1|Page
NURS 1110 EXAM 1 LATEST 2025 ACTUAL EXAM|
COMPLETE REAL EXAM QUESTIONS WITH
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS WITH RATIONALES) ALREADY
GRADED A+ (NEW!!)
At which serum sodium concentration might convulsions or coma
occur? - ANSWER - 130 mEq/L (130 mmol/L)
Normal serum concentration level ranges from 135 to 145 mEq/L (135-
145 mmol/L). When the level dips below 135 mEq/L (135 mmol/L),
hyponatremia occurs. Manifestations of hyponatremia include mental
confusion, muscular weakness, anorexia, restlessness, elevated body
temperature, tachycardia, nausea, vomiting, and personality changes.
Convulsions or coma can occur if the deficit is severe. Values of 140,
142, and 145 mEq/L (mmol/L) are within the normal range.
Which laboratory result does the nurse identify as a direct result of the
client's hypovolemic status with hemoconcentration? - ANSWER -
Elevated hematocrit level
When hemoconcentration occurs due to a hypovolemic state, a high ratio
of blood components in relation to watery plasma occurs, thus causing
an elevated hematocrit level. A high white blood cell count and urine
specific gravity is also noted. Other causes of an abnormal potassium
level may be present.
The weight of a client with congestive heart failure is monitored daily
and entered into the medical record. In a 24-hour period, the client's
weight increased by 2 lb. How much fluid is this client retaining? -
ANSWER - 1 L
pg. 1
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A 2-lb weight gain in 24 hours indicates that the client is retaining 1L of
fluid.
Which nerve is implicated in the Chvostek's sign? - ANSWER - Facial
A health care provider orders an isotonic I.V. solution for a client. Which
solution should the nurse plan to administer? - ANSWER - Lactated
Ringer's solution
The nurse is caring for a client with laboratory values indicating
dehydration. Which clinical symptom is consistent with the dehydration?
- ANSWER - Dark, concentrated urine
A client reports tingling in the fingers as well as feeling depressed. The
nurse assesses positive Trousseau's and Chvostek's signs. Which
decreased laboratory results does the nurse observe when the client's
laboratory work has returned? - ANSWER - Calcium
Calcium deficit is associated with the following symptoms: numbness
and tingling of the fingers, toes, and circumoral region; positive
Trousseau's sign and Chvostek's sign; seizures, carpopedal spasms,
hyperactive deep tendon reflexes, irritability, bronchospasm, anxiety,
impaired clotting time, decreased prothrombin, diarrhea, and
hypotension. Electrocardiogram findings associated with hypocalcemia
include prolonged QT interval and lengthened ST.
The nurse is caring for a client undergoing alcohol withdrawal. Which
serum laboratory value should the nurse monitor most closely? -
ANSWER - Magnesium
pg. 2
, 3|Page
A client has a respiratory rate of 38 breaths/min. What effect does
breathing faster have on arterial pH level? - ANSWER - Increases
arterial pH
A nurse is caring for a client with metastatic breast cancer who is
extremely lethargic and very slow to respond to stimuli. The laboratory
report indicates a serum calcium level of 12.0 mg/dl, a serum potassium
level of 3.9 mEq/L, a serum chloride level of 101 mEq/L, and a serum
sodium level of 140 mEq/L. Based on this information, the nurse
determines that the client's symptoms are most likely associated with
which electrolyte imbalance? - ANSWER - Hypercalcemia
The normal reference range for serum calcium is 8.6 to 10.2 mg/dl. A
serum calcium level of 12 mg/dl clearly indicates hypercalcemia. The
client's other laboratory findings are within their normal ranges, so the
client doesn't have hypernatremia, hypochloremia, or hypokalemia.
A nurse is caring for a client in acute renal failure. The nurse should
expect hypertonic glucose, insulin infusions, and sodium bicarbonate to
be used to treat: - ANSWER - hyperkalemia.
Hyperkalemia is a common complication of acute renal failure. It's life-
threatening if immediate action isn't taken to reverse it. Administering
glucose and regular insulin, with sodium bicarbonate if necessary, can
temporarily prevent cardiac arrest by moving potassium into the cells
and temporarily reducing serum potassium levels.
