Exam 2: NR226 NR 226 Latest

Exam 2: NR226 / NR 226 (Latest

Update 2025 / 2026) Fundamentals:

Patient Care | Comprehensive Review Questions and Answers | 100% Correct | Grade A - Chamberlain

Question:

What is the purpose of saving all blood, tubing, and labeling after a blood transfusion reaction takes place?

Answer:

The purpose of saving the blood, tubing, and labeling is to evaluate if an error occurred in the blood administration process.

Question:

Which findings can suggest an acute hemolytic reaction after starting a blood transfusion? Select all that apply.

Answer:

Fever, blood in the urine, and hypotension are signs of an acute hemolytic reaction. 1 / 4

Question:

Which findings suggest delayed complications of a peripheral intravenous (IV) catheter? Select all that apply.

Answer:

When an IV is in for a long time, there is always a risk of infection, infiltration, bleeding, and pain.

Question:

A client with a low sodium level and a low serum osmolality level would be in which state?

Answer:

The client is in a hypotonic state due to low serum osmolality and low sodium levels. A hypotonic state refers to a decrease in electrolyte concentration in the extracellular fluid. In a hypotonic state, the cells grow as water in the extracellular fluid moves toward the higher sodium concentration inside the cells.

An isotonic state occurs when the electrolyte concentration stays the same but there is an overall bodily fluid loss. A hypertonic state also known as hypernatremia, refers to an imbalance of water and sodium in the body characterized by relatively increased levels of sodium. Generally, when water is excreted from the body, electrolyte (e.g., sodium) concentrations in the blood increase. A hypertonic state occurs when an individual excretes too much water without also excreting electrolytes, leaving the fluid that surrounds cells (i.e., extracellular fluid) with a high sodium concentration. A high concentration of sodium outside a cell will draw water out of the cell, towards the sodium. As water leaves the cell, the cell shrinks. 2 / 4

Question:

Appropriate Fluids

Fred (pronouns: he/him/his) was admitted with a ruptured abdominal aortic

aneurysm. After surgery, his bleeding is now under control, but he has lost a fair amount of blood. His blood pressure is 90/50, and his pulse rate is 130 bpm (beats per minute). His hemoglobin is 7.0 and his hematocrit is low.Which fluid would be appropriate based on the vitals, labs, and circumstances? Select all that apply.

Answer:

0.9% normal saline is isotonic and because his hemoglobin is low, PRBCs would be most appropriate in this situation.

Question:

Evaluate Intravenous Site

Answer:

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Question:

Fred appears to be experiencing a febrile non-hemolytic reaction. Which of the following nursing actions would you would perform? Select all that apply.

Answer:

The nurse should remain with the client, record signs and symptoms, and monitor vital signs at 5-minute intervals. The blood administration tubing should always be immediately removed for a new IV administration set to prevent the blood in the tubing from being given to the client. The blood container, tubing, labels, and records should always be saved and returned to the blood bank for analysis. The report should go immediately to the healthcare provider and emergency management team to ensure further orders as needed, and vital signs should be done every 5 minutes. The nurse should always be prepared for an emergency situation.

Question:

Assessment

Answer:

Frequently, the nurse assesses clients who will be starting or continuing intravascular therapy for a number of reasons. Key factors when assessing

these clients include:

hydration status reasons for therapy potential risks continued maintenance

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