute or chronic
Alterations in acid-base balance correct answer Imbalances occur when
compensatory mechanisms fail
, 4
Although anyone can get pneumonia, it is more common in certain
groups correct answer children younger than 2 & people older than 65
are most likely to develop it
Although most symptoms of pneumonia correct answer ease in few
days of weeks, feeling of tiredness can persist for month or more
Ambulatory discharge correct answer Client and any caregivers should
be contacted one or more days before surgery to collect assessment
data and provide teaching that will be needed postop
Ambulatory surgery discharge criteria correct answer -All PACU
discharge criteria met
-No IV narcotics for last 30 minutes
-Minimal N/V
-Voided if appropriate
-Able to ambulate if age appropriate & not contraindicated
-Need adult to drive home
NURS 122 EXAM WITH COMPLETE FINAL EXAM
QUESTIONS WITH ACCURATE ANSWERS 2026-27
LATEST VERSION
What type of acid-base imbalance would you expect Alan to have?
correct answer metabolic acidosis
Alan is a 17-year-old male who comes to the clinic with c/o feeling
"bad," fatigue, constant thirst, and frequent urination.
Focused assessment reveals rapid deep respirations (rate 28) with a
fruity breath odor.
A capillary blood glucose is 484 mg/dL.
What type of compensation would you expect or not expect? explain
correct answer Deep, rapid resp rate [Kussmaul resp] demonstrate resp
compensation - may be partial or full, depending on longevity of
hyperglycemia
Alan is a 17-year-old male who comes to the clinic with c/o feeling
"bad," fatigue, constant thirst, and frequent urination.
Focused assessment reveals rapid deep respirations (rate 28) with a
fruity breath odor.
A capillary blood glucose is 484 mg/dL.
,2
What will Alan's ABGs look like? [pH, PCO2 < HCO3] correct answer
Diabetic ketoacidosis is metabolic acidosis indicated by pH < 7.35 &
HCO3 < 20 mEq/L
-PCO2 will be within normal range if acidosis is uncompensated but will
be < 35 mm Hg if compensation has occured
-PaO2 will not be affected
Albumin: correct answer protein
-what does it do? Holds fluid where it is supposed to be in vascular
space
Alkalosis
Hypocalcemia correct answer -paresthesia around mouth
-twitching, cramps, tetany, tremors
-positive Chvostek and/or Trousseau signs
Alkalosis is associated with correct answer hypokalemia
,3
All preop orders are correct answer discontinued at time of surgery
-new orders are written for care in pacu
-we don't use preop orders
Along with wounds are often correct answer drains
-is there purulent or excessive drainage?
-is surgical site hot to touch, painful beyond expected?
-redness, abrasions, skin breakdown.
Alterations in acid-base balance
Classifications of imbalances correct answer -Respiratory [CO2] or
metabolic [HCO3]
-Acidosis or alkalosis
-Acute or chronic
Alterations in acid-base balance correct answer Imbalances occur when
compensatory mechanisms fail
, 4
Although anyone can get pneumonia, it is more common in certain
groups correct answer children younger than 2 & people older than 65
are most likely to develop it
Although most symptoms of pneumonia correct answer ease in few
days of weeks, feeling of tiredness can persist for month or more
Ambulatory discharge correct answer Client and any caregivers should
be contacted one or more days before surgery to collect assessment
data and provide teaching that will be needed postop
Ambulatory surgery discharge criteria correct answer -All PACU
discharge criteria met
-No IV narcotics for last 30 minutes
-Minimal N/V
-Voided if appropriate
-Able to ambulate if age appropriate & not contraindicated
-Need adult to drive home
