NR 325 EXAM 2 (CHAMBERLAIN) NEWEST 2026/ 2027
ACTUAL EXAM TEST BANK| NR325 ADULT HEALTH II
EXAM 2 REVIEW WITH COMPLETE 250 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
The nurse reviewing lab results on one of her adult clients notices the
client's serum sodium level is 150 mg/dL. Based on this data, which
interventions should the nurse plan for this client? Select all that apply.
A) Monitor heart rate and rhythm.
B) Elevate the head of the bed.
C) Instruct on a low-sodium diet.
D) Administer diuretics as prescribed.
E) Administer potassium supplement as prescribed. - Correct Answer -
C) Instruct on a low-sodium diet.
D) Administer diuretics as prescribed.
During an assessment, the nurse becomes concerned that an older adult
client is at risk for dehydration. Which of the following assessment
findings would cause the nurse to come to this conclusion?
A) The client has poor skin turgor.
B) The client reports ingesting two glasses of water each day.
C)The client's blood pressure is 140/98 mmHg.
D)The client's body mass index is 20.5. - Correct Answer - B) The client
reports ingesting two glasses of water each day.
pg. 1
,The nurse is reviewing laboratory values for a female client suspected of
having a fluid imbalance. Which laboratory value should indicate a
diagnosis of dehydration to the nurse?
A) Serum osmolality 230 mOsm/kg
B) Hematocrit 30%
C) Hematocrit 53%
D)Serum potassium 3.8 mEq/L - Correct Answer - C) Hematocrit 53%
A client is brought to the emergency department (ED) after passing out
in a local department store. The client has been fasting and has ketones
in the urine. Which acid-base imbalance would the nurse expect to
assess in this client?
A) Metabolic acidosis
B) Respiratory alkalosis
C)Metabolic alkalosis
D)Respiratory acidosis - Correct Answer - A) Metabolic acidosis
The nurse is reviewing the latest arterial blood gas results for a client
with metabolic alkalosis. Which result indicates that the metabolic
alkalosis is compensated?
A) pH 7.32
B) PaCO2 18 mmHg
C) HCO3 8 mEq/L
D) PaCO2 48 mmHg - Correct Answer - D) PaCO2 48 mmHg
pg. 2
,A client is admitted to the hospital with sudden, severe abdominal pain.
The client is diagnosed with respiratory alkalosis. Which arterial blood
gas value does the nurse document to support this diagnosis?
A) pH is 7.33 and PaCO2 is 36.
B) pH is 7.51 and HCO3 is 30.
C) pH is 7.47 and PaCO2 is 25.
D)pH is 7.35 and PaO2 is 88. - Correct Answer - C) pH is 7.47 and
PaCO2 is 25.
The nurse is caring for a client admitted with renal failure and metabolic
acidosis. Which clinical manifestation would indicate to the nurse that
planned interventions to relieve the metabolic acidosis have been
effective?
A) Decreased respiratory depth
B)Palpitations
C)Increased deep tendon reflexes
D)Respiratory rate of 38 - Correct Answer - A) Decreased respiratory
depth
A client has been admitted with chronic obstructive pulmonary disease.
Diagnostic tests have been ordered. Which of the tests will provide the
most accurate indicator of the client's acid-base balance?
A) Arterial blood gases (ABGs)
B)Pulse oximetry
C)Sputum studies
D)Bronchoscopy - Correct Answer - A) Arterial blood gases (ABGs)
pg. 3
, The nurse is analyzing the client's arterial blood gas report, which
reveals a pH of 6.58. The client has just suffered a cardiac arrest. Which
consequences of this pH value does the nurse consider for this client?
A) Decreased cardiac output
B)Increase magnesium levels
C)Decreased free calcium in the ECT
D)Increased myocardial contractility - Correct Answer - A) Decreased
cardiac output
Acid-base balance is critical to homeostasis and cellular function. One
measurement of acid-base balance is the pH of the blood. Which ion is
measured to determine the pH?
A) Cl-
B) H+
C) Na+
D) HCO3 - Correct Answer - B) H+
A client is admitted to the hospital with airway edema,
bronchoconstriction, and increased mucus production after being
exposed to an allergen. Which nursing interventions are appropriate to
address this inflammation to the client's respiratory system? Select all
that apply.
A) Turn and reposition every 2 hours.
B) Monitor oxygen saturation.
C) Administer oxygen as prescribed.
