NSG 3800 EXAMS 1, 2, 3 & 4 (GALEN)
NEWEST 2026 ACTUAL EXAM TEST
BANK| NSG3800 ADULT HEALTH II
EXAMS REVIEW WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)GURANTEED PASS
Q1: For a client with a serum sodium of 155 mEq/L, the nurse
should first assess for which clinical manifestation?
o A) Confusion and muscle twitching
o Rationale: Hypernatremia causes intracellular
dehydration, primarily affecting the central nervous
system .
Q2: The nurse identifies 0.45% sodium chloride as which
type of intravenous solution?
o B) Hypotonic
o Rationale: 0.45% NaCl has an osmolality lower than
plasma and is used to shift water into cells, making it a
hypotonic solution .
Q3: In caring for a client with SIADH, the nurse monitors
specific gravity every 4 hours to assess:
o C) Fluid volume status
, o Rationale: SIADH causes water retention, diluting body
fluids and decreasing urine specific gravity .
Q4: The #1 sign of fluid volume deficit is:
o D) Tachycardia
o Rationale: Tachycardia is the earliest compensatory
mechanism for hypovolemia, as the heart rate increases
to maintain cardiac output .
Q5: When caring for a client with a potassium level of 5.2
mEq/L, the nurse should monitor for which priority
complication?
o A) Cardiac dysrhythmias
o Rationale: Hyperkalemia alters cardiac conduction,
potentially leading to fatal arrhythmias .
Q6: A patient is admitted with severe diarrhea and
dehydration. Which type of IV fluid is most appropriate for
initial resuscitation?
o C) Lactated Ringer's (LR)
o Rationale: Lactated Ringer's is isotonic and is best for
restoring intravascular volume in dehydration from
diarrhea .
🫀 NSG 3800 Exam 2: Cardiac & Respiratory Disorders
Q7: The nurse is caring for a client who has heart failure (HF).
The nurse understands that an increase in myocardial oxygen
demand is most likely the result of which finding?
o c. Blood pressure of 154/98 mmHg
, o Rationale: Increased afterload from hypertension
increases the workload on the heart, raising oxygen
demand .
Q8: A patient with heart failure is prescribed furosemide
(Lasix). Which assessment finding indicates the medication is
having the desired therapeutic effect?
o b) Weight loss and decreased shortness of breath
o Rationale: Furosemide is a diuretic; weight loss and
improved breathing indicate a reduction in fluid volume
overload .
Q9: A nurse is caring for a patient with a serum potassium
level of 2.8 mEq/L. Which finding is most consistent with this
lab value?
o b) Muscle weakness and fatigue
o Rationale: Hypokalemia manifests as muscle weakness,
fatigue, and cramps .
Q10: The nurse is reviewing arterial blood gas (ABG) results:
pH 7.30, PaCO2 50 mmHg, HCO3 24 mEq/L. What is the
acid-base imbalance?
o c) Respiratory acidosis
o Rationale: The elevated PaCO2 (>45 mmHg) and low pH
indicate a primary respiratory acidosis .
🫀 NSG 3800 Exam 3: Gastrointestinal Disorders
Q11: A client receiving tube feedings is experiencing
diarrhea. The nurse suspects dumping syndrome. What
intervention is most appropriate?
, o C) Keep the client in semi-Fowler position for 1 hour
after feedings
o Rationale: This position helps slow the transit of the
feeding through the stomach and intestine, reducing
dumping syndrome symptoms .
Q12: A nurse is providing care for a client with late-stage
Alzheimer's who has just returned to the unit to begin NG
tube feedings. Which assessment addresses the most
significant potential complication of feeding?
o C) Frequent lung auscultation
o Rationale: Frequent lung auscultation is essential to
detect aspiration pneumonia, a major risk of tube
feedings .
Q13: A client's health history is suggestive of inflammatory
bowel disease. Which of the following would suggest Crohn's
disease, rather than ulcerative colitis, as the cause?
o C) An absence of blood in stool
o Rationale: While Crohn's disease can cause bleeding, it
is a more common and prominent feature of ulcerative
colitis .
Q14: An adult client has been diagnosed with diverticular
disease after ongoing challenges with constipation. What
components of treatment should the nurse anticipate?
