1|Page
NU136 EXAM 4 (GALEN) NEWEST 2025 ACTUAL EXAM
TEST BANK| NU 136 FUNDAMENTALS OF NURSING
EXAM 4 REVIEW WITH 400 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (BRAND NEW!!)
A patient complains of a vague, uneasy feeling of dread, and his heart
rate is elevated. What nursing diagnosis is most appropriate for this
patient?
A. Anger
B. Fear
C. Anxiety
D. Hopelessness - Correct Answer - C. Anxiety
Which nursing intervention is appropriate for a patient with
hyperkalemia?
A. Administer IV potassium chloride
B. Encourage potassium-rich foods
C. Give sodium polystyrene sulfonate (Kayexalate)
D. Restrict fluids - ANSWER - Give sodium polystyrene sulfonate
(Kayexalate)
Which of the following medications increases the risk of hypoglycemia
when taken with insulin?
pg. 1
,2|Page
A. Beta-blockers
B. Corticosteroids
C. Loop diuretics
D. NSAIDs - ANSWER - Beta-blockers
Beta-blockers can mask hypoglycemia symptoms and potentiate insulin
effects, increasing hypoglycemia risk.
The nurse is administering medication to an older adult. Which change
in aging affects drug metabolism?
A. Increased liver enzyme activity
B. Decreased renal function
C. Increased gastric acid secretion
D. Increased total body water - ANSWER - Decreased renal function
Older adults have decreased renal function, leading to slower drug
excretion and increased risk of toxicity.
A family member tells you that the patient is pretending to have the
symptoms of a stomach ulcer to avoid going to work. Which
somatoform disorder is the patient most likely experiencing?
A. Hypochondriasis
B. Somatization
C. Somatoform pain disorder
D. Malingering - Correct Answer - D. Malingering
pg. 2
,3|Page
At the end of a guided imagery session, what physical assessment
finding would suggest that the relaxation technique was successful?
A. Decreased blood pressure
B. Decreased peripheral skin temperature
C. Increased heart rate
D. Increased respiratory rate - Correct Answer - A. Decreased blood
pressure
A patient's serum potassium level is 2.8 mEq/L. Which ECG change
should the nurse anticipate?
A. Peaked T waves
B. ST-segment depression
C. Prolonged QT interval
D. Widened QRS complex - ANSWER - ST segment depression
Hypokalemia can cause ST-segment depression, flat or inverted T
waves, and the presence of U waves on an ECG. Peaked T waves are
associated with hyperkalemia.
A patient with end-stage renal disease is experiencing
hyperphosphatemia. Which complication is most concerning?
A. Tetany
B. Hypotension
C. Hyperglycemia
D. Hypertension - ANSWER - Tetany
pg. 3
, 4|Page
High phosphorus levels lead to low calcium levels, increasing the risk of
tetany and neuromuscular irritability.
A patient with prolonged nasogastric suctioning is at risk for which acid-
base imbalance?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis - ANSWER - Metabolic alkalosis
Loss of gastric contents (which are acidic) causes an excess of
bicarbonate, leading to metabolic alkalosis.
A patient with COPD is likely to have which acid-base imbalance?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis - ANSWER - Respiratory acidosis
COPD patients retain CO₂, leading to respiratory acidosis due to
increased carbonic acid.
Which IV fluid is best for a patient with hypovolemic shock?
A. D5W
B. 0.45% Normal Saline
pg. 4
NU136 EXAM 4 (GALEN) NEWEST 2025 ACTUAL EXAM
TEST BANK| NU 136 FUNDAMENTALS OF NURSING
EXAM 4 REVIEW WITH 400 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (BRAND NEW!!)
A patient complains of a vague, uneasy feeling of dread, and his heart
rate is elevated. What nursing diagnosis is most appropriate for this
patient?
A. Anger
B. Fear
C. Anxiety
D. Hopelessness - Correct Answer - C. Anxiety
Which nursing intervention is appropriate for a patient with
hyperkalemia?
A. Administer IV potassium chloride
B. Encourage potassium-rich foods
C. Give sodium polystyrene sulfonate (Kayexalate)
D. Restrict fluids - ANSWER - Give sodium polystyrene sulfonate
(Kayexalate)
Which of the following medications increases the risk of hypoglycemia
when taken with insulin?
pg. 1
,2|Page
A. Beta-blockers
B. Corticosteroids
C. Loop diuretics
D. NSAIDs - ANSWER - Beta-blockers
Beta-blockers can mask hypoglycemia symptoms and potentiate insulin
effects, increasing hypoglycemia risk.
The nurse is administering medication to an older adult. Which change
in aging affects drug metabolism?
A. Increased liver enzyme activity
B. Decreased renal function
C. Increased gastric acid secretion
D. Increased total body water - ANSWER - Decreased renal function
Older adults have decreased renal function, leading to slower drug
excretion and increased risk of toxicity.
A family member tells you that the patient is pretending to have the
symptoms of a stomach ulcer to avoid going to work. Which
somatoform disorder is the patient most likely experiencing?
A. Hypochondriasis
B. Somatization
C. Somatoform pain disorder
D. Malingering - Correct Answer - D. Malingering
pg. 2
,3|Page
At the end of a guided imagery session, what physical assessment
finding would suggest that the relaxation technique was successful?
A. Decreased blood pressure
B. Decreased peripheral skin temperature
C. Increased heart rate
D. Increased respiratory rate - Correct Answer - A. Decreased blood
pressure
A patient's serum potassium level is 2.8 mEq/L. Which ECG change
should the nurse anticipate?
A. Peaked T waves
B. ST-segment depression
C. Prolonged QT interval
D. Widened QRS complex - ANSWER - ST segment depression
Hypokalemia can cause ST-segment depression, flat or inverted T
waves, and the presence of U waves on an ECG. Peaked T waves are
associated with hyperkalemia.
A patient with end-stage renal disease is experiencing
hyperphosphatemia. Which complication is most concerning?
A. Tetany
B. Hypotension
C. Hyperglycemia
D. Hypertension - ANSWER - Tetany
pg. 3
, 4|Page
High phosphorus levels lead to low calcium levels, increasing the risk of
tetany and neuromuscular irritability.
A patient with prolonged nasogastric suctioning is at risk for which acid-
base imbalance?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis - ANSWER - Metabolic alkalosis
Loss of gastric contents (which are acidic) causes an excess of
bicarbonate, leading to metabolic alkalosis.
A patient with COPD is likely to have which acid-base imbalance?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis - ANSWER - Respiratory acidosis
COPD patients retain CO₂, leading to respiratory acidosis due to
increased carbonic acid.
Which IV fluid is best for a patient with hypovolemic shock?
A. D5W
B. 0.45% Normal Saline
pg. 4
