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Worksheets1111 exam 5 pt.1
Total questions: 100
Worksheet time: 50mins
A nurse is assessing a client with dehydration. Which finding should the nurse expect?
Crackles in the lungs
Increased urine specific gravity
Distended neck veins
Bounding pulse
A client with hyponatremia is admitted. Which intervention should the nurse include in the plan of care?
Restrict free water intake
Administer hypotonic IV fluids
Encourage sodium-free diet
Provide diuretics
The nurse reviews a client’s lab results: Na+ 150 mEq/L. Which condition should the nurse suspect?
Hyponatremia
Hypokalemia
Hypernatremia
Hypocalcemia
Which IV solution is isotonic and used for fluid volume replacement in hypovolemia?
0.9% Sodium Chloride (Normal Saline)
3% Sodium Chloride
D5W
0.45% Sodium Chloride
A nurse is providing care for a client with potassium level 2.8 mEq/L. Which food should the nurse encourage?
Apples
Carrots
Chicken breast
Bananas
Which lab value indicates hypercalcemia?
Calcium 8.5 mg/dL
Calcium 9.2 mg/dL
Calcium 11.2 mg/dL
Calcium 7.6 mg/dL
The nurse recognizes which manifestation as a symptom of hypomagnesemia?
Positive Chvostek’s sign
Bradycardia
Hypoactive reflexes
Respiratory depression
The nurse recognizes which manifestation as a symptom of hypomagnesemia?
Positive Chvostek’s sign
Bradycardia
Hypoactive reflexes
Respiratory depression
Which of the following nursing actions prevents air embolism during central line removal?
Place the client supine
Instruct the client to exhale slowly
Instruct the client to perform Valsalva maneuver
Remove the line during inspiration
The nurse is assessing a client receiving a hypertonic solution. Which finding requires immediate intervention?
Dry mucous membranes
Mild thirst
Crackles in the lungs
Decreased heart rate
A nurse caring for a client with dehydration evaluates that fluid replacement is effective when which finding is noted?
Urine specific gravity 1.040
BP 90/50 mm Hg
Urine output 60 mL/hr
Heart rate 118 bpm
The nurse is assessing a client with hypervolemia. Which finding requires immediate attention?
Crackles in the lungs
Dry mucous membranes
Weak pulses
Flat neck veins
A client’s lab results show potassium 6.2 mEq/L. Which action should the nurse anticipate?
Administer potassium supplement
Prepare to administer Kayexalate
Restrict sodium intake
Provide a potassium-rich diet
Which electrolyte imbalance is associated with muscle weakness and cardiac arrhythmias?
Hyponatremia
Hypercalcemia
Hypokalemia
Hypomagnesemia
The nurse reviews a client’s serum sodium level of 130 mEq/L. Which intervention is appropriate?
Encourage water intake
Administer hypotonic fluids
Administer hypertonic saline as prescribed
Offer a sodium-restricted diet
Which finding is expected in a client with hypernatremia?
Bradycardia
Weight loss
Moist mucous membranes
Increased thirst
A nurse is reviewing a client’s chart. Which finding indicates hypocalcemia?
Positive Trousseau’s sign
Bradycardia
Flaccid muscles
Depressed reflexes
Which IV solution is hypertonic?
0.9% Sodium Chloride
3% Sodium Chloride
D5W
0.45% Sodium Chloride
The nurse caring for a client with dehydration should monitor for which manifestation?
Bounding pulse
Tachycardia
Jugular vein distention
Crackles in lungs
A nurse suspects hyponatremia when the client exhibits which symptom?
Dry mouth
Flushed skin
Increased thirst
Confusion and lethargy
Which lab test best measures a client’s hydration status?
Serum osmolality
ALT
Hemoglobin
Hematocrit
The nurse identifies which condition as a risk factor for hypokalemia?
Renal failure
Prolonged vomiting
Addison’s disease
Potassium-sparing diuretic use
Which electrolyte should be closely monitored in a client receiving loop diuretics?
