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Med Surg Exam 3 Newest 2026/2027 Complete All 150 Questions And
Correct Detailed Answers |Already Graded A+||Already Graded A+
The nurse is assigned to care for a client with a serum phosphorus concentration of 5.0 mg/dL
(1.61 mmol/L). The nurse anticipates that the client will also experience which electrolyte
imbalance?
Hypocalcemia
Hyponatremia
Hyperchloremia
Hypermagnesemia - ANSWER=Hypocalcemia
The nurse is participating in the care of a client who had a peripherally inserted central
catheter (PICC) placed in the right arm. After catheter placement, the nurse should complete
which action?
Obtain written consent for the procedure.
Send the client for a chest x-ray.
Assess the client's blood pressure (BP) on the right arm.
Administer the prescribed IV fluids. - ANSWER=Send the client for a chest x-ray.
Which electrolyte is a major anion in body fluid?
Potassium
Chloride - ANSWER=Chloride
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The calcium concentration in the blood is regulated by which mechanism?
Parathyroid hormone (PTH)
Thyroid hormone (TH)
Androgens
Adrenal gland - ANSWER=Parathyroid hormone (PTH)
A nurse is monitoring a client being evaluated who has a potassium level of 7 mEq/L (mmol/L).
Which electrocardiogram changes will the client
display? elevated ST segment peaked T waves
prolonged T waves shortened PR interval -
ANSWER=peaked T waves
A client presents with anorexia, nausea and vomiting, deep bone pain, and constipation. The
following are the client's laboratory values.
sodium 130 mEq/L (130 mmol/L)potassium 4.6 mEq/L (4.6 mmol/L)chloride 94 mEq/L (94
mmol/L)calcium 12.9 mg/dL (3.2 mmol/L)
What laboratory value is consistent with the client's symptoms?
calcium 12.9 mg/dL (3.2 mmol/L) chloride 94 mEq/L (94 mmol/L) potassium
4.6 mEq/L (4.6 mmol/L) sodium 137 mEq/L (137 mmol/L) - ANSWER=calcium
12.9 mg/dL (3.2 mmol/L) Which solution is hypotonic?
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0.9% NaCl
0.45% NaCl
Lactated Ringer solution
5% NaCl - ANSWER=0.45% NaCl
A nurse is reviewing a report of a client's routine urinalysis. Which value requires further
investigation?
Absence of protein
Absence of glucose
Urine pH of 3.0
Specific gravity of 1.02 - ANSWER=Urine pH of 3.0
A client was admitted to the unit with a diagnosis of hypovolemia. When it is time to complete
discharge teaching, which of the following will the nurse teach the client and family? Select all
that apply.
a)Respond to thirst
b)Drink carbonated beverages to help balance fluid volume.
c)Drink water as an inexpensive way to meet fluid needs.
d)Drink caffeinated beverages to retain fluid.
e)Drink at least eight glasses of fluid each day. - ANSWER=a,c,e
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The nurse is caring for a client diagnosed with hyperchloremia. Which are signs and symptoms
of hyperchloremia? Select all that apply.
a)Tachypnea
b)Hypotension
c)Weakness
d)Dehydration
e)Lethargy - ANSWER=a,c,e
A nurse is providing client teaching about the body's plasma pH and the client asks the nurse
what is the major chemical regulator of plasma pH. What is the best response by the nurse?
renin-angiotensin-aldosterone system bicarbonate-
carbonic acid buffer system sodium-potassium pump
ADH-ANP buffer system - ANSWER=bicarbonate-carbonic acid buffer system
The physician has prescribed 0.9% sodium chloride IV for a hospitalized client in metabolic
alkalosis. Which nursing actions are required to manage this client? Select all that apply.
a)Administer IV bicarbonate.
b)Document presenting signs and symptoms.
c)Maintain intake and output records.
d)Compare ABG findings with previous results.
Med Surg Exam 3 Newest 2026/2027 Complete All 150 Questions And
Correct Detailed Answers |Already Graded A+||Already Graded A+
The nurse is assigned to care for a client with a serum phosphorus concentration of 5.0 mg/dL
(1.61 mmol/L). The nurse anticipates that the client will also experience which electrolyte
imbalance?
Hypocalcemia
Hyponatremia
Hyperchloremia
Hypermagnesemia - ANSWER=Hypocalcemia
The nurse is participating in the care of a client who had a peripherally inserted central
catheter (PICC) placed in the right arm. After catheter placement, the nurse should complete
which action?
Obtain written consent for the procedure.
Send the client for a chest x-ray.
Assess the client's blood pressure (BP) on the right arm.
Administer the prescribed IV fluids. - ANSWER=Send the client for a chest x-ray.
Which electrolyte is a major anion in body fluid?
Potassium
Chloride - ANSWER=Chloride
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The calcium concentration in the blood is regulated by which mechanism?
Parathyroid hormone (PTH)
Thyroid hormone (TH)
Androgens
Adrenal gland - ANSWER=Parathyroid hormone (PTH)
A nurse is monitoring a client being evaluated who has a potassium level of 7 mEq/L (mmol/L).
Which electrocardiogram changes will the client
display? elevated ST segment peaked T waves
prolonged T waves shortened PR interval -
ANSWER=peaked T waves
A client presents with anorexia, nausea and vomiting, deep bone pain, and constipation. The
following are the client's laboratory values.
sodium 130 mEq/L (130 mmol/L)potassium 4.6 mEq/L (4.6 mmol/L)chloride 94 mEq/L (94
mmol/L)calcium 12.9 mg/dL (3.2 mmol/L)
What laboratory value is consistent with the client's symptoms?
calcium 12.9 mg/dL (3.2 mmol/L) chloride 94 mEq/L (94 mmol/L) potassium
4.6 mEq/L (4.6 mmol/L) sodium 137 mEq/L (137 mmol/L) - ANSWER=calcium
12.9 mg/dL (3.2 mmol/L) Which solution is hypotonic?
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0.9% NaCl
0.45% NaCl
Lactated Ringer solution
5% NaCl - ANSWER=0.45% NaCl
A nurse is reviewing a report of a client's routine urinalysis. Which value requires further
investigation?
Absence of protein
Absence of glucose
Urine pH of 3.0
Specific gravity of 1.02 - ANSWER=Urine pH of 3.0
A client was admitted to the unit with a diagnosis of hypovolemia. When it is time to complete
discharge teaching, which of the following will the nurse teach the client and family? Select all
that apply.
a)Respond to thirst
b)Drink carbonated beverages to help balance fluid volume.
c)Drink water as an inexpensive way to meet fluid needs.
d)Drink caffeinated beverages to retain fluid.
e)Drink at least eight glasses of fluid each day. - ANSWER=a,c,e
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The nurse is caring for a client diagnosed with hyperchloremia. Which are signs and symptoms
of hyperchloremia? Select all that apply.
a)Tachypnea
b)Hypotension
c)Weakness
d)Dehydration
e)Lethargy - ANSWER=a,c,e
A nurse is providing client teaching about the body's plasma pH and the client asks the nurse
what is the major chemical regulator of plasma pH. What is the best response by the nurse?
renin-angiotensin-aldosterone system bicarbonate-
carbonic acid buffer system sodium-potassium pump
ADH-ANP buffer system - ANSWER=bicarbonate-carbonic acid buffer system
The physician has prescribed 0.9% sodium chloride IV for a hospitalized client in metabolic
alkalosis. Which nursing actions are required to manage this client? Select all that apply.
a)Administer IV bicarbonate.
b)Document presenting signs and symptoms.
c)Maintain intake and output records.
d)Compare ABG findings with previous results.