(Select all that apply)
o B) Increased fiber intake and D) Reduced fat intake
o Rationale: A high-fiber, low-fat diet is a mainstay of
conservative management for diverticular disease
NSG 3800 Exam 4: Endocrine, Immunology & Hematology
NEWEST 2026 ACTUAL EXAM TEST
BANK| NSG3800 ADULT HEALTH II
EXAMS REVIEW WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)GURANTEED PASS
Q1: For a client with a serum sodium of 155 mEq/L, the nurse
should first assess for which clinical manifestation?
o A) Confusion and muscle twitching
o Rationale: Hypernatremia causes intracellular
dehydration, primarily affecting the central nervous
system .
Q2: The nurse identifies 0.45% sodium chloride as which
type of intravenous solution?
o B) Hypotonic
o Rationale: 0.45% NaCl has an osmolality lower than
plasma and is used to shift water into cells, making it a
hypotonic solution .
Q3: In caring for a client with SIADH, the nurse monitors
specific gravity every 4 hours to assess:
o C) Fluid volume status
, o Rationale: SIADH causes water retention, diluting body
fluids and decreasing urine specific gravity .
Q4: The #1 sign of fluid volume deficit is:
o D) Tachycardia
o Rationale: Tachycardia is the earliest compensatory
mechanism for hypovolemia, as the heart rate increases
to maintain cardiac output .
Q5: When caring for a client with a potassium level of 5.2
mEq/L, the nurse should monitor for which priority
complication?
o A) Cardiac dysrhythmias
o Rationale: Hyperkalemia alters cardiac conduction,
potentially leading to fatal arrhythmias .
Q6: A patient is admitted with severe diarrhea and
dehydration. Which type of IV fluid is most appropriate for
initial resuscitation?
o C) Lactated Ringer's (LR)
o Rationale: Lactated Ringer's is isotonic and is best for
restoring intravascular volume in dehydration from
diarrhea .
🫀 NSG 3800 Exam 2: Cardiac & Respiratory Disorders
Q7: The nurse is caring for a client who has heart failure (HF).
The nurse understands that an increase in myocardial oxygen
demand is most likely the result of which finding?
o c. Blood pressure of 154/98 mmHg
, o Rationale: Increased afterload from hypertension
increases the workload on the heart, raising oxygen
demand .
Q8: A patient with heart failure is prescribed furosemide
(Lasix). Which assessment finding indicates the medication is
having the desired therapeutic effect?
o b) Weight loss and decreased shortness of breath
o Rationale: Furosemide is a diuretic; weight loss and
improved breathing indicate a reduction in fluid volume
overload .
Q9: A nurse is caring for a patient with a serum potassium
level of 2.8 mEq/L. Which finding is most consistent with this
lab value?
o b) Muscle weakness and fatigue
o Rationale: Hypokalemia manifests as muscle weakness,
fatigue, and cramps .
Q10: The nurse is reviewing arterial blood gas (ABG) results:
pH 7.30, PaCO2 50 mmHg, HCO3 24 mEq/L. What is the
acid-base imbalance?
o c) Respiratory acidosis
o Rationale: The elevated PaCO2 (>45 mmHg) and low pH
indicate a primary respiratory acidosis .
🫀 NSG 3800 Exam 3: Gastrointestinal Disorders
Q11: A client receiving tube feedings is experiencing
diarrhea. The nurse suspects dumping syndrome. What
intervention is most appropriate?
, o C) Keep the client in semi-Fowler position for 1 hour
after feedings
o Rationale: This position helps slow the transit of the
feeding through the stomach and intestine, reducing
dumping syndrome symptoms .
Q12: A nurse is providing care for a client with late-stage
Alzheimer's who has just returned to the unit to begin NG
tube feedings. Which assessment addresses the most
significant potential complication of feeding?
o C) Frequent lung auscultation
o Rationale: Frequent lung auscultation is essential to
detect aspiration pneumonia, a major risk of tube
feedings .
Q13: A client's health history is suggestive of inflammatory
bowel disease. Which of the following would suggest Crohn's
disease, rather than ulcerative colitis, as the cause?
o C) An absence of blood in stool
o Rationale: While Crohn's disease can cause bleeding, it
is a more common and prominent feature of ulcerative
colitis .
Q14: An adult client has been diagnosed with diverticular
disease after ongoing challenges with constipation. What
components of treatment should the nurse anticipate?
(Select all that apply)
o B) Increased fiber intake and D) Reduced fat intake
o Rationale: A high-fiber, low-fat diet is a mainstay of
conservative management for diverticular disease
NSG 3800 Exam 4: Endocrine, Immunology & Hematology
