MDC II EXAM 2 (RASMUSSEN) NEWEST 2026 ACTUAL
EXAM TEST BANK| MEDICAL-SURGICAL NURSING II
EXAM 2 REVIEW WITH COMPLETE 300 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
A patient is showing tall T waves on the EKG, what acid base imbalance
is occurring? - ANSWER - Metabolic Acidosis
What intervention is appropriate for a patient with Metabolic Acidosis? -
ANSWER - Replace fluids and electrolytes
A patient is suffering from metabolic acidosis, which symptom is
appropriate? - ANSWER - Kussmauls respirations (is characterized by a
deep, rapid breathing pattern. It is typically an indication that the body
or organs have become too ACIDIC. In an attempt to expel carbon
dioxide, which is an acidic compound in blood, the body starts to
breathe faster and deeper.)
A patient reports 4 lbs. weight gain, what would be the suspected
diagnosis? - ANSWER - Hypervolemia
Trousseau's sign is elicited by? - ANSWER - Using a blood pressure cuff
to the patients arm
pg. 1
,The first step in interpreting an ABG is to label the ? - ANSWER - PH
A patient is taking Lasix for CHF we know this can result in which
electrolyte imbalance? - ANSWER - Hypokalemia (Lasix kicks out
potassium)
A patient presents with nausea and vomiting over the past 72 hrs., what
would be a priority intervention? - ANSWER - Obtain IV access and
administer IV fluids
A nurse understands that dehydration is caused by which of the
following? - ANSWER - fever (fever dehydrates)
A common cause of fluid overload would be which of the following? -
ANSWER - long-term corticosteroid therapy
A construction worker with excessive sweating is at risk for? -
ANSWER - hyponatremia (sweat is salty, you're loosing it)
Sarah has the following lab values, what is she suffering from? Na-150,
K-2.5. - ANSWER - Hypernatremia and Hypokalemia
A patient with Hypovolemia would have which of the following lab
values? - ANSWER - decreased urine sodium
pg. 2
,Which of the following causes fluid overload? - ANSWER - CHF heart
failure
A patient is suffering from dehydration, what is the priority lab to
monitor? - ANSWER - Sodium
A patient is being put on fluid restriction what is important in monitoring
for this patient? - ANSWER - Daily Weight
What electrolyte is within extracellular fluid? - ANSWER - Sodium (salt
outside, bananas inside)
What electrolyte is within INtracellular fluid? - ANSWER - Potasium
(salt outside, bananas inside)
How many mL of fluid per day is excreted by exhalation? - ANSWER -
300mL
A patient has just had an ileostomy after colon cancer surgery, what is he
at risk for? - ANSWER - Dehydration
A patient with fluid volume deficit would benefit from which
intervention? - ANSWER - Fall precautions
pg. 3
, A client admitted with hypoparathyroidism following a radical neck
dissection reports irritability, anxiety, and diarrhea. What is the priority
nursing intervention? - ANSWER - Monitor the client for laryngospasm
A patient with hyperparathyroidism is experiencing symptoms of
hypercalcemia.
Which care strategy should the nurse apply? - ANSWER - Provide IV
fluids and administer prescribed diuretics
A patient with congestive heart failure (CHF) is taking loop diuretics.
Which factor primarily contributes to the electrolyte imbalance in this
patient? - ANSWER - High potassium loss in urine
A patient with diabetic ketoacidosis (DKA) presents with high serum
potassium levels. Which factor contributes to this electrolyte imbalance?