D) Restrict fluids.
pg. 4
ACTUAL EXAM TEST BANK| NR325 ADULT HEALTH II
EXAM 2 REVIEW WITH COMPLETE 250 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
The nurse reviewing lab results on one of her adult clients notices the
client's serum sodium level is 150 mg/dL. Based on this data, which
interventions should the nurse plan for this client? Select all that apply.
A) Monitor heart rate and rhythm.
B) Elevate the head of the bed.
C) Instruct on a low-sodium diet.
D) Administer diuretics as prescribed.
E) Administer potassium supplement as prescribed. - Correct Answer -
C) Instruct on a low-sodium diet.
D) Administer diuretics as prescribed.
During an assessment, the nurse becomes concerned that an older adult
client is at risk for dehydration. Which of the following assessment
findings would cause the nurse to come to this conclusion?
A) The client has poor skin turgor.
B) The client reports ingesting two glasses of water each day.
C)The client's blood pressure is 140/98 mmHg.
D)The client's body mass index is 20.5. - Correct Answer - B) The client
reports ingesting two glasses of water each day.
pg. 1
,The nurse is reviewing laboratory values for a female client suspected of
having a fluid imbalance. Which laboratory value should indicate a
diagnosis of dehydration to the nurse?
A) Serum osmolality 230 mOsm/kg
B) Hematocrit 30%
C) Hematocrit 53%
D)Serum potassium 3.8 mEq/L - Correct Answer - C) Hematocrit 53%
A client is brought to the emergency department (ED) after passing out
in a local department store. The client has been fasting and has ketones
in the urine. Which acid-base imbalance would the nurse expect to
assess in this client?
A) Metabolic acidosis
B) Respiratory alkalosis
C)Metabolic alkalosis
D)Respiratory acidosis - Correct Answer - A) Metabolic acidosis
The nurse is reviewing the latest arterial blood gas results for a client
with metabolic alkalosis. Which result indicates that the metabolic
alkalosis is compensated?
A) pH 7.32
B) PaCO2 18 mmHg
C) HCO3 8 mEq/L
D) PaCO2 48 mmHg - Correct Answer - D) PaCO2 48 mmHg
pg. 2
,A client is admitted to the hospital with sudden, severe abdominal pain.
The client is diagnosed with respiratory alkalosis. Which arterial blood
gas value does the nurse document to support this diagnosis?
A) pH is 7.33 and PaCO2 is 36.
B) pH is 7.51 and HCO3 is 30.
C) pH is 7.47 and PaCO2 is 25.
D)pH is 7.35 and PaO2 is 88. - Correct Answer - C) pH is 7.47 and
PaCO2 is 25.
The nurse is caring for a client admitted with renal failure and metabolic
acidosis. Which clinical manifestation would indicate to the nurse that
planned interventions to relieve the metabolic acidosis have been
effective?
A) Decreased respiratory depth
B)Palpitations
C)Increased deep tendon reflexes
D)Respiratory rate of 38 - Correct Answer - A) Decreased respiratory
depth
A client has been admitted with chronic obstructive pulmonary disease.
Diagnostic tests have been ordered. Which of the tests will provide the
most accurate indicator of the client's acid-base balance?
A) Arterial blood gases (ABGs)
B)Pulse oximetry
C)Sputum studies
D)Bronchoscopy - Correct Answer - A) Arterial blood gases (ABGs)
pg. 3
, The nurse is analyzing the client's arterial blood gas report, which
reveals a pH of 6.58. The client has just suffered a cardiac arrest. Which
consequences of this pH value does the nurse consider for this client?
A) Decreased cardiac output
B)Increase magnesium levels
C)Decreased free calcium in the ECT
D)Increased myocardial contractility - Correct Answer - A) Decreased
cardiac output
Acid-base balance is critical to homeostasis and cellular function. One
measurement of acid-base balance is the pH of the blood. Which ion is
measured to determine the pH?
A) Cl-
B) H+
C) Na+
D) HCO3 - Correct Answer - B) H+
A client is admitted to the hospital with airway edema,
bronchoconstriction, and increased mucus production after being
exposed to an allergen. Which nursing interventions are appropriate to
address this inflammation to the client's respiratory system? Select all
that apply.
A) Turn and reposition every 2 hours.
B) Monitor oxygen saturation.
C) Administer oxygen as prescribed.
D) Restrict fluids.
pg. 4
