NSG 3100 EXAM 4 | ACTUAL
QUESTIONS AND ANSWERS |
UPDATED EXAM | 100%
CORRECT - GALEN.
Question 1
A nurse is caring for a patient with a serum sodium level of 120 mEq/L. Which
assessment is the priority?
A. Bowel sounds
B. Skin turgor
C. Neurological status
D. Urine output
Answer: C. Neurological status
Rationale: Severe hyponatremia may lead to cerebral edema, seizures, confusion,
and coma. Neurological assessment is the priority.
Question 2
Which food is highest in vitamin C?
,A. Cheese
B. Tomatoes
C. Rice
D. Chicken
Answer: B. Tomatoes
Rationale: Tomatoes and citrus fruits are excellent sources of vitamin C, an
important antioxidant.
Question 3
Which electrolyte imbalance places a patient at greatest risk for cardiac
dysrhythmias?
A. Hypernatremia
B. Hyperkalemia
C. Hypermagnesemia
D. Hyperphosphatemia
Answer: B. Hyperkalemia
Rationale: Elevated potassium interferes with cardiac conduction and can produce
fatal arrhythmias.
,Question 4
A patient receiving tube feedings should be positioned:
A. Flat
B. Trendelenburg
C. High-Fowler's (30–45° or higher)
D. Side-lying only
Answer: C. High-Fowler's
Rationale: Elevating the head reduces aspiration risk.
Question 5
Which finding suggests fluid volume deficit?
A. Bounding pulse
B. Hypertension
C. Tachycardia
D. Edema
Answer: C. Tachycardia
Rationale: Tachycardia is an early compensatory response to hypovolemia.
, Question 6
Which IV solution is isotonic?
A. 0.45% Normal Saline
B. D5W (after metabolism)
C. Lactated Ringer's
D. 3% Saline
Answer: C. Lactated Ringer's
Rationale: Lactated Ringer's is an isotonic crystalloid commonly used for fluid
replacement.
Question 7
A positive Chvostek's sign indicates:
A. Hypernatremia
B. Hypocalcemia
C. Hyperkalemia
D. Hypermagnesemia
Answer: B. Hypocalcemia
QUESTIONS AND ANSWERS |
UPDATED EXAM | 100%
CORRECT - GALEN.
Question 1
A nurse is caring for a patient with a serum sodium level of 120 mEq/L. Which
assessment is the priority?
A. Bowel sounds
B. Skin turgor
C. Neurological status
D. Urine output
Answer: C. Neurological status
Rationale: Severe hyponatremia may lead to cerebral edema, seizures, confusion,
and coma. Neurological assessment is the priority.
Question 2
Which food is highest in vitamin C?
,A. Cheese
B. Tomatoes
C. Rice
D. Chicken
Answer: B. Tomatoes
Rationale: Tomatoes and citrus fruits are excellent sources of vitamin C, an
important antioxidant.
Question 3
Which electrolyte imbalance places a patient at greatest risk for cardiac
dysrhythmias?
A. Hypernatremia
B. Hyperkalemia
C. Hypermagnesemia
D. Hyperphosphatemia
Answer: B. Hyperkalemia
Rationale: Elevated potassium interferes with cardiac conduction and can produce
fatal arrhythmias.
,Question 4
A patient receiving tube feedings should be positioned:
A. Flat
B. Trendelenburg
C. High-Fowler's (30–45° or higher)
D. Side-lying only
Answer: C. High-Fowler's
Rationale: Elevating the head reduces aspiration risk.
Question 5
Which finding suggests fluid volume deficit?
A. Bounding pulse
B. Hypertension
C. Tachycardia
D. Edema
Answer: C. Tachycardia
Rationale: Tachycardia is an early compensatory response to hypovolemia.
, Question 6
Which IV solution is isotonic?
A. 0.45% Normal Saline
B. D5W (after metabolism)
C. Lactated Ringer's
D. 3% Saline
Answer: C. Lactated Ringer's
Rationale: Lactated Ringer's is an isotonic crystalloid commonly used for fluid
replacement.
Question 7
A positive Chvostek's sign indicates:
A. Hypernatremia
B. Hypocalcemia
C. Hyperkalemia
D. Hypermagnesemia
Answer: B. Hypocalcemia
