Nclex Style Questions Fluids and
Electrolytes Questions and Answers
Already Passed
A nurse is administering IV potassium to a patient with hypokalemia. Which of the following is
the most important safety measure?
A) Administer potassium by rapid infusion
B) Dilute the potassium solution adequately
C) Monitor the patient’s heart rate during infusion
D) Administer potassium through a peripheral vein only
✔✔ B) Dilute the potassium solution adequately
A patient is diagnosed with hyperkalemia. Which of the following lab results would the nurse
expect?
A) Decreased serum potassium
B) Elevated serum potassium
C) Increased sodium levels
D) Decreased chloride levels
✔✔ B) Elevated serum potassium
1
,A nurse is caring for a patient with metabolic acidosis. Which of the following lab findings
would the nurse expect?
A) Decreased bicarbonate levels
B) Increased pH levels
C) Elevated PaCO2
D) Decreased respiratory rate
✔✔ A) Decreased bicarbonate levels
A patient is receiving IV fluids for dehydration. Which of the following symptoms would
indicate the fluids are being administered too rapidly?
A) Decreased heart rate
B) Respiratory distress
C) Decreased blood pressure
D) Increased urinary output
✔✔ B) Respiratory distress
A patient with hypocalcemia is exhibiting tetany. Which of the following actions should the
nurse take?
2
,A) Administer calcium gluconate
B) Increase oral fluid intake
C) Administer sodium bicarbonate
D) Provide a high-protein diet
✔✔ A) Administer calcium gluconate
A nurse is caring for a patient with hypocalcemia. Which of the following would the nurse
expect to find upon assessment?
A) Decreased deep tendon reflexes
B) Positive Chvostek’s sign
C) Hypertension
D) Hyperactive bowel sounds
✔✔ B) Positive Chvostek’s sign
A nurse is caring for a patient with fluid volume deficit. Which of the following symptoms
would the nurse expect to observe?
A) Weight gain
B) Edema
C) Rapid heart rate
3
, D) Increased blood pressure
✔✔ C) Rapid heart rate
A nurse is assessing a patient with hypokalemia. Which of the following symptoms would be
expected?
A) Abdominal distention
B) Bradycardia
C) Muscle cramps
D) Nausea and vomiting
✔✔ C) Muscle cramps
Which of the following interventions is most appropriate for a patient with hypercalcemia?
A) Encourage the patient to drink more fluids
B) Administer potassium supplements
C) Restrict sodium intake
D) Provide a low-protein diet
✔✔ A) Encourage the patient to drink more fluids
4
Electrolytes Questions and Answers
Already Passed
A nurse is administering IV potassium to a patient with hypokalemia. Which of the following is
the most important safety measure?
A) Administer potassium by rapid infusion
B) Dilute the potassium solution adequately
C) Monitor the patient’s heart rate during infusion
D) Administer potassium through a peripheral vein only
✔✔ B) Dilute the potassium solution adequately
A patient is diagnosed with hyperkalemia. Which of the following lab results would the nurse
expect?
A) Decreased serum potassium
B) Elevated serum potassium
C) Increased sodium levels
D) Decreased chloride levels
✔✔ B) Elevated serum potassium
1
,A nurse is caring for a patient with metabolic acidosis. Which of the following lab findings
would the nurse expect?
A) Decreased bicarbonate levels
B) Increased pH levels
C) Elevated PaCO2
D) Decreased respiratory rate
✔✔ A) Decreased bicarbonate levels
A patient is receiving IV fluids for dehydration. Which of the following symptoms would
indicate the fluids are being administered too rapidly?
A) Decreased heart rate
B) Respiratory distress
C) Decreased blood pressure
D) Increased urinary output
✔✔ B) Respiratory distress
A patient with hypocalcemia is exhibiting tetany. Which of the following actions should the
nurse take?
2
,A) Administer calcium gluconate
B) Increase oral fluid intake
C) Administer sodium bicarbonate
D) Provide a high-protein diet
✔✔ A) Administer calcium gluconate
A nurse is caring for a patient with hypocalcemia. Which of the following would the nurse
expect to find upon assessment?
A) Decreased deep tendon reflexes
B) Positive Chvostek’s sign
C) Hypertension
D) Hyperactive bowel sounds
✔✔ B) Positive Chvostek’s sign
A nurse is caring for a patient with fluid volume deficit. Which of the following symptoms
would the nurse expect to observe?
A) Weight gain
B) Edema
C) Rapid heart rate
3
, D) Increased blood pressure
✔✔ C) Rapid heart rate
A nurse is assessing a patient with hypokalemia. Which of the following symptoms would be
expected?
A) Abdominal distention
B) Bradycardia
C) Muscle cramps
D) Nausea and vomiting
✔✔ C) Muscle cramps
Which of the following interventions is most appropriate for a patient with hypercalcemia?
A) Encourage the patient to drink more fluids
B) Administer potassium supplements
C) Restrict sodium intake
D) Provide a low-protein diet
✔✔ A) Encourage the patient to drink more fluids
4
