1
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+
1.
A 72-year-old client is admitted with several days of vomiting and diarrhea. The
client reports dizziness when standing and generalized weakness. Assessment
reveals dry mucous membranes, poor skin turgor, tachycardia, and a blood
pressure of 94/58 mm Hg. Which nursing intervention should the nurse anticipate
as the priority for this client?
A. Initiate prescribed isotonic IV fluid replacement and closely monitor vital signs
B. Restrict oral and intravenous fluids until the diarrhea completely resolves
C. Administer a potassium-binding medication before replacing circulating volume
D. Encourage the client to ambulate frequently to improve peripheral circulation
Answer: A
2.
A client with chronic heart failure is receiving IV therapy and develops increasing
bilateral crackles, dyspnea, dependent edema, and jugular venous distention. The
client has gained 2.5 kg over four days. Which finding most strongly indicates that
the client's condition is related to fluid volume excess?
A. Increased urine specific gravity
B. Jugular venous distention with rapidly increasing daily weight
C. Dry oral mucosa and orthostatic hypotension
D. Decreased peripheral pulses with poor skin turgor
Answer: B
3.
,2
A client receiving continuous IV furosemide for severe fluid overload develops
muscle weakness, leg cramps, and an irregular cardiac rhythm. Laboratory results
reveal a potassium level of 2.8 mEq/L. Which nursing action is most appropriate?
A. Administer additional furosemide to remove more fluid
B. Encourage foods high in sodium and restrict potassium intake
C. Place the client on fluid restriction without further intervention
D. Notify the provider and anticipate prescribed potassium replacement with
cardiac monitoring
Answer: D
4.
A hospitalized client has a serum sodium level of 119 mEq/L and is increasingly
confused and restless. The client has developed a new generalized seizure. Which
intervention should the nurse prioritize?
A. Encourage the client to drink several liters of free water
B. Initiate seizure precautions and anticipate prescribed sodium correction with
careful monitoring
C. Administer a potassium supplement immediately
D. Place the client in a Trendelenburg position and encourage unrestricted oral
fluids
Answer: B
5.
A client with severe hypocalcemia reports tingling around the mouth and
develops painful hand spasms when the blood pressure cuff is inflated. The nurse
recognizes these findings as manifestations of neuromuscular irritability. Which
additional assessment finding would support the same electrolyte disturbance?
A. Positive Chvostek sign
B. Bounding peripheral pulses
C. Warm, flushed skin
D. Decreased deep tendon reflexes
,3
Answer: A
6.
A client with chronic kidney disease has a potassium level of 6.7 mEq/L and
reports generalized weakness. The cardiac monitor shows peaked T waves. Which
nursing action is most appropriate?
A. Place the client on continuous cardiac monitoring and urgently notify the
provider
B. Encourage foods containing potassium to stabilize the myocardium
C. Administer prescribed potassium supplementation
D. Restrict calcium intake and reassess the potassium level tomorrow
Answer: A
7.
A client develops metabolic acidosis after prolonged severe diarrhea. The arterial
blood gas results are pH 7.28, PaCO₂ 30 mm Hg, and HCO₃⁻ 14 mEq/L. Which
interpretation is most accurate?
A. Uncompensated respiratory acidosis
B. Fully compensated metabolic alkalosis
C. Metabolic acidosis with respiratory compensation
D. Respiratory alkalosis with metabolic compensation
Answer: C
8.
A client with prolonged nasogastric suctioning develops weakness and confusion.
Laboratory testing demonstrates a pH of 7.49, PaCO₂ of 46 mm Hg, and HCO₃⁻ of
34 mEq/L. Which acid–base disturbance should the nurse identify?
A. Respiratory alkalosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Metabolic acidosis
, 4
Answer: B
9.
A client with chronic obstructive pulmonary disease has an arterial blood gas
showing pH 7.34, PaCO₂ 58 mm Hg, and HCO₃⁻ 31 mEq/L. The client is awake and
breathing spontaneously. How should the nurse interpret these results?
A. Uncompensated metabolic alkalosis
B. Partially compensated respiratory acidosis
C. Uncompensated respiratory alkalosis
D. Fully compensated metabolic acidosis
Answer: B
10.
A client with persistent vomiting has a pH of 7.52, PaCO₂ of 47 mm Hg, and HCO₃⁻
of 37 mEq/L. Which condition is most consistent with these findings?
A. Respiratory acidosis caused by hypoventilation
B. Metabolic alkalosis associated with loss of gastric acid
C. Respiratory alkalosis caused by hyperventilation
D. Metabolic acidosis caused by bicarbonate loss
Answer: B
11.
A client with chronic kidney disease has developed fatigue, pallor, exertional
dyspnea, and a hemoglobin level of 7.4 g/dL. The provider explains that decreased
erythropoietin production is contributing to the anemia. Which treatment should
the nurse expect?
A. Daily administration of an anticoagulant
B. Restriction of dietary iron
C. Administration of prescribed erythropoiesis-stimulating therapy
D. Routine administration of potassium supplements
Answer: C
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+
1.
