NR 226
m
NR 226/ NR226 FINAL EXAM: F UNDAMENTALS: PATI
M M M M M M
ENT CARE GUIDE | Q UESTIONS & ANSWERS| G RADE A|
M M M M M M M M M
100% CORRECT (VERIFIED S OLUTIONS) (NEW 2025
M M M M M
/ 2026 UPDATE) - C HAMBERLAIN
M M M M
1. The RN is assessing a client who has hypercalcemia. Which o
m m m m m m m m m m m
f the following findings would the nurse expect? Select all that
m m m m m m m m m m m
apply.
A .Nausea and vomiting
m m m
B. Confusion
C. Hyperreflexia
D. Numbness/tingling
E. Pallor: A. Nausea and vomiting
m m m m
B. Confusion
m
2. The RN is reviewing lab values for a group of clients and not
m m m m m m m m m m m m m
ices a sodium level of 130 mEq/L. The nurse understands that
m m m m m m m m m m m
which client is at highest risk for the development of this lab v
m m m m m m m m m m m m
alue?
A. The client who is taking furosemide (a diuretic)
m m m m m m m
B. The client who is in renal failure
m m m m m m
NRm 226mmmmmmmm1m/m56
, 2
NR 226
m
C. The client who takes a multi-vitamin
m m m m m
D. The client who was admitted to hospice: A. The client who is t
m m m m m m m m m m m m
aking furosemide m m
(a diuretic)
m
3. The body's fluid and electrolyte balance is maintained parti
m m m m m m m m m
ally by hormonal regulation. Which of the following statement
m m m m m m m m
s shows an understanding of this mechanism?
m m m m m m
A. "The pituitary secretes aldosterone."
m m m
B. "The kidneys secrete antidiuretic hormone."
m m m m
C. "The adrenal cortex secretes antidiuretic hormone."
m m m m m
D. "The pituitary gland secretes antidiuretic hormone.": D. "Th
m m m m m m m
e pituitary gland secretes antidiuretic hormone."
m m m m m
4. While reviewing a client's progress notes, the RN reads "ins
m m m m m m m m m m
ensible fluid loss of approximately 700 mL daily". The RN und
m m m m m m m m m m
erstands that this type of fluid loss can occur through:
m m m m m m m m m
A. The GI tract m m
B. Urine output m
C. Wound drainage m
D. The skin m
E. Emesis: D. The skin m m m
5. A senior student nurse delegates the task of intake and outp
m m m m m m m m m m m
ut to a new unlicensed assistive personnel (UAP). The student
m m m m m m m m m m
NRm 226mmmmmmmm2m/m56
, 3
NR 226
m
will verify that the UAP understands the task of I&O when the
m m m m m m m m m m m m
UAP states
m
A. "I will record the amount of all voided urine."
m m m m m m m m
B. "I will not count liquid stools as output."
m m m m m m m
C. "I will not record a café mocha as intake."
m m m m m m m m
D. "I will notate perspiration and record it as a small or large
m m m m m m m m m m m m
amount.": A. "I will record the amount of all voided urine."
m m m m m m m m m m
6. A nurse is inserting an IV line into a client's vein. After the i
m m m m m m m m m m m m m m
nitial stick the nurse continues to advance the catheter if the n
m m m m m m m m m m m
urse notes that:
m m
A. The catheter advances easily
m m m
B. Blood returns shows in the flashback chamber
m m m m m m
C. The vein is distended under the needle
m m m m m m
D. The client does not complain of discomfort: B. Blood returns
m m m m m m m m m m
shows in the flashback chamber
m m m m
7. You are caring for a client who is depressed because the onl
m m m m m m m m m m m m
y child has gone away to college. The nurse will assess this typ
m m m m m m m m m m m m
e of depression as:
m m m m
A. actual loss m
B. perceived loss m
C. situational loss m
D. maturational loss: D. maturational loss m m m m
NRm 226mmmmmmmm3m/m56
, 4
NR 226
m
8. Which of the following is an example of disenfranchised grie
m m m m m m m m m m
f?
A. A newly-m
widowed individual does not want to remove her husband's cl
m m m m m m m m m
othes from the closet
m m m
B. A teenage client dies from a car accident and the client's
m m m m m m m m m m m
mother is crying loudly in the hospital hallway
m m m m m m m
C. A client verbalizes being upset by voluntarily giving a ne
m m m m m m m m m
wborn up for adoptionm m m
D. A person is unwilling to discuss the loss of a child for sev
m m m m m m m m m m m m
eral months after the death: C. A client verbalizes being upset by
m m m m m m m m m m m m
voluntarily giving a newborn up for adoption
m m m m m m
9. A client has been told by the healthcare provider that remai
m m m m m m m m m m m
ning life expectancy is approximately 3 months. The client tell
m m m m m m m m m
s the immediate family that the doctor is incorrect and that he
m m m m m m m m m m m
m"will get better by my birthday in a month". Which stage of gr
m m m m m m m m m m m m
ieving is this client experiencing?
m m m m
A. Acceptance
B. Denial
C. Depression
D. Anger: B. Denial m m
NRm 226mmmmmmmm4m/m56