2025/2026 Exam Questions and Correct
Answers | New Update
The nurse is caring for a patient with heart failure. What assessment data indicates
the patient is at risk for developing fluid volume excess?
Full, bounding pulse
Flattened neck veins
Low blood pressure
Easily obliterated pulse - 🧠 ANSWER ✔✔Full, bounding pulse
,Any change in the fluid volume is reflected in changes in blood pressure, pulse rate
force, and jugular venous distension. A fluid volume excess may cause a full
bounding pulse, increased blood pressure, and distended neck veins. The pulse in
this case is not easily obliterated. Flattened neck veins, low blood pressure, and a
weak and thready pulse that can be easily obliterated indicate fluid volume deficit.
In the regulation of water balance, which system has a primarily antiinflammatory
effect and increases serum glucose levels?
Renal
Cardiac
Adrenal-cortical
Hypothalamic-pituitary - 🧠 ANSWER ✔✔Adrenal-cortical
The adrenal-cortical system secretes glucocorticoids and mineralocorticoids to
regulate water and electrolyte balance. Glucocorticoids have an antiinflammatory
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,effect and increase serum glucose levels. The renal system regulates water balance
through urine volume changes and excretion of electrolytes. The cardiac system
produces natriuretic peptides that promote the excretion of sodium and water. The
hypothalamic-pituitary system releases antidiuretic hormone, which results in
increased water reabsorption into the blood and decreased excretion in the urine.
The nurse is caring for a group of patients with a variety of diagnoses. Which
conditions would cause the nurse to include interventions in the plan of care to
address anticipated hypophosphatemia? Select all that apply.
Renal failure
Respiratory alkalosis
Diabetic ketoacidosis
Tumor lysis syndrome
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, Malabsorption syndrome - 🧠 ANSWER ✔✔Respiratory alkalosis
Diabetic ketoacidosis
Malabsorption syndrome
The nurse would include interventions to address hypophosphatemia when
providing care to patients with respiratory alkalosis, diabetic ketoacidosis, and
malabsorption syndrome. The nurse should create a care plan for
hyperphosphatemia when providing care to patients with renal failure and tumor
lysis syndrome.
The patient has a prescription for lactated Ringers intravenously (IV) at a rate of
200 mL/hour. An IV pump is not available. The IV tubing has a drop factor of 10
drops/mL. The nurse will administer the lactated Ringers solution at how many
drops per minute? Record your answer using a whole number.
gtt/minute - 🧠 ANSWER ✔✔33 gtt/min
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