A 72-year-old client is admitted with several days of vomiting and diarrhea. The
client reports dizziness when standing and generalized weakness. Assessment
reveals dry mucous membranes, poor skin turgor, tachycardia, and a blood
pressure of 94/58 mm Hg. Which nursing intervention should the nurse anticipate
as the priority for this client?
A. Initiate prescribed isotonic IV fluid replacement and closely monitor vital signs
B. Restrict oral and intravenous fluids until the diarrhea completely resolves
C. Administer a potassium-binding medication before replacing circulating volume
D. Encourage the client to ambulate frequently to improve peripheral circulation
Answer: A
2.
A client with chronic heart failure is receiving IV therapy and develops increasing
bilateral crackles, dyspnea, dependent edema, and jugular venous distention. The
client has gained 2.5 kg over four days. Which finding most strongly indicates that
the client's condition is related to fluid volume excess?
A. Increased urine specific gravity
B. Jugular venous distention with rapidly increasing daily weight
C. Dry oral mucosa and orthostatic hypotension
D. Decreased peripheral pulses with poor skin turgor
Answer: B
3.
,2
A client receiving continuous IV furosemide for severe fluid overload develops
muscle weakness, leg cramps, and an irregular cardiac rhythm. Laboratory results
reveal a potassium level of 2.8 mEq/L. Which nursing action is most appropriate?
A. Administer additional furosemide to remove more fluid
B. Encourage foods high in sodium and restrict potassium intake
C. Place the client on fluid restriction without further intervention
D. Notify the provider and anticipate prescribed potassium replacement with
cardiac monitoring
Answer: D
4.
A hospitalized client has a serum sodium level of 119 mEq/L and is increasingly
confused and restless. The client has developed a new generalized seizure. Which
intervention should the nurse prioritize?
A. Encourage the client to drink several liters of free water
B. Initiate seizure precautions and anticipate prescribed sodium correction with
careful monitoring
C. Administer a potassium supplement immediately
D. Place the client in a Trendelenburg position and encourage unrestricted oral
fluids
Answer: B
5.
A client with severe hypocalcemia reports tingling around the mouth and
develops painful hand spasms when the blood pressure cuff is inflated. The nurse
recognizes these findings as manifestations of neuromuscular irritability. Which
additional assessment finding would support the same electrolyte disturbance?
A. Positive Chvostek sign
B. Bounding peripheral pulses
C. Warm, flushed skin
D. Decreased deep tendon reflexes
,3
Answer: A
6.
A client with chronic kidney disease has a potassium level of 6.7 mEq/L and
reports generalized weakness. The cardiac monitor shows peaked T waves. Which
nursing action is most appropriate?
A. Place the client on continuous cardiac monitoring and urgently notify the
provider
B. Encourage foods containing potassium to stabilize the myocardium
C. Administer prescribed potassium supplementation
D. Restrict calcium intake and reassess the potassium level tomorrow
Answer: A
7.
A client develops metabolic acidosis after prolonged severe diarrhea. The arterial
blood gas results are pH 7.28, PaCO₂ 30 mm Hg, and HCO₃⁻ 14 mEq/L. Which
interpretation is most accurate?
A. Uncompensated respiratory acidosis
B. Fully compensated metabolic alkalosis
C. Metabolic acidosis with respiratory compensation
D. Respiratory alkalosis with metabolic compensation
Answer: C
8.
A client with prolonged nasogastric suctioning develops weakness and confusion.
Laboratory testing demonstrates a pH of 7.49, PaCO₂ of 46 mm Hg, and HCO₃⁻ of
34 mEq/L. Which acid–base disturbance should the nurse identify?
A. Respiratory alkalosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Metabolic acidosis
, 4
Answer: B
9.
A client with chronic obstructive pulmonary disease has an arterial blood gas
showing pH 7.34, PaCO₂ 58 mm Hg, and HCO₃⁻ 31 mEq/L. The client is awake and
breathing spontaneously. How should the nurse interpret these results?
A. Uncompensated metabolic alkalosis
B. Partially compensated respiratory acidosis
C. Uncompensated respiratory alkalosis
D. Fully compensated metabolic acidosis
Answer: B
10.
A client with persistent vomiting has a pH of 7.52, PaCO₂ of 47 mm Hg, and HCO₃⁻
of 37 mEq/L. Which condition is most consistent with these findings?
A. Respiratory acidosis caused by hypoventilation
B. Metabolic alkalosis associated with loss of gastric acid
C. Respiratory alkalosis caused by hyperventilation
D. Metabolic acidosis caused by bicarbonate loss
Answer: B
11.
A client with chronic kidney disease has developed fatigue, pallor, exertional
dyspnea, and a hemoglobin level of 7.4 g/dL. The provider explains that decreased
erythropoietin production is contributing to the anemia. Which treatment should
the nurse expect?
A. Daily administration of an anticoagulant
B. Restriction of dietary iron
C. Administration of prescribed erythropoiesis-stimulating therapy
D. Routine administration of potassium supplements
Answer: C
