NURS 102 Exam 2- In Class Nclex Q
Questions With Accurate Answers
A construction worker labors outside in 90 degree temperatures. What hormone
will his body release in larger quantities to help him retain water?
A. insulin
B. ADH
C. Renin
D. Cortisol - ANSWER B. ADH- Antidiuretic hormone
You're teaching a group of athletes how to prevent excessive fluid loss. You
should tell them to consume fluids when they:
A. experience dry mouth
B. feel light-headed or dizzy
C. are thirsty
D. sweat - ANSWER C. are thirsty
A patient with hyponatremia caused by diabetes insipidus requires I.V. fluid
replacement. Which I.V. fluid would provide the greatest concentration of
sodium replacement if the patient were to develop a subnormal serum sodium
level?
A. Dextrose 5% in water
B. Half-normal saline solution
C. Ringer's solution
D. Dextrose 5% in lactated Ringer's solution - ANSWER C. Ringer's solution
A 29-year-old patient comes to the emergency department after being involved
in a motor vehicle accident. Chest radiography reveals a right pneumothorax.
You interpret his arterial blood gas results as respiratory acidosis. Why?
A. His pH is low, PaCO2 is high, and bicarbonate is normal.
B. His pH is low, PaCO2 is low, and bicarbonate is low.
C. His pH is low, PaCO2 is high, and bicarbonate is low.
D. His pH is high, PaCO2 is low, and bicarbonate is low. - ANSWER A. In patients
with respiartory acidosis, pH is low, PaCO2 is high, and bicarbonate is normal.
, A patient with Alzheimer's disease is admitted with suspected dehydration after
her daughter reports that the patient has refused to drink anything for the past 3
days. The doctor orders several laboratory tests. Which laboratory test result is
most expected with dehydration?
A. Urine specific gravity of 1.005
B. Serum sodium level of 150 mEq/L
C. Hematocrit of 38:
D. Serum creatinine level of 0.8 to 1.5 mg/dL - ANSWER B. Serum sodium level of
150 mEq/L
A 78-year-old patient is admitted with pulmonary edema. The patient is given I.V.
morphine. Why?
A. To lower his blood pressure
B. To promote diuresis
C. To slow his breathing
D. To remove fluid from his lungs - ANSWER C. To slow his breathing
A patient diagnosed with lung cancer develops syndrome of inappropriate
antidiuretic hormone, which puts him at risk for hyponatremia. Which serum
sodium level indicates hyponatremia?
A. 128 mEq/L
B. 135 mEq/L
C. 142 mEq/L
D. 150 mEq/L - ANSWER A. 128 mEq/L- Normal serum sodium level is 135 to 145
mEq/L.
A 35-year-old man with a history of food poisoning and subsequent vomiting
complains of weakness, palpitations, abdominal pain, and cramping. His body
temperature is 99.6° F (37.6° C). Electrocardiogram results show irregularities.
Which imbalance is he most likely to have?
A. Hypervolemia
B. Hypokalemia
C. Acidosis
D. Hyperchloremia - ANSWER B. Hypokalemia
Which finding suggests that a patient has received too much magnesium
sulfate?
A. Muscle weakness
B. Tetany
C. Tachycardia
D. Hyperreflexia - ANSWER A. Muscle weakness
Questions With Accurate Answers
A construction worker labors outside in 90 degree temperatures. What hormone
will his body release in larger quantities to help him retain water?
A. insulin
B. ADH
C. Renin
D. Cortisol - ANSWER B. ADH- Antidiuretic hormone
You're teaching a group of athletes how to prevent excessive fluid loss. You
should tell them to consume fluids when they:
A. experience dry mouth
B. feel light-headed or dizzy
C. are thirsty
D. sweat - ANSWER C. are thirsty
A patient with hyponatremia caused by diabetes insipidus requires I.V. fluid
replacement. Which I.V. fluid would provide the greatest concentration of
sodium replacement if the patient were to develop a subnormal serum sodium
level?
A. Dextrose 5% in water
B. Half-normal saline solution
C. Ringer's solution
D. Dextrose 5% in lactated Ringer's solution - ANSWER C. Ringer's solution
A 29-year-old patient comes to the emergency department after being involved
in a motor vehicle accident. Chest radiography reveals a right pneumothorax.
You interpret his arterial blood gas results as respiratory acidosis. Why?
A. His pH is low, PaCO2 is high, and bicarbonate is normal.
B. His pH is low, PaCO2 is low, and bicarbonate is low.
C. His pH is low, PaCO2 is high, and bicarbonate is low.
D. His pH is high, PaCO2 is low, and bicarbonate is low. - ANSWER A. In patients
with respiartory acidosis, pH is low, PaCO2 is high, and bicarbonate is normal.
, A patient with Alzheimer's disease is admitted with suspected dehydration after
her daughter reports that the patient has refused to drink anything for the past 3
days. The doctor orders several laboratory tests. Which laboratory test result is
most expected with dehydration?
A. Urine specific gravity of 1.005
B. Serum sodium level of 150 mEq/L
C. Hematocrit of 38:
D. Serum creatinine level of 0.8 to 1.5 mg/dL - ANSWER B. Serum sodium level of
150 mEq/L
A 78-year-old patient is admitted with pulmonary edema. The patient is given I.V.
morphine. Why?
A. To lower his blood pressure
B. To promote diuresis
C. To slow his breathing
D. To remove fluid from his lungs - ANSWER C. To slow his breathing
A patient diagnosed with lung cancer develops syndrome of inappropriate
antidiuretic hormone, which puts him at risk for hyponatremia. Which serum
sodium level indicates hyponatremia?
A. 128 mEq/L
B. 135 mEq/L
C. 142 mEq/L
D. 150 mEq/L - ANSWER A. 128 mEq/L- Normal serum sodium level is 135 to 145
mEq/L.
A 35-year-old man with a history of food poisoning and subsequent vomiting
complains of weakness, palpitations, abdominal pain, and cramping. His body
temperature is 99.6° F (37.6° C). Electrocardiogram results show irregularities.
Which imbalance is he most likely to have?
A. Hypervolemia
B. Hypokalemia
C. Acidosis
D. Hyperchloremia - ANSWER B. Hypokalemia
Which finding suggests that a patient has received too much magnesium
sulfate?
A. Muscle weakness
B. Tetany
C. Tachycardia
D. Hyperreflexia - ANSWER A. Muscle weakness