Potassium
Sodium
Calcium
Chloride
Which electrolyte should be closely monitored in a client receiving loop diuretics?
Potassium
Sodium
Calcium
Chloride
The nurse reviews a client’s calcium level of 7.8 mg/dL. What symptom should the nurse monitor?
Constipation
Muscle spasms
Diminished reflexes
Weakness
Which lab value indicates normal magnesium?
0.9 mEq/L
2.8 mEq/L
1.6 mEq/L
0.4 mEq/L
A client with dehydration has a urine specific gravity of 1.035. What does this indicate?
Concentrated urine
Overhydration
Kidney failure
Fluid overload
The nurse is caring for a client with hypovolemia. Which IV fluid should the nurse anticipate administering?
D5W
3% Sodium Chloride
0.45% Sodium Chloride
0.9% Normal Saline
Which hormone increases water reabsorption in the kidneys?
A. Aldosterone
B. Cortisol
C. Antidiuretic hormone (ADH)
D. Insulin
Which condition can lead to hyperkalemia?
Renal failure
Diuretic therapy
Vomiting
Diarrhea
A client receiving IV fluids develops swelling at the insertion site with cool, pale skin. What is the nurse’s priority action?
Apply warm compress
Elevate the extremity
Stop the infusion immediately
Notify the provider
Which lab test is most useful in evaluating kidney function?
CBC
Serum calcium
BUN and creatinine
Serum protein
Which electrolyte imbalance would cause cardiac dysrhythmias?
Potassium imbalance
Sodium imbalance
Chloride imbalance
Phosphorus imbalance
The nurse identifies which client as most at risk for dehydration?
A. A 25-year-old athlete
B. An 80-year-old with dementia
C. A 40-year-old with hypertension
D. A 10-year-old after immunization
A nurse caring for a client with hypervolemia should expect which finding?
Bounding pulse
Flat neck veins
Poor skin turgor
Dry mucous membranes
Which action should the nurse take to prevent infection with IV therapy?
Change the IV site every 5 days
Use sterile technique during insertion
Flush with tap water
Leave dressing unchanged for 1 week
Which electrolyte imbalance is most likely with long-term laxative abuse?
Hyponatremia
Hypokalemia
Hypernatremia
Hypercalcemia
Which nursing assessment is priority for a client with hyperkalemia?
Peripheral pulses
Cardiac monitoring
Bowel sounds
Skin integrity
Which fluid is classified as hypotonic?
0.45% Sodium Chloride
0.9% Sodium Chloride
D5NS
3% Sodium Chloride
The nurse is monitoring for signs of hypovolemia. Which finding is consistent with this condition?
Decreased blood pressure
Edema
Crackles in lungs
Bounding pulses
The nurse notes a client’s magnesium level is 0.7 mEq/L. What should the nurse anticipate administering?
Calcium carbonate
Kayexalate
IV magnesium sulfate
Sodium bicarbonate
A nurse observes peaked T waves on a client’s ECG. Which electrolyte imbalance should be suspected?
Hypokalemia
Hyperkalemia
Hypocalcemia
Hypernatremia
Which intervention is appropriate for a client with hypernatremia?
Administer hypotonic IV fluids
Restrict free water
Encourage sodium-rich foods
Provide salt tablets
The nurse is caring for a client with severe dehydration. Which lab finding is expected?
Low BUN
Low hematocrit
Elevated serum osmolality
Low sodium
Which electrolyte imbalance may occur in a client with chronic renal failure?
Hyponatremia
Hypokalemia
Hypermagnesemia
Hypocalcemia
Which electrolyte is primarily found in the intracellular fluid?
Sodium
Potassium
Chloride
Calcium
A nurse identifies which as a symptom of hypocalcemia?
Lethargy
Constipation
Numbness and tingling of fingers
Hypoactive reflexes
A client receiving blood transfusion develops itching and shortness of breath. What should the nurse do first?
