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NURS 360 Final questions with correct answers.
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NURS 360 Final questions with correct answers.
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NURS 360 Final questions with correct answersWhen assessing patients at risk for fluid and electrolyte imbalances,
what is the priority nursing intervention?
A. Correct imbalance STAT
B. Treat the underlying cause
C. Make dietary changes
D. Monitor urine output Correct Answer-B. Treat the underlying cause
A nurse suspects that an older adult may have a fluid and electrolyte
imbalance. Which assessment BEST reflects fluid and electrolyte
balance in an older adult?
A. Serum lab values
B. Intake and output
C. Condition of the skin
D. Vital signs Correct Answer-A. Serum lab values
A nurse identifies that an older adult client may have a problem with
excess fluid volume. Which assessment findings are most consistent
with fluid volume overload?
A. Dry and scaly skin
B. Taut and shiny skin
C. Red and irritated skin
D. Thin and tenting skin Correct Answer-B. Taut and shiny skin
,A nurse is monitoring a client who is receiving IV fluid replacement
therapy. Which clinical finding should alert the nurse that the client may
be fluid volume overloaded?
A. Chills, fever, and generalized discomfort
B. Difficulty breathing, rales, and increased blood pressure
C. Pallor, diaphoresis, and bradycardia
D. Hypotension, confusion, and dry mucous membranes Correct
Answer-B. Difficulty breathing, rales, and increased blood pressure
A client is taking supplemental calcium daily. The nurse teaches the
client to maintain their fluid intake at a minimum of 2500 ml/ day. The
nurse explains that this intervention is designed to prevent which
complication with calcium supplementation?
A. Mobilization of calcium from the bones
B. Irritation of gastric mucosa
C. Muscle cramping
D. Development of renal calculi Correct Answer-D. Development of
renal calculi
Which of the following is not a cause of hyponatremia?
A. Adrenal insufficiency
B. Diabetes insipidus (DI)
C. Prolonged exercise in extreme temperatures
D. Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH)
Correct Answer-B. Diabetes insipidus (DI)
,Which of the following are appropriate nursing interventions for a
patient who has a potassium level of 6.0 mEq/L? Select all that apply.
A. Administer IV potassium as ordered.
B. Assess for muscle weakness and parasthesias.
C. Administer Kayexalate as ordered.
D. Initiate cardiac monitoring.
E. Inquire about an order for a potassium-sparing diuretic. Correct
Answer-B. Assess for muscle weakness and parasthesias.
C. Administer Kayexalate as ordered.
D. Initiate cardiac monitoring.
The nurse is caring for a patient who has a serum sodium level of 118
mEq/L. The patient is lethargic and is alert to painful stimuli only. As
the nurse, you recognize that this patient is of significant risk for
developing what condition?
A. Dehydration
B. Cerebral edema
C. Cardiac arrest
D. Constipation Correct Answer-B. Cerebral edema
You are caring for a patient who is complaining of bone pain. What
electrolyte abnormality would you expect to find?
A. Serum calcium level 8.5 mEq/L
B. Serum magnesium level 2.8 mEq/L
, C. Serum calcium level 11.1 mg/dL
D. Serum magnesium level 1.6 mEq/L Correct Answer-C. Serum
calcium level 11.1 mg/dL
The nurse is assessing a patient with hyperactive reflexes, nystagmus,
and muscle twitching. An electrocardiogram also reveals ECG changes
suggesting Torsades de Pointes. What is the priority nursing intervention
for the patient?
A. Administer Calcium Gluconate IVPB
B. Monitor renal function
C. Administer Magnesium Sulfate IVPB
D. Monitor for signs and symptoms of FVD Correct Answer-C.
Administer Magnesium Sulfate IVPB
Which of the following statements are accurate in relation to fluid and
electrolyte balance in older adults? Select all that apply.
A. Clinical manifestations of imbalance are more obvious.
B. Fluid deficit may cause delirium.
C. Decreased cardiac reserve influences ability to manage fluid volume.
D. Renal function is not typically a contributing factor.
E. Integumentary changes may mask signs of dehydration. Correct
Answer-B. Fluid deficit may cause delirium.
C. Decreased cardiac reserve influences ability to manage fluid volume.
E. Integumentary changes may mask signs of dehydration.
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