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WorksheetsNCLEX - FLUIDS & ELECTROLYTE Day2 (Part 1)
Total questions: 15
Worksheet time: 15mins
Name
Class
Date
1.
Which of the following blood products should be infused rapidly?
a)
Packed red blood cells (PRBC)
b)
Fresh frozen plasma (FFP)
c)
Platelets
d)
Dextran
2.
Which of the following statements provides the rationale for using a hypotonic solution for a patient with FVD?
a)
A hypotonic solution provides free water to help the kidneys eliminate the solute.
b)
A hypotonic solution supplies an excess of sodium and chloride ions.
c)
Excessive volumes are recommended in the early postoperative period.
d)
A hypotonic solution is used to treat hyponatremia.
3.
Redd is receiving a blood transfusion. When monitoring the patient, the nurse would analyze an elevated body temperature as indicating:
a)
A normal physiologic process.
b)
Evidence of sepsis.
c)
A possible transfusion reaction.
d)
An expected response to the transfusion.
4.
Hypophosphatemia may result from which of the following diseases?
a)
Liver cirrhosis
b)
Renal failure
c)
Paget’s disease
d)
4.Alcoholism
5.
A nurse is performing a physical assessment of a patient who is experiencing fluid volume excess. Upon examination of the patient's legs, the nurse documents: "Pitting edema; 6 mm pit; pit remains several seconds after pressing with obvious skin swelling." What grade of edema has this nurse
a)
1+ pitting edema
b)
.2+ pitting edema
c)
3+ pitting edema
d)
4+ pitting edema
6.
A nurse is preparing an IV solution for a patient who has hypernatremia. Which solutions are the best choices for this condition? Select all that apply.
a)
5% dextrose in 0.9% NaCl
b)
0.9% NaCl (normal saline)
c)
Lactated Ringer's solution
d)
0.33% NaCl (¹∕³-strength normal saline)
e)
0.45% NaCl (陆-strength normal saline)
7.
A nurse is assessing infants in the NICU for fluid balance status. Which nursing action would the nurse depend on as the most reliable indicator of a patient's fluid balance status
a)
Recording intake and output
b)
Testing skin turgor
c)
Reviewing the complete blood count
d)
Measuring weight daily
8.
Which acid-base imbalance would the nurse suspect after assessing the following arterial blood gas values: pH, 7.30; PaCO2, 36 mm Hg; HCO3−, 14 mEq/L?
a)
Respiratory acidosis
b)
Respiratory alkalosis
c)
Metabolic acidosis
d)
Metabolic alkalosis
9.
A patient has been encouraged to increase fluid intake. Which measure would be most effective for the nurse to implement?
a)
Explaining the mechanisms involved in transporting fluids to and from intracellular compartments
b)
Keeping fluids readily available for the patient
c)
Emphasizing the long-term outcome of increasing fluids when the patient returns home
d)
Planning to offer most daily fluids in the evening
10.
A nurse is flushing a patient's peripheral venous access device. The nurse finds that the access device is leaking fluid during flushing. What would be the nurse's priority intervention in this situation?
a)
remove the IV from the site and start at another location
b)
mmediately notify the primary care provide
c)
use a skin marker to outline the area with visible signs of infiltration to allow for assessment of changes
d)
aspirate the catheter and attempt to flush again
11.
A nurse is monitoring a patient who is receiving an IV infusion of normal saline. The patient is apprehensive and presents with a pounding headache, rapid pulse rate, chills, and dyspnea. What would be the nurse's priority intervention related to these symptoms
a)
Discontinue the infusion immediately, monitor vital signs, and report findings to primary care provider immediately
b)
low the rate of infusion, notify the primary care provider immediately and monitor vital signs.
c)
Pinch off the catheter or secure the system to prevent entry of air, place the patient in the Trendelenburg position, and call for assistance.
d)
Discontinue the infusion immediately, apply warm, moist compresses to the site, and restart the IV at another site
12.
A nurse carefully assesses the acid-base balance of a patient who is unable to effectively control his carbonic acid supply. This is most likely a patient with damage to which of the following?
a)
Kidneys
b)
Lungs
c)
Adrenal glands
d)
Blood vessels
13.
A nurse is monitoring a patient who is diagnosed with hypokalemia. Which nursing intervention would be appropriate for this patient?
a)
.Encourage foods and fluids with high sodium content.
b)
Administer oral K supplements as ordered.
c)
Caution the patient about eating foods high in potassium content.
d)
Discuss calcium-losing aspects of nicotine and alcohol use.
14.
A nurse is initiating a peripheral venous access IV infusion for a patient. Following the procedure, the nurse observes that the fluid does not flow easily into the vein and the skin around the insertion site is edematous and cool to the touch. What would be the nurse's next action related to these findings?
a)
Reposition the extremity and raise the height of the IV pole.
b)
Apply pressure to the dressing on the IV
c)
Pull the catheter out slightly and reinsert it.
d)
Put on gloves; remove the catheter; apply pressure with a sterile pad.
15.
When monitoring an IV site and infusion, a nurse notes pain at the access site with erythema and edema. What grade of phlebitis would the nurse document?
a)
1
b)
2
c)
3
d)
4
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