NR 226
NR 226 Final Exam Study Guide Questions with
Correct Verified Solutions Graded 2025
The RN is assessing a client who has hypercalcemia. Which of the following
findings would the nurse expect? Select all that apply.
A .Nausea and vomiting
B. Confusion
C. Hyperreflexia
D. Numbness/tingling
E. Pallor
A. Nausea and vomiting
B. Confusion
The RN is reviewing lab values for a group of clients and notices a sodium level of
130 mEq/L. The nurse understands that which client is at highest risk for the
development of this lab value?
A. The client who is taking furosemide (a diuretic)
B. The client who is in renal failure
C. The client who takes a multi-vitamin
D. The client who was admitted to hospice
A. The client who is taking furosemide (a diuretic)
The body's fluid and electrolyte balance is maintained partially by hormonal
regulation. Which of the following statements shows an understanding of this
mechanism?
A. "The pituitary secretes aldosterone."
B. "The kidneys secrete antidiuretic hormone."
C. "The adrenal cortex secretes antidiuretic hormone."
D. "The pituitary gland secretes antidiuretic hormone."
D. "The pituitary gland secretes antidiuretic hormone."
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While reviewing a client's progress notes, the RN reads "insensible fluid loss of
approximately 700 mL daily". The RN understands that this type of fluid loss can
occur through:
A. The GI tract
B. Urine output
C. Wound drainage
D. The skin
E. Emesis
D. The skin
A senior student nurse delegates the task of intake and output to a new unlicensed
assistive personnel (UAP). The student will verify that the UAP understands the
task of I&O when the UAP states
A. "I will record the amount of all voided urine."
B. "I will not count liquid stools as output."
C. "I will not record a café mocha as intake."
D. "I will notate perspiration and record it as a small or large amount."
A. "I will record the amount of all voided urine."
A nurse is inserting an IV line into a client's vein. After the initial stick the nurse
continues to advance the catheter if the nurse notes that:
A. The catheter advances easily
B. Blood returns shows in the flashback chamber
C. The vein is distended under the needle
D. The client does not complain of discomfort
B. Blood returns shows in the flashback chamber
You are caring for a client who is depressed because the only child has gone away
to college. The nurse will assess this type of depression as:
A. actual loss
B. perceived loss
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C. situational loss
D. maturational loss
D. maturational loss
Which of the following is an example of disenfranchised grief?
A. A newly-widowed individual does not want to remove her husband's clothes
from the closet
B. A teenage client dies from a car accident and the client's mother is crying loudly
in the hospital hallway
C. A client verbalizes being upset by voluntarily giving a newborn up for adoption
D. A person is unwilling to discuss the loss of a child for several months after the
death
C. A client verbalizes being upset by voluntarily giving a newborn up for adoption
A client has been told by the healthcare provider that remaining life expectancy is
approximately 3 months. The client tells the immediate family that the doctor is
incorrect and that he "will get better by my birthday in a month". Which stage of
grieving is this client experiencing?
A. Acceptance
B. Denial
C. Depression
D. Anger
B. Denial
Which of the following are appropriate in regard to postmortem care? Select all
that apply.
A. Provide privacy and time for the family to be with the deceased client.
B. Maintain respect and dignity for the deceased client.
C. Consider cultural preferences, state laws, and facility policies when providing
care.
D. Follow appropriate procedures related to organ donation.
E. Allow for family to participate in care if requested and allowed per policy.
NR 226
, NR 226
All answers are correct
As a first-year nursing student, you are assigned to care for a dying client. To best
prepare you for this assignment, you will want to:
A. complete a course on death and dying
B. control your emotions about death and dying
C. compare this experience to the death of a family member
D. develop a personal understanding of your own feelings about grief and death
D. develop a personal understanding of your own feelings about grief and death
You are a nurse working in the college student health center. You receive a call that
an athlete has just fallen and has been injured. You know that according to the
general adaptation syndrome, the athlete will be exhibiting:
A. an increased appetite
B. an increased heart rate
C. a decrease in perspiration
D. a decrease in respiratory rate
B. an increased heart rate
A client comes into the emergency department complaining of chest pain. When
discussing possible reasons why the chest pain has occurred, the nurse learns that
the client is depressed because of the loss of a job. This type of crisis can be
classified as:
A. maturational
B. situational
C. sociocultural
D. posttraumatic
B. situational
What is the best way to monitor fluid balance?
Monitoring daily weight
What is isotonic and when would we see this solution used?
