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WorksheetsNCLEX - FLUIDS & ELECTROLYTE Day1 (Part 1)
Total questions: 15
Worksheet time: 15mins
Name
Class
Date
1.
The type of fluid used to manipulate fluid shifts among compartments states is:
a)
Whole blood
b)
TPN
c)
Albumin
d)
Ensure
2.
Mr. Miyazaki, who is diagnosed with bipolar disorder has been drinking copious amounts of water and voiding frequently. The patient is experiencing muscle cramps, twitching, and is reporting dizziness. the nurse checks lab work for:
a)
Complete blood count results, particularly the platelets.
b)
Electrolytes, particularly the serum sodium.
c)
Urine analysis, particularly for the presence of white blood cells.
d)
EEG results
3.
When teaching a patient about foods high in magnesium, the nurse would include:
a)
Green vegetables
b)
Butter
c)
Cheese
d)
Tomatoes
4.
The balance of anions and cations as it occurs across cell membranes is known as:
a)
Osmotic activity
b)
Electrical neutrality
c)
Electrical stability
d)
Sodium-potassium pump
5.
Maria, an 85-year-old patient with a feeding tube, has been experiencing severe watery stool. The patient is lethargic and has poor skin turgor, a pulse of 120, and hyperactive reflexes. Nursing interventions would include:
a)
Measuring and recording intake and output and daily weights.
b)
Administering salt tablets and monitoring hypertonic parenteral solutions.
c)
Administering sedatives.
d)
Applying wrist restraints to avoid displacement of the feeding tube.
6.
Disease of which of the following structures is most likely to affect electrolyte reabsorption?
a)
Glomerulus
b)
Renal tubules
c)
Bladder
d)
Renal pelvis
7.
Christoff is diagnosed with hypermagnesemia. Symptoms of her condition may include:
a)
Hypertension
b)
Tachycardia
c)
Hyperactive deep-tendon reflex
d)
Cardiac arrhythmias
8.
Daniel who is a marathon runner is at high risk for fluid volume deficit. Which one of the following is a related factor?
a)
Decreased diuresis
b)
Disease-related process
c)
Decreased breathing and perspiration
d)
Increased breathing and perspiration
9.
Jomarick is diagnosed with FVD; which of the following nursing diagnoses might apply to his condition?
a)
Altered urinary elimination
b)
Decreased cardiac output
c)
Increased cardiac output
d)
Vomiting
10.
Body fluids perform which of the following functions?
a)
Transport nutrients
b)
Transport electrical charges
c)
Cushion the organs
d)
Facilitate fat metabolism
11.
Sodium levels are affected by the secretion of which of the following hormones?
a)
Progesterone and aldosterone
b)
ADH and ACTH
c)
Antidiuretic hormone and FSH
d)
ECF and aldosterone
12.
Bicarbonate is lost during which of the following clinical conditions?
a)
Diarrhea
b)
Diuresis
c)
Diaphoresis
d)
Vomiting
13.
Annaliza has a nursing diagnosis of fluid volume deficit. Which one of the following medications could potentially exacerbate the problem?
a)
Synthroid
b)
Digoxin
c)
Lasix
d)
Insulin
14.
Alexander has hypotonic FVE; which of the following findings would the nurse expect to assess in the patient?
a)
Poor skin turgor and increased thirst
b)
Weight gain and thirst
c)
Interstitial edema and hypertension
d)
Hypotension and pitting edema
15.
Which client should the nurse question IV fluid prescription for?
a)
0.45% sodium chloride for severe gastroenteritis
b)
1000 mL NS bolus for anaphylaxis
c)
1000 mL NS bolus for DKA
d)
IV mannitol for head injury with increased ICP
e)
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