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# TEAS (Version 2) – Practice Exam # TEAS (Version 2) – Practice Exam
Typology: Exercises
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Passage 1 (Questions 1–5): The renin-angiotensin-aldosterone system (RAAS) is a hormone system that regulates blood pressure and fluid balance. When blood pressure drops, the kidneys release renin. Renin converts angiotensinogen to angiotensin I, which is then converted to angiotensin II by angiotensin-converting enzyme (ACE). Angiotensin II causes vasoconstriction and stimulates aldosterone release, leading to sodium and water retention, which increases blood pressure.
1. What triggers the release of renin? A) High blood pressure B) Low blood pressure C) High sodium levels D) Low potassium levels
💡 RATIONALE – Passage states: "When blood pressure drops, the kidneys release renin." ✔️ ANSWER – B) Low blood pressure
2. Angiotensin II causes: A) Vasodilation and decreased blood pressure B) Vasoconstriction and increased blood pressure
C) Increased urine output D) Decreased aldosterone release
💡 RATIONALE – Angiotensin II causes vasoconstriction and stimulates aldosterone release, raising BP. ✔️ ANSWER – B) Vasoconstriction and increased blood pressure
3. ACE converts: A) Renin to angiotensinogen B) Angiotensin I to angiotensin II C) Angiotensin II to aldosterone D) Aldosterone to renin
💡 RATIONALE – ACE converts angiotensin I to angiotensin II. ✔️ ANSWER – B) Angiotensin I to angiotensin II
4. Aldosterone causes: A) Sodium excretion B) Sodium and water retention C) Potassium retention D) Vasodilation
💡 RATIONALE – Aldosterone increases sodium and water reabsorption (raises BP). ✔️ ANSWER – B) Sodium and water retention
7. The crackles and edema indicate: A) Dehydration B) Fluid overload C) Infection D) Kidney failure
💡 RATIONALE – Crackles (pulmonary congestion) and edema = fluid overload in heart failure. ✔️ ANSWER – B) Fluid overload
8. A 2-gram sodium diet means the client should: A) Avoid all fluids B) Limit sodium to 2 grams per day C) Increase potassium intake D) Drink 2 liters of water daily
💡 RATIONALE – Sodium restriction reduces fluid retention in heart failure. ✔️ ANSWER – B) Limit sodium to 2 grams per day
9. Which food is highest in sodium? A) Fresh apple B) Canned vegetable soup C) Brown rice D) Unsalted almonds
💡 RATIONALE – Canned soups are high in sodium (preservatives). ✔️ ANSWER – B) Canned vegetable soup
10. Before administering furosemide, the nurse should check: A) Blood glucose B) Potassium level C) Hemoglobin D) White blood cell count
💡 RATIONALE – Furosemide causes potassium loss; hypokalemia risk requires monitoring. ✔️ ANSWER – B) Potassium level
Passage 3 (Questions 11–15): A client is brought to the emergency department after a motor vehicle accident. The client is conscious but confused. The nurse notes asymmetrical pupils, blood pressure 160/90, heart rate 52 bpm, and irregular respirations.
11. The client's vital signs suggest: A) Hypovolemic shock B) Increased intracranial pressure (ICP) C) Heart failure D) Sepsis
💡 RATIONALE – Hypertension + bradycardia + irregular respirations = Cushing's triad (increased ICP). ✔️ ANSWER – B) Increased intracranial pressure (ICP)
C) Epinephrine D) Atropine
💡 RATIONALE – Mannitol is an osmotic diuretic used to reduce cerebral edema in increased ICP. ✔️ ANSWER – B) Mannitol
15. The nurse should notify the provider immediately if the client develops: A) Increased confusion B) Blood pressure 130/ C) Heart rate 70 bpm D) Urine output 50 mL/hr
💡 RATIONALE – Worsening neurological status indicates deteriorating condition. ✔️ ANSWER – A) Increased confusion
Passage 4 (Questions 16–18): The nurse is reviewing laboratory values for a client with chronic kidney disease. Hemoglobin 9.2 g/dL, Hematocrit 28%, BUN 48 mg/dL, Creatinine 3.9 mg/dL, Potassium 5.8 mEq/L.