Slow the transfusion rate
Administer diphenhydramine
Stop the transfusion immediately
Notify the provider after completion
Which electrolyte should be monitored in a client with diarrhea?
Calcium
Sodium
Potassium
Chloride
The nurse understands albumin plays which role in the body?
Increases urine output
Maintains oncotic pressure
Stimulates ADH release
Balances electrolytes
The nurse notes edema and crackles in a client’s lungs. Which fluid imbalance should the nurse suspect?
Hypervolemia
Dehydration
Hypovolemia
Hyponatremia
Which finding indicates effective treatment for hypovolemia?
Weak pulses
Dry mucous membranes
Decreased urine output
Blood pressure returns to baseline
Which electrolyte imbalance is most likely to cause tetany?
Hypocalcemia
Hypernatremia
Hypokalemia
Hypermagnesemia
The nurse should monitor which lab value when a client is receiving IV potassium chloride?
Calcium
Glucose
Renal function (BUN and Creatinine)
Hemoglobin
A nurse caring for a client with hypermagnesemia should prepare to administer which medication if cardiac symptoms occur?
Calcium gluconate
Potassium chloride
Magnesium sulfate
Sodium bicarbonate
Which of the following is an example of insensible fluid loss?
Urination
Drainage
Vomiting
Perspiration
Which electrolyte should be closely monitored in a client receiving digoxin therapy?
Potassium
Sodium
Calcium
Phosphate
Which manifestation should alert the nurse to possible hypovolemia?
Bradycardia
Orthostatic hypotension
Bounding pulse
Distended veins
Which statement best describes osmosis?
Movement of solutes from high to low concentration
Active movement of molecules using energy
Movement of water across a semipermeable membrane
Movement of fluid due to pressure gradients
Which action should the nurse take when administering IV magnesium sulfate?
Give as a rapid bolus
No cardiac monitoring is necessary
Use an infusion pump for accuracy
Administer through a peripheral IM route
Which client is at highest risk for hyperkalemia?
A client taking loop diuretics
A client with acute renal failure
A client with vomiting
A client receiving insulin
The nurse recognizes which value as normal serum osmolality?
310 mOsm/kg
290 mOsm/kg
250 mOsm/kg
320 mOsm/kg
A nurse reviews a patient’s BMP. Which value should be reported immediately?
Sodium 140 mEq/L
Potassium 2.9 mEq/L
Calcium 9.5 mg/dL
Chloride 100 mEq/L
Which fluid replacement should the nurse anticipate for a client with isotonic dehydration?
D5W
0.9% Sodium Chloride
3% Sodium Chloride
0.45% Sodium Chloride
The nurse should teach a client taking furosemide to include which food in their diet?
Cheese
Bacon
Bananas
Pretzels
Which finding indicates a potential complication of IV therapy?
Vein feels soft
Transparent dressing intact
Redness and warmth at the site
Catheter secured with tape
Which lab finding confirms dehydration?
Serum sodium 136 mEq/L
Elevated BUN and hematocrit
Decreased urine specific gravity
Serum osmolality 270 mOsm/kg
Which is an expected outcome after administering isotonic fluids for hypovolemia?
BP 88/50 mm Hg
Heart rate decreases to normal range
Decreased urine output
Crackles in lungs
Which hormone conserves sodium and water in response to low blood volume?
Antidiuretic hormone
Aldosterone
Insulin
Thyroxine
Which symptom indicates fluid overload in a client receiving IV fluids?
Dry mouth
Hypotension
Edema and crackles
Flat neck veins
Which type of fluid moves water out of the cell, causing cellular dehydration?
Isotonic
Hypertonic
Hypotonic
Colloid
Which electrolyte is essential for cardiac electrical conduction?
Potassium
Sodium
Chloride
Magnesium
Which action demonstrates safe IV potassium administration?
Give undiluted IV push
Shake solution vigorously
Administer via IV pump slowly
Infuse through IM route
Which electrolyte imbalance is associated with a Chvostek’s sign?
