HONDROS NUR 155 EXAM 4 LATEST UPDATED REAL
FINAL PRACTICE EXAM PREP WITH ALL POSSIBLE
COMPLETE DETAILED 100 PRACTICE QUESTIONS
AND 100% CORRECT VERIFIED ANSWERS FULLY
SOLVED WITH CERTIFIED RATIONALES PLUS
ANSWER KEY 2026-2027 UPDATED VERSION BEST
RATED A+ GUARANTEED SUCCESS
HELPFUL
The nurse is assessing a client with fluid volume
deficit. Which finding would the nurse expect?
A) Increased pulse pressure
B) Orthostatic hypotension
C) Jugular vein distention
D) Crackles in the lungs
,Rationale: Fluid volume deficit, or hypovolemia,
leads to decreased circulating volume, causing a
drop in blood pressure when changing positions,
known as orthostatic hypotension.
The nurse is caring for a client receiving furosemide.
Which assessment finding requires immediate
intervention?
A) Heart rate of 88 beats per minute
B) Muscle weakness and cramping
C) Urine output of 60 mL per hour
D) Blood glucose of 110 mg/dL
Rationale: Furosemide is a loop diuretic that
causes potassium excretion. Muscle weakness and
cramping are classic signs of hypokalemia, which
can lead to life-threatening cardiac dysrhythmias.
The nurse is caring for a client with hypernatremia.
Which intervention should the nurse implement
first?
A) Administer diuretics as prescribed
B) Restrict dietary protein intake
C) Offer fluids frequently
,D) Position the client flat in bed
Rationale: The primary treatment for
hypernatremia is to restore fluid balance by
replacing water. Offering oral fluids is the least
invasive and priority intervention if the client is
able to swallow.
The nurse is monitoring a client receiving IV
potassium chloride for severe hypokalemia. Which
finding indicates a therapeutic response?
A) Peaked T waves on the ECG
B) Serum potassium level of 6.5 mEq/L
C) Presence of active bowel sounds
D) Deep tendon reflexes 1+
Rationale: Hypokalemia decreases neuromuscular
excitability and can cause paralytic ileus with
absent bowel sounds. The return of active bowel
sounds indicates that potassium levels are moving
back into the normal range.
The nurse is teaching a client with heart failure
about fluid restriction. Which statement indicates
understanding?
, A) “I can drink as much water as I want if I take my
diuretic.”
B) “I will weigh myself once a week to monitor fluid
gain.”
C) “I will measure my liquid intake, including foods
that melt at room temperature.”
D) “Ice chips do not count toward my fluid
restriction.”
Rationale: Foods that are liquid at room
temperature, such as ice cream, gelatin, and ice
chips, count as fluid. The client must measure all
liquid intake throughout the day.
The nurse is caring for a client admitted with fluid
volume excess. Which assessment finding would the
nurse expect?
A) Flat neck veins in the supine position
B) Poor skin turgor over the sternum
C) Crackles auscultated in the lung bases
D) Heart rate of 58 beats per minute
Rationale: Fluid volume excess leads to pulmonary
congestion as fluid accumulates in the lungs,
resulting in crackles upon auscultation.
FINAL PRACTICE EXAM PREP WITH ALL POSSIBLE
COMPLETE DETAILED 100 PRACTICE QUESTIONS
AND 100% CORRECT VERIFIED ANSWERS FULLY
SOLVED WITH CERTIFIED RATIONALES PLUS
ANSWER KEY 2026-2027 UPDATED VERSION BEST
RATED A+ GUARANTEED SUCCESS
HELPFUL
The nurse is assessing a client with fluid volume
deficit. Which finding would the nurse expect?
A) Increased pulse pressure
B) Orthostatic hypotension
C) Jugular vein distention
D) Crackles in the lungs
,Rationale: Fluid volume deficit, or hypovolemia,
leads to decreased circulating volume, causing a
drop in blood pressure when changing positions,
known as orthostatic hypotension.
The nurse is caring for a client receiving furosemide.
Which assessment finding requires immediate
intervention?
A) Heart rate of 88 beats per minute
B) Muscle weakness and cramping
C) Urine output of 60 mL per hour
D) Blood glucose of 110 mg/dL
Rationale: Furosemide is a loop diuretic that
causes potassium excretion. Muscle weakness and
cramping are classic signs of hypokalemia, which
can lead to life-threatening cardiac dysrhythmias.
The nurse is caring for a client with hypernatremia.
Which intervention should the nurse implement
first?
A) Administer diuretics as prescribed
B) Restrict dietary protein intake
C) Offer fluids frequently
,D) Position the client flat in bed
Rationale: The primary treatment for
hypernatremia is to restore fluid balance by
replacing water. Offering oral fluids is the least
invasive and priority intervention if the client is
able to swallow.
The nurse is monitoring a client receiving IV
potassium chloride for severe hypokalemia. Which
finding indicates a therapeutic response?
A) Peaked T waves on the ECG
B) Serum potassium level of 6.5 mEq/L
C) Presence of active bowel sounds
D) Deep tendon reflexes 1+
Rationale: Hypokalemia decreases neuromuscular
excitability and can cause paralytic ileus with
absent bowel sounds. The return of active bowel
sounds indicates that potassium levels are moving
back into the normal range.
The nurse is teaching a client with heart failure
about fluid restriction. Which statement indicates
understanding?
, A) “I can drink as much water as I want if I take my
diuretic.”
B) “I will weigh myself once a week to monitor fluid
gain.”
C) “I will measure my liquid intake, including foods
that melt at room temperature.”
D) “Ice chips do not count toward my fluid
restriction.”
Rationale: Foods that are liquid at room
temperature, such as ice cream, gelatin, and ice
chips, count as fluid. The client must measure all
liquid intake throughout the day.
The nurse is caring for a client admitted with fluid
volume excess. Which assessment finding would the
nurse expect?
A) Flat neck veins in the supine position
B) Poor skin turgor over the sternum
C) Crackles auscultated in the lung bases
D) Heart rate of 58 beats per minute
Rationale: Fluid volume excess leads to pulmonary
congestion as fluid accumulates in the lungs,
resulting in crackles upon auscultation.