16. The low hemoglobin and hematocrit indicate: A) Polycythemia B) Anemia C) Dehydration D) Infection
💡 RATIONALE – Low Hgb/Hct = anemia (common in CKD due to decreased erythropoietin). ✔️ ANSWER – B) Anemia
17. The potassium level of 5.8 mEq/L is: A) Normal B) Low (hypokalemia) C) High (hyperkalemia) D) Critical low
💡 RATIONALE – Normal potassium = 3.5–5.0; 5.8 is hyperkalemia. ✔️ ANSWER – C) High (hyperkalemia)
18. Which finding would the nurse expect with hyperkalemia? A) Muscle weakness B) Tetany C) Constipation D) Hypotension
💡 RATIONALE – Hyperkalemia causes muscle weakness and cardiac arrhythmias. ✔️ ANSWER – A) Muscle weakness
💡 RATIONALE – 10 ÷ 5 = 2 tablets. ✔️ ANSWER – C) 2 tablets
22. Solve: (22 – 7) ÷ 3 + 5 =? A) 8 B) 9 C) 10 D) 11
💡 RATIONALE – Parentheses: 22 – 7 = 15 ; 15 ÷ 3 = 5 ; 5+5= 10. ✔️ ANSWER – C) 10
23. What is 75% of 160? A) 100 B) 110 C) 120 D) 130
💡 RATIONALE – 0.75 × 160 = 120. ✔️ ANSWER – C) 120
24. A nurse works 5 shifts of 7.5 hours each. Total hours? A) 35.5 hours B) 36 hours C) 37.5 hours D) 38 hours
💡 RATIONALE – 7.5 × 5 = 37.5 hours. ✔️ ANSWER – C) 37.5 hours
25. A patient weighs 220 lb. Convert to kg (1 kg = 2.2 lb). A) 90 kg B) 95 kg C) 100 kg D) 105 kg
💡 RATIONALE – 220 ÷ 2.2 = 100 kg. ✔️ ANSWER – C) 100 kg
26. 3/5 – 1/10 =? A) 1/ B) 1/ C) 2/ D) 3/
30. A nurse infuses 110 mL/hr for 6 hours. Total mL? A) 600 mL B) 620 mL C) 640 mL D) 660 mL
💡 RATIONALE – 110 × 6 = 660 mL. ✔️ ANSWER – D) 660 mL
31. 7/8 as a decimal is: A) 0. B) 0. C) 0. D) 0.
💡 RATIONALE – 7 ÷ 8 = 0.875.
32. A patient's intake: 1.6 L IV, 360 mL juice, 90 mL ice chips (half volume). Total intake in mL? A) 1,910 mL B) 1,950 mL C) 2,000 mL D) 2,050 mL
💡 RATIONALE – 1.6 L = 1600 mL; ice chips 90 mL solid = 45 mL liquid; 1600+360=1960; +45=2005 mL (≈2000 mL). ✔️ ANSWER – C) 2,000 mL
33. 8.4 × 100 =? A) 84 B) 840 C) 8, D) 84,
💡 RATIONALE – 8.4 × 100 = 840. ✔️ ANSWER – B) 840
34. A nurse must give 0.125 mg of digoxin. Available is 0.25 mg tablets. How many tablets? A) 0.25 tablet
37. A patient needs 2,200 mL over 24 hours. Hourly rate? A) 90 mL/hr B) 91.67 mL/hr C) 92 mL/hr D) 95 mL/hr
💡 RATIONALE – 2200 ÷ 24 ≈ 91.67 mL/hr. ✔️ ANSWER – B) 91.67 mL/hr
38. 3 3/4 hours = how many minutes? A) 200 min B) 210 min C) 220 min D) 225 min
💡 RATIONALE – 3.75 × 60 = 225 minutes. ✔️ ANSWER – D) 225 min
39. A nurse earns $38 per hour. How much for a 11.5-hour shift? A) $ B) $
40. 0.02 as a fraction in lowest terms is: A) 1/ B) 1/ C) 1/ D) 1/
💡 RATIONALE – 0.02 = 2/100 = 1/50. ✔️ ANSWER – C) 1/
41. Which organelle is responsible for protein synthesis? A) Nucleus B) Ribosome C) Mitochondria D) Lysosome
💡 RATIONALE – Ribosomes synthesize proteins from amino acids.
B) Type A only C) Type B only D) All blood types
💡 RATIONALE – Type O is universal donor → can be given to all. ✔️ ANSWER – D) All blood types
45. Normal adult respiratory rate is: A) 6–12 breaths/min B) 12–20 breaths/min C) 20–30 breaths/min D) 30–40 breaths/min
💡 RATIONALE – Normal RR = 12 – 20 /min. ✔️ ANSWER – B) 12 – 20 breaths/min
46. Which chamber of the heart pumps blood to the body? A) Right atrium B) Right ventricle C) Left atrium D) Left ventricle
💡 RATIONALE – Left ventricle pumps oxygenated blood into aorta → body. ✔️ ANSWER – D) Left ventricle
47. The hormone that lowers blood glucose is: A) Glucagon B) Insulin C) Cortisol D) Epinephrine
💡 RATIONALE – Insulin moves glucose into cells, lowering blood glucose. ✔️ ANSWER – B) Insulin
48. Which part of the brain controls voluntary muscle movement? A) Cerebellum B) Brainstem C) Frontal lobe (motor cortex) D) Occipital lobe
💡 RATIONALE – Motor cortex in frontal lobe controls voluntary movement. ✔️ ANSWER – C) Frontal lobe (motor cortex)
49. The functional unit of the kidney is the: A) Nephron B) Neuron