- ANSWER - Potassium shifts from cells to bloodstream
A nurse Is assessing a client with chronic renal failure who presents with
tall tented T waves on the cardiac electrocardiogram (ECG). Which
electrolyte imbalance should the nurse suspect? - ANSWER -
Hyperkalemia
A 52-year-old female with a recent history of prolonged vomiting and
nasogastric suction presents with muscle weakness and fatigue. Her
electrocardiogram (ECG) reveals flattened T waves and the presence of
pg. 4
EXAM TEST BANK| MEDICAL-SURGICAL NURSING II
EXAM 2 REVIEW WITH COMPLETE 300 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
A patient is showing tall T waves on the EKG, what acid base imbalance
is occurring? - ANSWER - Metabolic Acidosis
What intervention is appropriate for a patient with Metabolic Acidosis? -
ANSWER - Replace fluids and electrolytes
A patient is suffering from metabolic acidosis, which symptom is
appropriate? - ANSWER - Kussmauls respirations (is characterized by a
deep, rapid breathing pattern. It is typically an indication that the body
or organs have become too ACIDIC. In an attempt to expel carbon
dioxide, which is an acidic compound in blood, the body starts to
breathe faster and deeper.)
A patient reports 4 lbs. weight gain, what would be the suspected
diagnosis? - ANSWER - Hypervolemia
Trousseau's sign is elicited by? - ANSWER - Using a blood pressure cuff
to the patients arm
pg. 1
,The first step in interpreting an ABG is to label the ? - ANSWER - PH
A patient is taking Lasix for CHF we know this can result in which
electrolyte imbalance? - ANSWER - Hypokalemia (Lasix kicks out
potassium)
A patient presents with nausea and vomiting over the past 72 hrs., what
would be a priority intervention? - ANSWER - Obtain IV access and
administer IV fluids
A nurse understands that dehydration is caused by which of the
following? - ANSWER - fever (fever dehydrates)
A common cause of fluid overload would be which of the following? -
ANSWER - long-term corticosteroid therapy
A construction worker with excessive sweating is at risk for? -
ANSWER - hyponatremia (sweat is salty, you're loosing it)
Sarah has the following lab values, what is she suffering from? Na-150,
K-2.5. - ANSWER - Hypernatremia and Hypokalemia
A patient with Hypovolemia would have which of the following lab
values? - ANSWER - decreased urine sodium
pg. 2
,Which of the following causes fluid overload? - ANSWER - CHF heart
failure
A patient is suffering from dehydration, what is the priority lab to
monitor? - ANSWER - Sodium
A patient is being put on fluid restriction what is important in monitoring
for this patient? - ANSWER - Daily Weight
What electrolyte is within extracellular fluid? - ANSWER - Sodium (salt
outside, bananas inside)
What electrolyte is within INtracellular fluid? - ANSWER - Potasium
(salt outside, bananas inside)
How many mL of fluid per day is excreted by exhalation? - ANSWER -
300mL
A patient has just had an ileostomy after colon cancer surgery, what is he
at risk for? - ANSWER - Dehydration
A patient with fluid volume deficit would benefit from which
intervention? - ANSWER - Fall precautions
pg. 3
, A client admitted with hypoparathyroidism following a radical neck
dissection reports irritability, anxiety, and diarrhea. What is the priority
nursing intervention? - ANSWER - Monitor the client for laryngospasm
A patient with hyperparathyroidism is experiencing symptoms of
hypercalcemia.
Which care strategy should the nurse apply? - ANSWER - Provide IV
fluids and administer prescribed diuretics
A patient with congestive heart failure (CHF) is taking loop diuretics.
Which factor primarily contributes to the electrolyte imbalance in this
patient? - ANSWER - High potassium loss in urine
A patient with diabetic ketoacidosis (DKA) presents with high serum
potassium levels. Which factor contributes to this electrolyte imbalance?
- ANSWER - Potassium shifts from cells to bloodstream
A nurse Is assessing a client with chronic renal failure who presents with
tall tented T waves on the cardiac electrocardiogram (ECG). Which
electrolyte imbalance should the nurse suspect? - ANSWER -
Hyperkalemia
A 52-year-old female with a recent history of prolonged vomiting and
nasogastric suction presents with muscle weakness and fatigue. Her
electrocardiogram (ECG) reveals flattened T waves and the presence of
pg. 4
