NURS 3366 ACTUAL 2026 TEST PAPER QUESTIONS AND
SOLUTIONS RATED A+
✔✔A child is brought to her HCP. Her parents state that no matter how much she eats,
she keeps losing weight. She appears quite thin. Her blood sugar is markedly elevated.
She is diagnosed with type I diabetes mellitus (DM 1). Which explanation best links the
patho with S/S? In DM the pancreas _____ - ✔✔Quits producing insulin so that glucose
cannot be used as energy in the cells, thus causing the body to burn up fat and protein
for energy.
✔✔A child is brought to her HCP. Her parents state that no matter how much she eats,
she keeps losing weight. She appears quite thin. Her blood sugar is markedly elevated.
She is diagnosed with type I diabetes mellitus (DM 1). If ABGs were done on this pt, you
would expect all the following EXCEPT: - ✔✔a HCO3 of 30 b/c the low numbers of
acids in her body stimulate an increase in HCO3.
✔✔A pt is diagnosed with metabolic acidosis. Which compensatory response would you
expect? - ✔✔Hyperventilation -- increased RR -- to blow off CO2; this is the lungs way
to get rid of acids
✔✔A child accidentally ingests an insecticide with the ingredient cyanide. Knowing that
cyanide suppresses the action of cytochrome oxidase in the ETC, what is a likely sign
or symptom you would expect and why? - ✔✔SOB due to decreased ATP to use for the
work of breathing
✔✔A pt with a serum calcium of 6.0 is most likely to ____ b/c ______ - ✔✔have muscle
spasms: more Na+ has entered the cells.
✔✔A pt has been vomiting copiously for 3 days. He is probably in _____ b/c _____. -
✔✔Metabolic alkalosis: vomiting of the normal acidic digestive secretions of the
stomach eventually depletes the body's acids.
✔✔A pt ABG results are pH: 7.20; HCO3:17. What might be the cause of this acid base
imbalance? - ✔✔Large amount of alcohol consumed --> break down of alcohol causes
a lot of acid byproduct --> excess acid accumulation in the blood --> metabolic acidosis
✔✔A pt diagnosed with cancer, has a poor appetite and has lost 80 pounds. Upon
assessment, the nurse notes generalized edema and a low serum protein level. Which
mini-concept map accurately related the relationship of the pt serum protein level with
the presence of edema? - ✔✔Hypoproteinemia --> concentration in blood is now lower
than the normal concentration of fluids inside the cells --> fluid goes from B to T.
✔✔Which serum osmolar state will NOT cause edema? - ✔✔Hypertonicity of the
plasma space
, ✔✔A 28 yo man presents with a low blood pressure due to blood loss from a gunshot
wound. The regulatory action that will best compensate for this pt's fluid volume deficit is
- ✔✔increased action of the RAAS
✔✔A 28 yo man presents with a low BP due to blood loss from a gunshot wound. Which
aspect, from expected compensatory mechanisms, will NOT occur? - ✔✔water
excretion into the urine will increase.
✔✔A pt is hospitalized in renal failure. B/c of her kidneys' inability to excrete water, she
has generalized edema and a serum sodium of 129. B/c the kidneys have also lost the
ability to appropriately regulate potassium, she also has a serum potassium of 5.9.
These lab results show: - ✔✔Hyperkalemia and hyponatremia
✔✔A pt has advanced liver dz. Blood tests reveal that his serum albumin level is very
low. What eventually happens in this pt situation? - ✔✔Water would shift from B to T b/c
of decreased plasma oncotic pressure.
✔✔A pt has advanced liver dz and is found to have a decreased serum albumin level
and edema. Identify the physiologic process underlying their edema. -
✔✔"concentration calls" fluid into compartments with higher oncotic pressure from
compartments with lower oncotic pressure.
✔✔A pt who just came out of general anesthesia has lab work done. The serum
osmolality is 165. The nurse taking care of this pt suspects that the ___ is due to ____. -
✔✔hypoosmolality: syndrome of inappropriate ADH (SIADH).
✔✔A pt is admitted to the hospital with a serum osmolality of 165. As an intervention to
return the pt to normal serum osmolality, the nurse is likely to hang an IV bag of ___ b/c
once the fluid is distributed in the blood it will ______ and help return fluid compartment
status to homeostasis. - ✔✔3% NaCl: cause water to shift from T to B
✔✔A pt with hyposecretion of ADH would MOST LIKELY have the following - ✔✔serum
osmolality of 300.
✔✔Expected signs and symptoms for a pt with a serum osmolality of 300 would include
______ - ✔✔signs of cerebral cell dehydration such as confusion.
✔✔A diabetic pt has patho changes to his arteries that result in narrowing and
blockage. He is diagnosed with gangrene of the toes. Lab work is drawn and shows an
elevated CK. Which patho process accuratley explains this type of occurrence? -
✔✔ischemia --> cell injury --> swelling --> spillage of cellular enzymes into blood
SOLUTIONS RATED A+
✔✔A child is brought to her HCP. Her parents state that no matter how much she eats,
she keeps losing weight. She appears quite thin. Her blood sugar is markedly elevated.