NR 226
NR 226 Final Exam Study Guide Questions with
Correct Verified Solutions Graded 2025
The RN is assessing a client who has hypercalcemia. Which of the following
findings would the nurse expect? Select all that apply.
A .Nausea and vomiting
B. Confusion
C. Hyperreflexia
D. Numbness/tingling
E. Pallor
A. Nausea and vomiting
B. Confusion
The RN is reviewing lab values for a group of clients and notices a sodium level of
130 mEq/L. The nurse understands that which client is at highest risk for the
development of this lab value?
A. The client who is taking furosemide (a diuretic)
B. The client who is in renal failure
C. The client who takes a multi-vitamin
D. The client who was admitted to hospice
A. The client who is taking furosemide (a diuretic)
The body's fluid and electrolyte balance is maintained partially by hormonal
regulation. Which of the following statements shows an understanding of this
mechanism?
A. "The pituitary secretes aldosterone."
B. "The kidneys secrete antidiuretic hormone."
C. "The adrenal cortex secretes antidiuretic hormone."
D. "The pituitary gland secretes antidiuretic hormone."
D. "The pituitary gland secretes antidiuretic hormone."
NR 226
,NR 226
While reviewing a client's progress notes, the RN reads "insensible fluid loss of
approximately 700 mL daily". The RN understands that this type of fluid loss can
occur through:
A. The GI tract
B. Urine output
C. Wound drainage
D. The skin
E. Emesis
D. The skin
A senior student nurse delegates the task of intake and output to a new unlicensed
assistive personnel (UAP). The student will verify that the UAP understands the
task of I&O when the UAP states
A. "I will record the amount of all voided urine."
B. "I will not count liquid stools as output."
C. "I will not record a café mocha as intake."
D. "I will notate perspiration and record it as a small or large amount."
A. "I will record the amount of all voided urine."
A nurse is inserting an IV line into a client's vein. After the initial stick the nurse
continues to advance the catheter if the nurse notes that:
A. The catheter advances easily
B. Blood returns shows in the flashback chamber
C. The vein is distended under the needle
D. The client does not complain of discomfort
B. Blood returns shows in the flashback chamber
You are caring for a client who is depressed because the only child has gone away
to college. The nurse will assess this type of depression as:
A. actual loss
B. perceived loss
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C. situational loss
D. maturational loss
D. maturational loss
Which of the following is an example of disenfranchised grief?
A. A newly-widowed individual does not want to remove her husband's clothes
from the closet
B. A teenage client dies from a car accident and the client's mother is crying loudly
in the hospital hallway
C. A client verbalizes being upset by voluntarily giving a newborn up for adoption
D. A person is unwilling to discuss the loss of a child for several months after the
death
C. A client verbalizes being upset by voluntarily giving a newborn up for adoption
A client has been told by the healthcare provider that remaining life expectancy is
approximately 3 months. The client tells the immediate family that the doctor is
incorrect and that he "will get better by my birthday in a month". Which stage of
grieving is this client experiencing?
A. Acceptance
B. Denial
C. Depression
D. Anger
B. Denial
Which of the following are appropriate in regard to postmortem care? Select all
that apply.
A. Provide privacy and time for the family to be with the deceased client.
B. Maintain respect and dignity for the deceased client.
C. Consider cultural preferences, state laws, and facility policies when providing
care.
D. Follow appropriate procedures related to organ donation.
E. Allow for family to participate in care if requested and allowed per policy.
NR 226
, NR 226
All answers are correct
As a first-year nursing student, you are assigned to care for a dying client. To best
prepare you for this assignment, you will want to:
A. complete a course on death and dying
B. control your emotions about death and dying
C. compare this experience to the death of a family member
D. develop a personal understanding of your own feelings about grief and death
D. develop a personal understanding of your own feelings about grief and death
You are a nurse working in the college student health center. You receive a call that
an athlete has just fallen and has been injured. You know that according to the
general adaptation syndrome, the athlete will be exhibiting:
A. an increased appetite
B. an increased heart rate
C. a decrease in perspiration
D. a decrease in respiratory rate
B. an increased heart rate
A client comes into the emergency department complaining of chest pain. When
discussing possible reasons why the chest pain has occurred, the nurse learns that
the client is depressed because of the loss of a job. This type of crisis can be
classified as:
A. maturational
B. situational
C. sociocultural
D. posttraumatic
B. situational
What is the best way to monitor fluid balance?
Monitoring daily weight
What is isotonic and when would we see this solution used?
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