1|Page
NS 660 EXAM 2 NEWEST 2025 ACTUAL EXAM| NS 660
EXAM 2 REVIEW| COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+|| NEW!!
What is nurses primary concern regarding fluid and electrolytes when
caring for elderly patient who is intermittently confused?
A. Risk dehydration
B. Risk kidney damage
C. Risk stroke
D. Risk bleeding - Correct Answer - A. Risk dehydration
Elderly patient who is confused will not be able to ask for water/ get
own water/ share that they are thirsty.
Patient receiving IV fluids postoperatively following cardiac surgery.
Nursing assessments should focus on which postoperative complication?
A. Fluid volume excess
B. Fluid volume deficit
C. Seizure activity
D. Liver failure - Correct Answer - A. Fluid volume excess
Nurse planning care for Patient with fluid volume overload and
hyponatremia. Which of following should be including in plan of care?
A. Restrict fluids
B. Administer IV fluids
pg. 1
,2|Page
C. Provide Kayexalate
D. Administer IV NS with furosemide - Correct Answer - A. Restrict
fluids
More fluid than needed in body - causing dilution. -> restrict fluids to
balance out fluid overload/dilution
When analyzing arterial blood gas report of a patient with COPD and
respiratory acidosis, the nurse anticipates that compensation will develop
through which of the following mechanisms?
A. kidneys retain bicarbonate
B. kidneys excrete bicarbonate
C. Lungs will retain CO2
D. Lungs will excrete CO2 - Correct Answer - A. kidneys retain
bicarbonate
Lungs can not compensate for themselves. Bicarbonate is a base, so
kidneys will retain to counter acidity in lungs
Nurse is caring for patient who is anxious and dizzy following traumatic
experience. AGB findings include:
Ph 7.48
PaO2 110
PaCO2 25
HCO3 24
Nurse would anticipate which initial intervention?
A. Encourage patient to breathe in-out slowly into paper bag
pg. 2
,3|Page
B> Immediately administer oxygen via a mask and monitor O2 sat
C. Prepare to start IV fluid bolus using isotonic fluids
D. Anticipate administration of IV sodium bicarbonate - Correct Answer
- A. Encourage patient to breathe in-out slowly into paper bag
Patient is hyperventilating, causing low CO2 (Respiratory alkalosis) ->
raise CO2 levels to reduce alkalosis and bring back to baseline. By
breathing into paper bag, breathing in more CO2.
Elderly patient does not complain of thirst. What should nurse do to
assess that the patient is not dehydrated?
A. Ask physician for order to begin IV fluid replacement
B. Ask physician to order chest x-ray
C. Assess urine
D. - Correct Answer - C. Assess urine
Dark yellow, concentrated, small volume urine --> sign of dehydration.
If urine is pale yellow, moderate volume --> not dehydrated.
Nurse admitting patient diagnosed with acute renal failure. Which of
following electrolytes will be most affected by this disorder?
A. Calcium
B. Magnesium
C. Phosphorus
D. Potassium - Correct Answer - D. Potassium
Potassium will be affected first.
potassium issues most often related to renal failure.
pg. 3
, 4|Page
potassium = greater effects with smaller changes.
Calcium = parathyroid
Magnesium = rare, with kidney impairment but potassium changes first,
medicine issues
Phosphorus = parathyroid (regulates CA, CA and P are inversely related)
A Patients ABG levels:
pH greater than 7.53
Bicarb levels of 36
Nurse realizes that acid-base disorder this patient is demonstrating is
which of the following?
A. Respiratory acidosis
B. Metabolic acidosis
C. Respiratory alkalosis
D. Metabolic alkalosis - Correct Answer - D. Metabolic alkalosis
Patient with metastatic bone cancer, whose calcium levels are 12.1
mg/dL. Which initial manifestations would nurse notice in patient?