She is diagnosed with type I diabetes mellitus (DM 1). Which explanation best links the
patho with S/S? In DM the pancreas _____ - ✔✔Quits producing insulin so that glucose
cannot be used as energy in the cells, thus causing the body to burn up fat and protein
for energy.
✔✔A child is brought to her HCP. Her parents state that no matter how much she eats,
she keeps losing weight. She appears quite thin. Her blood sugar is markedly elevated.
She is diagnosed with type I diabetes mellitus (DM 1). If ABGs were done on this pt, you
would expect all the following EXCEPT: - ✔✔a HCO3 of 30 b/c the low numbers of
acids in her body stimulate an increase in HCO3.
✔✔A pt is diagnosed with metabolic acidosis. Which compensatory response would you
expect? - ✔✔Hyperventilation -- increased RR -- to blow off CO2; this is the lungs way
to get rid of acids
✔✔A child accidentally ingests an insecticide with the ingredient cyanide. Knowing that
cyanide suppresses the action of cytochrome oxidase in the ETC, what is a likely sign
or symptom you would expect and why? - ✔✔SOB due to decreased ATP to use for the
work of breathing
✔✔A pt with a serum calcium of 6.0 is most likely to ____ b/c ______ - ✔✔have muscle
spasms: more Na+ has entered the cells.
✔✔A pt has been vomiting copiously for 3 days. He is probably in _____ b/c _____. -
✔✔Metabolic alkalosis: vomiting of the normal acidic digestive secretions of the
stomach eventually depletes the body's acids.
✔✔A pt ABG results are pH: 7.20; HCO3:17. What might be the cause of this acid base
imbalance? - ✔✔Large amount of alcohol consumed --> break down of alcohol causes
a lot of acid byproduct --> excess acid accumulation in the blood --> metabolic acidosis
✔✔A pt diagnosed with cancer, has a poor appetite and has lost 80 pounds. Upon
assessment, the nurse notes generalized edema and a low serum protein level. Which
mini-concept map accurately related the relationship of the pt serum protein level with
the presence of edema? - ✔✔Hypoproteinemia --> concentration in blood is now lower
than the normal concentration of fluids inside the cells --> fluid goes from B to T.
✔✔Which serum osmolar state will NOT cause edema? - ✔✔Hypertonicity of the
plasma space
, ✔✔A 28 yo man presents with a low blood pressure due to blood loss from a gunshot
wound. The regulatory action that will best compensate for this pt's fluid volume deficit is
- ✔✔increased action of the RAAS
✔✔A 28 yo man presents with a low BP due to blood loss from a gunshot wound. Which
aspect, from expected compensatory mechanisms, will NOT occur? - ✔✔water
excretion into the urine will increase.
✔✔A pt is hospitalized in renal failure. B/c of her kidneys' inability to excrete water, she
has generalized edema and a serum sodium of 129. B/c the kidneys have also lost the
ability to appropriately regulate potassium, she also has a serum potassium of 5.9.
These lab results show: - ✔✔Hyperkalemia and hyponatremia
✔✔A pt has advanced liver dz. Blood tests reveal that his serum albumin level is very
low. What eventually happens in this pt situation? - ✔✔Water would shift from B to T b/c
of decreased plasma oncotic pressure.
✔✔A pt has advanced liver dz and is found to have a decreased serum albumin level
and edema. Identify the physiologic process underlying their edema. -
✔✔"concentration calls" fluid into compartments with higher oncotic pressure from
compartments with lower oncotic pressure.
✔✔A pt who just came out of general anesthesia has lab work done. The serum
osmolality is 165. The nurse taking care of this pt suspects that the ___ is due to ____. -
✔✔hypoosmolality: syndrome of inappropriate ADH (SIADH).
✔✔A pt is admitted to the hospital with a serum osmolality of 165. As an intervention to
return the pt to normal serum osmolality, the nurse is likely to hang an IV bag of ___ b/c
once the fluid is distributed in the blood it will ______ and help return fluid compartment
status to homeostasis. - ✔✔3% NaCl: cause water to shift from T to B
✔✔A pt with hyposecretion of ADH would MOST LIKELY have the following - ✔✔serum
osmolality of 300.
✔✔Expected signs and symptoms for a pt with a serum osmolality of 300 would include
______ - ✔✔signs of cerebral cell dehydration such as confusion.
✔✔A diabetic pt has patho changes to his arteries that result in narrowing and
blockage. He is diagnosed with gangrene of the toes. Lab work is drawn and shows an
elevated CK. Which patho process accuratley explains this type of occurrence? -
✔✔ischemia --> cell injury --> swelling --> spillage of cellular enzymes into blood
