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WorksheetsNCLEX - FLUIDS & ELECTROLYTE Day3
Total questions: 15
Worksheet time: 15mins
Name
Class
Date
1.
Which client needs isotonic crystalloid administration?
a)
Closed-head injury with signs of ICP
b)
Acute gastroenteritis and dehydration
c)
Seizures with sodium 112
d)
Chronic renal failure with hypertensive crisis
2.
Which of the following clinical conditions exacerbates electrolyte excretion?
a)
Nasogastric feedings
b)
Use of surgical drains
c)
Immobility from fractures
d)
Chronic water drinking
3.
A diet containing the minimum daily sodium requirement for an adult would be:
a)
A no-salt diet
b)
A diet including 2 gm sodium
c)
A diet including 4 gm sodium
d)
A 1500 calorie weight-loss diet
4.
In renal regulation of water balance, the functions of angiotensin II include:
a)
Blood clotting within the nephron.
b)
Increasing progesterone secretion into the renal tubules.
c)
Catalyzing calcium-rich nutrients.
d)
Selectively constricting portions of the arteriole in the nephron.
5.
When assessing a patient’s total body water percentage, the nurse is aware that all of the following factors influence this except:
a)
Age
b)
Fat tissue
c)
Muscle mass
d)
Gender
6.
Khan is suffering from fluid volume deficit (FVD), which of the following symptoms would the nurse expect to assess in the patient?
a)
Rales
b)
Bounding pulse
c)
Tachycardia
d)
Bulging neck veins
7.
John Reid is admitted to the hospital and is currently receiving hypertonic fluids. Nursing management for the client includes monitoring for all of the following potential complications except:
a)
Water intoxication
b)
Fluid volume excess (FVE)
c)
Cellular dehydration
d)
Cell shrinkage
8.
Mr. Wenceslao is scheduled to receive an isotonic solution; which one of the following is an example of such a solution?
a)
D10% W
b)
0.45% saline
c)
0.9% saline
d)
3% normal saline W
9.
Which of the following arterial blood gas (ABG) values indicates uncompensated metabolic alkalosis?
a)
pH 7.48, PaCO2 42, HCO3 30
b)
pH 7.48, PaCO2 46, HCO3 30
c)
pH 7.48, PaCO2 34, HCO3 20
d)
pH 7.48, PaCO2 34, HCO3 26
10.
The body’s compensation of metabolic alkalosis involves:
a)
Increasing the respiratory rate
b)
Decreasing the respiratory rate
c)
Increasing urine output
d)
Decreasing urine output
11.
A nurse is performing physical assessments for patients with fluid imbalance. Which finding indicates a fluid volume excess?
a)
a pinched and drawn facial expression
b)
deep, rapid respirations
c)
moist crackles heard upon auscultation
d)
tachycardia
12.
The nurse observes skin tenting on the back of the older adult client's hand. Which action by the nurse is most appropriate?
a)
Notify the physician
b)
Examine dependent body areas.
c)
Assess turgor on the client's forehead.
d)
Document the finding and continue to monitor
13.
Which assessment does the nurse use to determine the adequacy of circulation in a client whose blood osmolarity is 250 mOsm/L?
a)
Measuring urine output
b)
Measuring abdominal girth
c)
Monitoring fluid intake
d)
Comparing radial versus apical pulses
14.
Which statement made by the older adult client alerts the nurse to assess specifically for fluid and electrolyte imbalances?
a)
My skin is always so dry, especially here in the Southwest."
b)
"I often use a glycerin suppository for constipation.
c)
"I don't drink liquids after 5 PM so I don't have to get up at night."
d)
"In addition to coffee, I drink at least one glass of water with each meal."
15.
A client has been taught to restrict dietary sodium. Which food selection by the client indicates to the nurse that teaching has been effective?
a)
Chinese take-out, including steamed rice
b)
A grilled cheese sandwich with tomato soup
c)
Slices of ham and cheese on whole grain crackers
d)
A chicken leg, one slice of bread with butter, and steamed carrots
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