Nursing Fluid and Electrolytes Exam Questions with Marking Scheme
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Course
Nursing Fluid and Electrolytes
Institution
Nursing Fluid And Electrolytes
1. Which patient would MOST likely require a PICC line?
a) A trauma patient in the ER
c) A patient requiring 6 weeks of IV antibiotics
Class
Date
b) Patient requiring 2 iron infusions at infusion
center
d) A patient in the ICU
2. Which electrolyte imbalance is possible with massive ...
Name
Nursing Fluid and Electrolytes Exam
Questions with Marking Scheme
Class
Total questions: 130
Worksheet time: 2hrs 56mins
Date
1. Which patient would MOST likely require a PICC line?
a) A trauma patient in the ER b) Patient requiring 2 iron infusions at infusion
center
c) A patient requiring 6 weeks of IV antibiotics d) A patient in the ICU
2. Which electrolyte imbalance is possible with massive blood transfusions?
a) Hyponatremia b) Hypomagnesemia
c) Hypokalemia d) Hypocalcemia
3. A patient with a low normal potassium level has 40 mg IV furosemide due, what should the nurse do?
a) Recheck potassium in 4 hours b) Notify the physician
c) Encourage pt to eat a banana with lunch d) Administer as ordered
4. What is an appropriate intervention for hypervolemia?
a) 5% Albumin 500 mL b) 0.9 NS at 75 mL per hour
c) Furosemide 40 mg IV d) Encourage po fluids
5. Informed consent is required prior to a blood transfusion
a) False b) Not sure
c) Possibly d) True
6. A patient with 2 days of n/v has a BP 90/52 HR 120. Which intervention is most appropriate?
a) 2 units packed red blood cells b) Furosemide 40 mg IV
c) IV bolus of 0.45% NaCl d) IV bolus of 0.9% NaCl
,7. Which assessment finding would indicate hypocalcemia?
a) Negative Trousseau's b) Positive Chvostek's
c) Constipation d) Extreme muscle weakness
8. Which medication would the nurse administer to treat a patient with hyperkalemia?
a) Spironolactone b) Sodium tabs
c) Potassium chloride d) Regular Insulin IV (with dextrose)
9. Which patient is at risk for hypochloremia?
a) Excessive sodium intake b) Hyper-parathyroidism
c) Dehydration d) Excessive vomiting
10. A patient with hypertension should avoid which foods?
a) Dairy products b) Seafood
c) Eggs d) Cured meats
11. A patient's K+ is 6.4, what should the nurse do first?
a) Administer 1 gram Mg IVPB b) Turn on bed alarm
c) Call for stat dialysis d) Place patient on cardiac monitor
12. A patient that has a chloride imbalance, the nurse would expect to see a change in what?
a) Potassium b) Phosphate
c) Sodium d) Calcium
13. Which patient is at most risk for hypervolemia?
a) A 32-year-old with pneumonia b) A 22-year-old receivng IV fluids
c) A 72-year-old with a fever and UTI d) A 52-year-old with vomiting and diarrhea
, 14. Water intoxication causes hypernatremia
a) True b) Doubtful
c) False d) I think so
15. A dialysis patient may take the following medication to lower phosphorus levels?
a) Calcium acetate (PhosLo) b) Spironolactone (Aldactone)
c) Potassium chloride (Klor-con) d) Potassium phosphate (Neutra-Phos)
16. What is the best nursing intervention for a patient with hypernatremia?
a) Encourage po fluids b) Administer sodium tabs po
c) Fluid restriction d) Encourage pt to eat lunch meat and sausage
17. Which patient would receive a slow infusion of 3% saline?
a) Severe hyponatremia b) Severe hypocalcemia
c) Severe hypercalcemia d) Severe hypernatremia
18. A patient with hypoparathyroidism should increase what in their diet?
a) Bananas b) Seafood
c) Salty foods d) Dairy
19. A patient reports drinking large amounts of water on a hot day. Pt complains of a headache. Which
electrolyte imbalance is expected?
a) Hyponatremia b) Hypokalemia
c) Hypercalcemia d) Hyperchloremia
20. What is the most important nursing intervention for a patient with hypermagnesemia?
a) Continuous pulse oximetry b) Seizure precautions
c) Move patient with a sheet d) Fall precautions
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