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WorksheetsNCLEX Nutrition and Fluid Management Quiz
Total questions: 15
Worksheet time: 8mins
The nurse is caring for a client with heart failure who is on a 2-gram sodium-restricted diet. Which food choice by the client indicates a need for further teaching?
Fresh steamed broccoli
Canned vegetable soup
Grilled chicken breast
Fresh sliced apples
A nurse is preparing to administer an intermittent tube feeding to a client with a PEG tube. Which action is the priority to prevent aspiration?
Check the expiration date of the formula.
Flush the tube with 30 mL of water.
Elevate the head of the bed to at least 30 to 45 degrees.
Verify the pH of the gastric aspirate.
Which client is at the highest risk for developing a fluid volume deficit?
An adult client with a history of heart failure
An elderly client experiencing prolonged vomiting
A middle-aged client with a broken leg
A teenager with a minor skin rash
A nurse is assessing a client for signs of severe dehydration. Which finding should the nurse report to the healthcare provider immediately?
Moist, pink mucous membranes
Urine specific gravity of 1.015
Furrows in the tongue and dry, cracked lips
Skin that returns to normal quickly after being pinched
A client's lab results show a serum potassium level of 5.5 mEq/L. Which assessment finding is the priority for the nurse to monitor?
Constipation
Cardiac rhythm on a monitor
Hyperactive reflexes
Dry mucous membranes
The nurse is caring for a client with a serum sodium level of 152 mEq/L. Which intervention should the nurse implement?
Provide salty snacks like chips and pretzels
Encourage the client to increase oral water intake
Administer a hypertonic saline IV solution
Restrict all oral fluid intake
While assessing a client with hypocalcemia, the nurse observes a carpal spasm when a blood pressure cuff is inflated. How should the nurse document this finding?
Positive Chvostek’s sign
Positive Trousseau’s sign
Negative reflex response
Normal muscle tone
Which of the following clients should be placed on a cardiac monitor? (Select all that apply)
A client with a potassium level of 2.9 mEq/L
A client with a magnesium level of 1.1 mEq/L
A client with a sodium level of 140 mEq/L
A client with a calcium level of 12.0 mg/dL
The nurse suspects an IV site has become infiltrated. Which clinical manifestation supports this suspicion?
The site is warm to the touch
The area around the site is blanched and cool
There is redness and a red streak along the vein
Blood is backing up into the IV tubing
A nurse is assigned to a client with a fluid restriction of 1,200 mL per 24 hours. How should the nurse distribute this fluid?
Give 1,000 mL during the night shift when the client is asleep.
Provide most of the fluid (50%) during the day shift when the client is most active.
Divide the fluid equally between the three 8-hour shifts.
Allow the client to drink as much as they want until the 1,200 mL limit is reached.
Which action is essential for a nurse when performing a 24-hour urine collection?
Start the collection with the very first void of the morning.
Discard the first void and then start the timer for 24 hours.
Keep the collection container on the bedside table at room temperature.
Collect only the urine that appears cloudy or dark.
A client is receiving Total Parenteral Nutrition (TPN) through a central line. The pharmacy is late delivering the next bag. What should the nurse hang in the meantime?
Normal Saline (0.9% NS)
Lactated Ringer's (LR)
10% Dextrose in Water (D10W)
5% Dextrose in 0.45% Normal Saline
A nurse is preparing to administer an oral potassium supplement. Which action is the priority?
Give the medication on an empty stomach.
Ensure the patient is sitting upright to prevent GI irritation.
Check the latest serum potassium level before giving it.
Crushing the tablet if the patient has difficulty swallowing.
A client is prescribed a clear-liquid diet. Which item would the nurse remove from the tray?
Apple juice
Fat-free broth
Vanilla pudding
Lemon gelatin
The nurse is caring for a client with a large wound that is not healing well. Which nutrient is most important to increase in the client's diet to promote wound healing?
Fat
Carbohydrates
Protein
Vitamin K