A nurse is caring for an adult client with numerous draining wounds
from gunshots. The client's pulse rate has increased from 100 to 130
beats per minute over the last hour. The nurse should further assess the
pg. 3
NURS 1110 EXAM 1 LATEST 2025 ACTUAL EXAM|
COMPLETE REAL EXAM QUESTIONS WITH
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS WITH RATIONALES) ALREADY
GRADED A+ (NEW!!)
At which serum sodium concentration might convulsions or coma
occur? - ANSWER - 130 mEq/L (130 mmol/L)
Normal serum concentration level ranges from 135 to 145 mEq/L (135-
145 mmol/L). When the level dips below 135 mEq/L (135 mmol/L),
hyponatremia occurs. Manifestations of hyponatremia include mental
confusion, muscular weakness, anorexia, restlessness, elevated body
temperature, tachycardia, nausea, vomiting, and personality changes.
Convulsions or coma can occur if the deficit is severe. Values of 140,
142, and 145 mEq/L (mmol/L) are within the normal range.
Which laboratory result does the nurse identify as a direct result of the
client's hypovolemic status with hemoconcentration? - ANSWER -
Elevated hematocrit level
When hemoconcentration occurs due to a hypovolemic state, a high ratio
of blood components in relation to watery plasma occurs, thus causing
an elevated hematocrit level. A high white blood cell count and urine
specific gravity is also noted. Other causes of an abnormal potassium
level may be present.
The weight of a client with congestive heart failure is monitored daily
and entered into the medical record. In a 24-hour period, the client's
weight increased by 2 lb. How much fluid is this client retaining? -
ANSWER - 1 L
pg. 1
,2|Page
A 2-lb weight gain in 24 hours indicates that the client is retaining 1L of
fluid.
Which nerve is implicated in the Chvostek's sign? - ANSWER - Facial
A health care provider orders an isotonic I.V. solution for a client. Which
solution should the nurse plan to administer? - ANSWER - Lactated
Ringer's solution
The nurse is caring for a client with laboratory values indicating
dehydration. Which clinical symptom is consistent with the dehydration?
- ANSWER - Dark, concentrated urine
A client reports tingling in the fingers as well as feeling depressed. The
nurse assesses positive Trousseau's and Chvostek's signs. Which
decreased laboratory results does the nurse observe when the client's
laboratory work has returned? - ANSWER - Calcium
Calcium deficit is associated with the following symptoms: numbness
and tingling of the fingers, toes, and circumoral region; positive
Trousseau's sign and Chvostek's sign; seizures, carpopedal spasms,
hyperactive deep tendon reflexes, irritability, bronchospasm, anxiety,
impaired clotting time, decreased prothrombin, diarrhea, and
hypotension. Electrocardiogram findings associated with hypocalcemia
include prolonged QT interval and lengthened ST.
The nurse is caring for a client undergoing alcohol withdrawal. Which
serum laboratory value should the nurse monitor most closely? -
ANSWER - Magnesium
pg. 2
, 3|Page
A client has a respiratory rate of 38 breaths/min. What effect does
breathing faster have on arterial pH level? - ANSWER - Increases
arterial pH
A nurse is caring for a client with metastatic breast cancer who is
extremely lethargic and very slow to respond to stimuli. The laboratory
report indicates a serum calcium level of 12.0 mg/dl, a serum potassium
level of 3.9 mEq/L, a serum chloride level of 101 mEq/L, and a serum
sodium level of 140 mEq/L. Based on this information, the nurse
determines that the client's symptoms are most likely associated with
which electrolyte imbalance? - ANSWER - Hypercalcemia
The normal reference range for serum calcium is 8.6 to 10.2 mg/dl. A
serum calcium level of 12 mg/dl clearly indicates hypercalcemia. The
client's other laboratory findings are within their normal ranges, so the
client doesn't have hypernatremia, hypochloremia, or hypokalemia.
A nurse is caring for a client in acute renal failure. The nurse should
expect hypertonic glucose, insulin infusions, and sodium bicarbonate to
be used to treat: - ANSWER - hyperkalemia.
Hyperkalemia is a common complication of acute renal failure. It's life-
threatening if immediate action isn't taken to reverse it. Administering
glucose and regular insulin, with sodium bicarbonate if necessary, can
temporarily prevent cardiac arrest by moving potassium into the cells
and temporarily reducing serum potassium levels.
A nurse is caring for an adult client with numerous draining wounds
from gunshots. The client's pulse rate has increased from 100 to 130
beats per minute over the last hour. The nurse should further assess the
pg. 3
