NSG 3800 Exam 1 NSG 3800 Nursing Practice in Adult Health II Comprehensive Practice Questions & Study Guide LATEST UPDATE THIS YEAR.pdf

NSG 3800 Exam 1 NSG 3800 Nursing Practice
in Adult Health II Comprehensive Practice
Questions & Study Guide LATEST UPDATE
THIS YEAR.pdf


Exam Overview

The NSG 3800 Exam 1 is a foundational nursing assessment at Galen College focusing
on Nursing Practice in Adult Health II. The exam covers advanced principles of chronic
illness management, nursing care for complex disorders, and essential concepts including
fluid balance, electrolyte imbalances, arterial blood gases (ABGs), and acid-base
regulation .

Exam Details

Institution: Galen College of Nursing

 Course: NSG 3800 Nursing Practice in Adult Health II

 Format: Multiple-choice questions including NGN-style case studies and SATA
(Select All That Apply) formats

 Key Topics: Fluid & electrolyte imbalances, acid-base balance, hematological
disorders, endocrine disorders, gastrointestinal disorders

CORE DOMAINS COVERED

1. Fluid & Electrolyte Imbalances

, 2. Arterial Blood Gas (ABG) Interpretation & Acid-Base Balance

3. Hematological Disorders (Sickle Cell Anemia, Anemias)

4. Endocrine Disorders (SIADH, Thyroid Disorders)

5. Gastrointestinal Disorders

6. Fluid & Electrolyte Replacement Therapy

7. Medication Administration & Monitoring



SECTION ONE: FLUID & ELECTROLYTE IMBALANCES (Questions 1-40)

1. A client is admitted with a serum sodium level of 130 mEq/L. Which of the following
signs and symptoms should the nurse monitor for? (Select all that apply.)

 A) Increased urine output

 B) Convulsions

 C) Decreased level of consciousness

 D) Hypertension

 E) Polyuria

*Correct Answer: B and C *

Rationale: Hyponatremia (sodium <135 mEq/L) causes cellular swelling, particularly
affecting the central nervous system. Clinical manifestations include confusion,
restlessness, muscle twitching, seizures, and decreased level of consciousness.
Convulsions and decreased LOC are key findings due to cerebral edema .

,2. The nurse is providing care for a client with a decreased calcium level. Which of
the following foods should the nurse recommend? (Select all that apply.)

 A) Sardines

 B) Milk

 C) Cheese

 D) Broccoli

 E) Bananas

*Correct Answer: A, B, and C *

Rationale: Calcium-rich foods include dairy products (milk, cheese, yogurt) and fish with
edible bones such as sardines. These foods help increase serum calcium levels in clients
with hypocalcemia .



3. The nurse is providing care for a client who has a serum potassium level of 5.2
mEq/L. Which of the following signs and symptoms should the nurse monitor for?
(Select all that apply.)

 A) Irregular pulses

 B) Hypotension

 C) Muscle weakness

 D) Cardiac dysrhythmias

*Correct Answer: A, B, C, and D *

Rationale: Hyperkalemia (potassium >5.0 mEq/L) causes cardiac and neuromuscular
changes. Monitoring should include irregular pulses, hypotension, muscle weakness, and

, cardiac dysrhythmias. Cardiac monitoring is essential because hyperkalemia can lead to
life-threatening arrhythmias .



4. While the nurse is washing the face of a patient in renal failure, the patient
demonstrates a spasm of the lips and face. The nurse examines the recent electrolyte
levels to assess the level of which electrolyte?

 A) Potassium

 B) Calcium

 C) Magnesium

 D) Sodium

*Correct Answer: B *

Rationale: Facial muscle spasm is a sign of hypocalcemia. Chvostek's sign (contraction of
facial muscles when tapping the facial nerve) is a classic manifestation of low serum
calcium. Renal failure patients are at risk for electrolyte imbalances including
hypocalcemia .



5. Decreased blood pressure is the #1 sign of fluid volume deficit.

 A) True

 B) False

*Correct Answer: B *