Select All
A. Weakness
B. Paresthesia
C. Facial spasms
D. Muscle tremors
pg. 4
NS 660 EXAM 2 NEWEST 2025 ACTUAL EXAM| NS 660
EXAM 2 REVIEW| COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+|| NEW!!
What is nurses primary concern regarding fluid and electrolytes when
caring for elderly patient who is intermittently confused?
A. Risk dehydration
B. Risk kidney damage
C. Risk stroke
D. Risk bleeding - Correct Answer - A. Risk dehydration
Elderly patient who is confused will not be able to ask for water/ get
own water/ share that they are thirsty.
Patient receiving IV fluids postoperatively following cardiac surgery.
Nursing assessments should focus on which postoperative complication?
A. Fluid volume excess
B. Fluid volume deficit
C. Seizure activity
D. Liver failure - Correct Answer - A. Fluid volume excess
Nurse planning care for Patient with fluid volume overload and
hyponatremia. Which of following should be including in plan of care?
A. Restrict fluids
B. Administer IV fluids
pg. 1
,2|Page
C. Provide Kayexalate
D. Administer IV NS with furosemide - Correct Answer - A. Restrict
fluids
More fluid than needed in body - causing dilution. -> restrict fluids to
balance out fluid overload/dilution
When analyzing arterial blood gas report of a patient with COPD and
respiratory acidosis, the nurse anticipates that compensation will develop
through which of the following mechanisms?
A. kidneys retain bicarbonate
B. kidneys excrete bicarbonate
C. Lungs will retain CO2
D. Lungs will excrete CO2 - Correct Answer - A. kidneys retain
bicarbonate
Lungs can not compensate for themselves. Bicarbonate is a base, so
kidneys will retain to counter acidity in lungs
Nurse is caring for patient who is anxious and dizzy following traumatic
experience. AGB findings include:
Ph 7.48
PaO2 110
PaCO2 25
HCO3 24
Nurse would anticipate which initial intervention?
A. Encourage patient to breathe in-out slowly into paper bag
pg. 2
,3|Page
B> Immediately administer oxygen via a mask and monitor O2 sat
C. Prepare to start IV fluid bolus using isotonic fluids
D. Anticipate administration of IV sodium bicarbonate - Correct Answer
- A. Encourage patient to breathe in-out slowly into paper bag
Patient is hyperventilating, causing low CO2 (Respiratory alkalosis) ->
raise CO2 levels to reduce alkalosis and bring back to baseline. By
breathing into paper bag, breathing in more CO2.
Elderly patient does not complain of thirst. What should nurse do to
assess that the patient is not dehydrated?
A. Ask physician for order to begin IV fluid replacement
B. Ask physician to order chest x-ray
C. Assess urine
D. - Correct Answer - C. Assess urine
Dark yellow, concentrated, small volume urine --> sign of dehydration.
If urine is pale yellow, moderate volume --> not dehydrated.
Nurse admitting patient diagnosed with acute renal failure. Which of
following electrolytes will be most affected by this disorder?
A. Calcium
B. Magnesium
C. Phosphorus
D. Potassium - Correct Answer - D. Potassium
Potassium will be affected first.
potassium issues most often related to renal failure.
pg. 3
, 4|Page
potassium = greater effects with smaller changes.
Calcium = parathyroid
Magnesium = rare, with kidney impairment but potassium changes first,
medicine issues
Phosphorus = parathyroid (regulates CA, CA and P are inversely related)
A Patients ABG levels:
pH greater than 7.53
Bicarb levels of 36
Nurse realizes that acid-base disorder this patient is demonstrating is
which of the following?
A. Respiratory acidosis
B. Metabolic acidosis
C. Respiratory alkalosis
D. Metabolic alkalosis - Correct Answer - D. Metabolic alkalosis
Patient with metastatic bone cancer, whose calcium levels are 12.1
mg/dL. Which initial manifestations would nurse notice in patient?
Select All
A. Weakness
B. Paresthesia
C. Facial spasms
D. Muscle tremors
pg. 4
