NUR 3300 Exam 1 | (2026) Nursing Practice II Questions & Answers | William Paterson University – Complete A+ Study Guide (PDF)

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, NUR 3300 Exam 1 | (2026) Nursing Exam

Questions | Practice II (PDF)



1. A nurse is assessing a client with hyponatremia. Which

finding requires immediate intervention?

A. Muscle cramps

B. Headache and confusion

C. Dry mucous membranes

D. Thready pulse

Answer: B

Rationale: Headache and confusion indicate cerebral

edema, a life-threatening complication of hyponatremia.

Other signs are important but not as immediately critical.



2. A client’s serum potassium is 2.8 mEq/L. Which ECG

change is most concerning?

A. Tall peaked T waves

B. Prominent U wave
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,C. Wide QRS complex

D. Absent P wave

Answer: B

Rationale: Hypokalemia causes U waves, flat T waves,

and risk of ventricular dysrhythmias. Tall T waves occur in

hyperkalemia.



3. Which IV fluid is most appropriate for a client with

diabetic ketoacidosis and hypotension?

A. 0.9% NS

B. 0.45% NS

C. D5W

D. 3% NS

Answer: A

Rationale: Isotonic saline (0.9% NS) restores volume in

DKA. Hypotonic fluids (0.45% NS) are used later. 3% NS

is for severe hyponatremia.



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, 4. A client with heart failure has edema and weight gain.
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Which lab indicates worsening fluid overload?
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A. Serum sodium 138 mEq/L k k k




B. BNP 900 pg/mL k k




C. Serum creatinine 0.8 mg/dL k k k




D. Hemoglobin14g/dL k k




Answer: B
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Rationale: Elevated BNP (>100 pg/mL) suggests ventricular
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stretch fromfluid overload. Others are normal.
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5. The nurse is teaching a client with hypercalcemia.
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Which instruction is correct?
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A. Increase dietary calcium k k




B. Limit fluid intake to 1 L/day
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C. Encourage weight-bearing exercise k k




D. Takethiazidediuretics k k




Answer: C
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