OpenStax Clinical Nursing Skills Nursing Test Bank
Chapter 19: Fluids, Electrolytes, and Elimination
OpenStax Clinical Nursing Skills
Nursing Test Bank
Chapter 19: Fluids, Electrolytes, and Elimination
Review Questions
Multiple Choice
1. What is the nursing diagnosis of deficient fluid volume called and what causes it?
A. osmosis, loss of intracellular fluids
B. hypovolemia, loss of intravascular fluids*
C. perfusion, loss of interstitial fluids
D. edema, transcellular fluids
LO: 19.1.1
Difficulty: Difficult
Blooms: Remember, Understand
AACN: 1.1a
2. What are intracellular fluids composed of?
A. protein, water, electrolytes, solutes*
B. electrolytes, water, sodium
C. red blood cells, white blood cells, plasma, platelets
D. water, potassium, sodium
LO: 19.1.1
Difficulty: Moderate
Blooms: Remember, Understand
AACN: 1.1a
3. What causes the symptoms of dehydration, such as dry, sticky mucous membranes?
A. solute movement
B. filtration
C. hydrostatic pressure
D. shrinkage of cells*
LO: 19.1.1
Difficulty: Moderate
Blooms: Remember, Understand
AACN: 1.1a
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1 1/29/2026
, OpenStax Clinical Nursing Skills Nursing Test Bank
Chapter 19: Fluids, Electrolytes, and Elimination
4. Your patient has a poor diet and a serum phosphate level of 2.2 mg/dL. What condition
does your patient have?
A. hypercalcemia
B. hyperphosphatemia
C. hypophosphatemia*
D. hypochloremia
LO: 19.1.2
Difficulty: Moderate
Blooms: Remember, Understand, Apply, Analyze, Evaluate
AACN: 1.1b
5. Your patient has had diarrhea for over a week and is experiencing hypertension as well as
tissue dehydration. What condition does your patient likely have?
A. hyperchloremia*
B. hypomagnesemia
C. hypercalcemia
D. hypokalemia
LO: 19.1.2
Difficulty: Difficult
Blooms: Remember, Understand, Apply, Analyze, Evaluate
AACN: 1.1b
6. Which body system has the most important role in fluid volume regulation and electrolyte
balance?
A. circulatory system
B. digestive system
C. kidney system*
D. endocrine system
LO: 19.1.3
Difficulty: Easy
Blooms: Remember, Understand
AACN: 1.1a
7. Two days after a patient entered the hospital, a nurse decided to start using the patient’s
daily weight to monitor fluid volume status. As the patient stepped on the scale, the nurse
was careful to hold the patient’s catheter bags and drains, which were empty. Since the
patient was not previously weighed, in the patient’s chart, the nurse noted the scale used to
weigh the patient, the time of day the patient was weighed, and the clothing the patient
was wearing. Despite the nurse’s careful documentation, when the head nurse arrived, she
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
2 1/29/2026
Chapter 19: Fluids, Electrolytes, and Elimination
OpenStax Clinical Nursing Skills
Nursing Test Bank
Chapter 19: Fluids, Electrolytes, and Elimination
Review Questions
Multiple Choice
1. What is the nursing diagnosis of deficient fluid volume called and what causes it?
A. osmosis, loss of intracellular fluids
B. hypovolemia, loss of intravascular fluids*
C. perfusion, loss of interstitial fluids
D. edema, transcellular fluids
LO: 19.1.1
Difficulty: Difficult
Blooms: Remember, Understand
AACN: 1.1a
2. What are intracellular fluids composed of?
A. protein, water, electrolytes, solutes*
B. electrolytes, water, sodium
C. red blood cells, white blood cells, plasma, platelets
D. water, potassium, sodium
LO: 19.1.1
Difficulty: Moderate
Blooms: Remember, Understand
AACN: 1.1a
3. What causes the symptoms of dehydration, such as dry, sticky mucous membranes?
A. solute movement
B. filtration
C. hydrostatic pressure
D. shrinkage of cells*
LO: 19.1.1
Difficulty: Moderate
Blooms: Remember, Understand
AACN: 1.1a
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
1 1/29/2026
, OpenStax Clinical Nursing Skills Nursing Test Bank
Chapter 19: Fluids, Electrolytes, and Elimination
4. Your patient has a poor diet and a serum phosphate level of 2.2 mg/dL. What condition
does your patient have?
A. hypercalcemia
B. hyperphosphatemia
C. hypophosphatemia*
D. hypochloremia
LO: 19.1.2
Difficulty: Moderate
Blooms: Remember, Understand, Apply, Analyze, Evaluate
AACN: 1.1b
5. Your patient has had diarrhea for over a week and is experiencing hypertension as well as
tissue dehydration. What condition does your patient likely have?
A. hyperchloremia*
B. hypomagnesemia
C. hypercalcemia
D. hypokalemia
LO: 19.1.2
Difficulty: Difficult
Blooms: Remember, Understand, Apply, Analyze, Evaluate
AACN: 1.1b
6. Which body system has the most important role in fluid volume regulation and electrolyte
balance?
A. circulatory system
B. digestive system
C. kidney system*
D. endocrine system
LO: 19.1.3
Difficulty: Easy
Blooms: Remember, Understand
AACN: 1.1a
7. Two days after a patient entered the hospital, a nurse decided to start using the patient’s
daily weight to monitor fluid volume status. As the patient stepped on the scale, the nurse
was careful to hold the patient’s catheter bags and drains, which were empty. Since the
patient was not previously weighed, in the patient’s chart, the nurse noted the scale used to
weigh the patient, the time of day the patient was weighed, and the clothing the patient
was wearing. Despite the nurse’s careful documentation, when the head nurse arrived, she
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
2 1/29/2026
