NUR 301 Exam 2 Latest Update
University of Maine 2026 Spring
Practice Questions (Real Exam Insight)
Which parameter of the ABG result correlates to the assessment of the base
component?
pH
PaO2
HCO3-
PaCO2
HCO3-
The nurse notices flattened T waves on the ECG of the client diagnosed with acute
kidney injury. Based on this finding, the nurse checks the laboratory values for which
electrolyte imbalance?
A. Hypocalcemia
B. Hyponatremia
C. Hypomagnesemia
D. HypokalemiA
D. HypokalemiA
associated with t wave changes and presence of a U wave
Hypocalcemia: numbness, tingling and muscle weakness
Hyponatremia: water intoxication, confusion, and lethargy
Hypomagnesemia: diarrhea, diuresis, alcoholism and tremors
Which client has the highest risk for sudden changes in homeostasis?
A. Pt who had a herniorrhaphy and is 12 hours post op
B. Pt on an IV antibiotics q8h with infected leg ulcer
C. Pt with multiple fractures administered after a MVA today
D. Pt who is ambulating 2 days after a transurethral resection
,C. Pt with multiple fractures administered after a MVA today
the client's vital signs should be assessed hourly
The adult client has a history of diabetes insipidus. The nurse identifies which
imbalance is most likely to develop if this medical problem recurs?
A. Hypernatremia
B. Hyponatremia
C. Hyperkalemia
D. Hypokalemia
A. Hypernatremia
Diabetes is a disorder of water metabolism caused by a deficiency of antidiuretic
hormone or adh
2 days after surgery the pt says "my lips feel tingly". which assessment does the nurse
make immediately
a. check for chvostek sign
b. evaluate ability to cough
c. assess for drainage
d. monitor pulse
a. check for chvostek sign
pt has hypocalcemia
pt has severe decrease in serum albumin levels. which finding does the nurse expect
to observe
a. bounding pedal pulse
b. bilateral pre-tibial edema
c. weight loss
d. increase in BP
b. bilateral pre-tibial edema
Seen in kidney disease and cirrhosis
,which lab finding does nurse expect in pt with fluid volume deficit
a. specific gravity 1.020
b. specific gravity 1.034
c. potassium 5.8
d. potassium 4.8
b. specific gravity 1.034
normal specific gravity is 1.010-1.030
the pt has hypokalemia. which findings does the nurse expect
a. ecg has depressed ST segment and inverted T wave
b. kussamul breathing
c. widening of QRS complex
d. Increased muscle strength
a. ecg has depressed ST segment and inverted T wave
the nurse assesses an older adult with urosepsis and dehydration who is receiving IV
fluids. which assessment finding does the nurse dress first?
a. iv antibiotic due in 10 minutes
b. pt reports bad headache
c. pt has crackles in lungs
d. pt has temperature of 100
c. pt has crackles in lungs
older adults can have fluid volume overload FAST so nurse must be aware of that
nurse is caring for pt with hypotonic dehydration. which lab study should the nurse
monitor in the pt?
a. platelet count
b. IgE
C. albumin level
d. sodium level
d. sodium level
diuretic use is a common cause of hypototonic dehydration
, the pt is experiencing respiratory alkalosis with RR 36 and Pulse 92. which action does
the nurse take first
a. administer oxygen
b. prepare for trach
c. encourage pt to breath into paper bag
d. administer bicarbonate
c. encourage pt to breath into paper bag
pt is hyperventilating --> goal is to stop this and allow pt to rebreathe CO2
2 days after a thyroidectomy, a pt reports painful spasms of hands and their muscles
are twitching. the nurse identifies which imbalance?
a. hypernatremia
b. hypophosphatemia
c. hypocalcemia
d. hyperkalemia
c. hypocalcemia
removal of parathyroid leads to calcium loss
a pt has n/v and diarrhea. which action by nurse is best to maintain adequate fluid
intake?
a. keep NPO and give hypotonic solutions
b. force fluids and give hypertonic solution
c. provide gelatin and ice pops
d. offer oral rehydration solutions to rehydrate
d. offer oral rehydration solutions to rehydrate
only give hypertonic solution if severely dehydrated
an iv potassium supplement is to be administered. which assessment finding does the
nurse question?
a. normal ecg
b. pt reports dizziness
c. pt reports history of low urine output
d. pt is experiencing any muscle cramps
c. pt reports history of low urine output
potassium supplements are contradicted in pt with kidney malfunction
University of Maine 2026 Spring
Practice Questions (Real Exam Insight)
Which parameter of the ABG result correlates to the assessment of the base
component?
pH
PaO2
HCO3-
PaCO2
HCO3-
The nurse notices flattened T waves on the ECG of the client diagnosed with acute
kidney injury. Based on this finding, the nurse checks the laboratory values for which
electrolyte imbalance?