Hyperkalemia
Hypocalcemia
Hypernatremia
Hypokalemia
Which nursing assessment should be priority for a client with hyponatremia?
Monitor neurological status
Assess bowel sounds
Observe for tetany
Monitor blood glucose
Which of the following lab results should alert the nurse to hyperkalemia?
K+ 3.5 mEq/L
K+ 5.9 mEq/L
K+ 4.0 mEq/L
K+ 2.9 mEq/L
Which client is most likely to experience hypomagnesemia?
Client with renal failure
Client with heart failure
Chronic alcoholic client
Client with hyperparathyroidism
Which electrolyte imbalance increases the risk for digoxin toxicity?
Hyperkalemia
Hypokalemia
Hypernatremia
Hypercalcemia
Which nursing intervention promotes safety for a client with hypocalcemia?
Encourage high-protein diet
Implement seizure precautions
Provide high-fat meals
Increase mobility
The nurse should recognize which finding as a sign of hypervolemia?
Orthostatic hypotension
Dry skin
Distended neck veins
Weak peripheral pulses
Which assessment finding indicates dehydration in an older adult client?
Elastic skin turgor
Moist mucous membranes
Concentrated urine
Decreased hematocrit
Which fluid is appropriate for a client with hypernatremia and dehydration?
D5W (after sodium correction)
3% Sodium Chloride
Lactated Ringer’s
D10W
The nurse recognizes that ADH release results in which effect?
Decreased urine output
Increased sodium excretion
Increased diuresis
Lowered blood pressure
Which of the following findings indicates hypokalemia?
Muscle twitching
Hyperreflexia
Weak, irregular pulse
Slow respirations
Which laboratory test provides information about serum protein affecting fluid balance?
CBC
Magnesium level
Albumin
Glucose
A client receiving IV therapy complains of pain and redness along the vein. Which complication should the nurse suspect?
Infiltration
Phlebitis
Hematoma
Air embolism
The nurse should expect which finding in a client with hypomagnesemia?
Decreased deep tendon reflexes
Bradycardia
Muscle tremors
Hypotension
Which fluid type is best for a client who lost blood during surgery?
Hypotonic saline
Isotonic (Lactated Ringer’s)
Hypertonic saline
D10W
The nurse should recognize which as a normal serum calcium level?
8.2 mg/dL
9.6 mg/dL
11.4 mg/dL
7.4 mg/dL
Which electrolyte imbalance should be monitored in a client with parathyroid dysfunction?
Sodium
Potassium
Calcium
Chloride
Which action prevents infection when changing an IV dressing?
Use clean gloves only
Clean the site with chlorhexidine
Tape over old dressing
Skip cleaning if site looks fine
Which fluid imbalance results from inadequate fluid intake and excessive losses?
Hypervolemia
Hypovolemia
Water intoxication
Hypernatremia
The nurse recognizes that diffusion involves:
Fluid movement by pressure gradients
Solutes moving from high to low concentration
Active energy transport
Protein movement across membranes
Which finding is consistent with hypercalcemia?
Muscle spasms
Positive Trousseau’s sign
Decreased deep tendon reflexes
Tetany
The nurse should monitor which lab in a client receiving sodium bicarbonate?
Glucose
Albumin
Serum pH
Hematocrit
A nurse is preparing to administer blood. Which IV solution should be used?
0.9% Sodium Chloride
D5W
Lactated Ringer’s
0.45% Sodium Chloride
Which clinical finding is most concerning for a client receiving IV fluids?
Increased urine output
Shortness of breath and crackles
Capillary refill <3 sec
Pink, warm skin
The nurse recognizes that filtration occurs due to:
Osmotic gradients
Sodium-potassium pump
Hydrostatic pressure differences
Enzymatic transport
Which food should be encouraged for a client with hypocalcemia?
Yogurt
Canned tuna
Lettuce
Apples
Which condition results from rapid infusion of hypotonic fluids?
Pulmonary edema
Hypertension
Cellular swelling
Hypernatremia