A. Hypocalcemia
B. Hyponatremia
C. Hypomagnesemia
D. HypokalemiA
D. HypokalemiA
associated with t wave changes and presence of a U wave
Hypocalcemia: numbness, tingling and muscle weakness
Hyponatremia: water intoxication, confusion, and lethargy
Hypomagnesemia: diarrhea, diuresis, alcoholism and tremors
Which client has the highest risk for sudden changes in homeostasis?
A. Pt who had a herniorrhaphy and is 12 hours post op
B. Pt on an IV antibiotics q8h with infected leg ulcer
C. Pt with multiple fractures administered after a MVA today
D. Pt who is ambulating 2 days after a transurethral resection
,C. Pt with multiple fractures administered after a MVA today
the client's vital signs should be assessed hourly
The adult client has a history of diabetes insipidus. The nurse identifies which
imbalance is most likely to develop if this medical problem recurs?
A. Hypernatremia
B. Hyponatremia
C. Hyperkalemia
D. Hypokalemia
A. Hypernatremia
Diabetes is a disorder of water metabolism caused by a deficiency of antidiuretic
hormone or adh
2 days after surgery the pt says "my lips feel tingly". which assessment does the nurse
make immediately
a. check for chvostek sign
b. evaluate ability to cough
c. assess for drainage
d. monitor pulse
a. check for chvostek sign
pt has hypocalcemia
pt has severe decrease in serum albumin levels. which finding does the nurse expect
to observe
a. bounding pedal pulse
b. bilateral pre-tibial edema
c. weight loss
d. increase in BP
b. bilateral pre-tibial edema
Seen in kidney disease and cirrhosis
,which lab finding does nurse expect in pt with fluid volume deficit
a. specific gravity 1.020
b. specific gravity 1.034
c. potassium 5.8
d. potassium 4.8
b. specific gravity 1.034
normal specific gravity is 1.010-1.030
the pt has hypokalemia. which findings does the nurse expect
a. ecg has depressed ST segment and inverted T wave
b. kussamul breathing
c. widening of QRS complex
d. Increased muscle strength
a. ecg has depressed ST segment and inverted T wave
the nurse assesses an older adult with urosepsis and dehydration who is receiving IV
fluids. which assessment finding does the nurse dress first?
a. iv antibiotic due in 10 minutes
b. pt reports bad headache
c. pt has crackles in lungs
d. pt has temperature of 100
c. pt has crackles in lungs
older adults can have fluid volume overload FAST so nurse must be aware of that
nurse is caring for pt with hypotonic dehydration. which lab study should the nurse
monitor in the pt?
a. platelet count
b. IgE
C. albumin level
d. sodium level
d. sodium level
diuretic use is a common cause of hypototonic dehydration
, the pt is experiencing respiratory alkalosis with RR 36 and Pulse 92. which action does
the nurse take first
a. administer oxygen
b. prepare for trach
c. encourage pt to breath into paper bag
d. administer bicarbonate
c. encourage pt to breath into paper bag
pt is hyperventilating --> goal is to stop this and allow pt to rebreathe CO2
2 days after a thyroidectomy, a pt reports painful spasms of hands and their muscles
are twitching. the nurse identifies which imbalance?
a. hypernatremia
b. hypophosphatemia
c. hypocalcemia
d. hyperkalemia
c. hypocalcemia
removal of parathyroid leads to calcium loss
a pt has n/v and diarrhea. which action by nurse is best to maintain adequate fluid
intake?
a. keep NPO and give hypotonic solutions
b. force fluids and give hypertonic solution
c. provide gelatin and ice pops
d. offer oral rehydration solutions to rehydrate
d. offer oral rehydration solutions to rehydrate
only give hypertonic solution if severely dehydrated
an iv potassium supplement is to be administered. which assessment finding does the
nurse question?
a. normal ecg
b. pt reports dizziness
c. pt reports history of low urine output
d. pt is experiencing any muscle cramps
c. pt reports history of low urine output
potassium supplements are contradicted in pt with kidney malfunction
