Fluid and Electrolytes Prectice Questions
1.Which patient below would have a potassium level of 5.5?*
A--A 76 year old who reports taking lasix four times a day
B--A 55 year old woman who have been vomiting for 3 days consistently
C--A patient with liver failure
D--A patient with hypoaldosteronism
2.You are taking a patient's blood pressure manually. As you pump up the cuff above the systolic pressure for a
few minutes you notice that the patient develop a carpal spasm. Which of the following is true?*
A--This is known as Chvostek's Sign
B--The patient is having a normal nervous response to an inflating blood pressure cuff that is inflated
above the systolic pressure
C--This is known as Trousseau's Sign and is present in patients with hypocalemia
D--This is known as Trousseau's Sign and is present in patients with hypercalemia
3. Which patient is at most risk for hypomagnesemia?*
A--A 25 year old suffering from hypoglycemia
B--A 55 year old chronic alcoholic
C--A 57 year old with hyperthyroidism
D--A patient reporting overuse of antacids and laxatives
4. In report from a transferring facility you receive information that your patient's Magnesium level is 1.2.
When the patient arrives you are ordered by the doctor to administer Magnesium Sulfate via IV. Which of the
following interventions takes priority?*
A--Monitor the patient's for reduced deep tendon reflexes and initiate seizure precautions
B--Set-up bedside suction
C--Set-up IV Atropine at bedside due to the bradycardia effects of Magnesium Sulfate
D--None of the above are correct
5. Which patient is at risk for fluid volume deficit?*
A--A patient with an abdominal wound vac at intermittent suction.
B--A patient with continuous nasogastric suction.
C--A patient who has been vomiting and having diarrhea for 2 days.
D--All of the above are correct.
6. A patient is admitted with exacerbation of congestive heart failure. What would you expect to find during
your admission assessment?*
A--Furrowed dry tongue
B--Flat neck and hand veins
C--Bradycardia and pitting edema in lower extremities
D--Increased blood pressure and crackles throughout the lungs
7. A nurse enters a client’s room to administer an IV medication and finds that the IV site is swollen, cool, and
pale. The client reports discomfort at the insertion site. The nurse recognizes that this may be:
A-- An allergic reaction.
B-- Sepsis.
C--Infiltration.
D--Phlebitis.
1.Which patient below would have a potassium level of 5.5?*
A--A 76 year old who reports taking lasix four times a day
B--A 55 year old woman who have been vomiting for 3 days consistently
C--A patient with liver failure
D--A patient with hypoaldosteronism
2.You are taking a patient's blood pressure manually. As you pump up the cuff above the systolic pressure for a
few minutes you notice that the patient develop a carpal spasm. Which of the following is true?*
A--This is known as Chvostek's Sign
B--The patient is having a normal nervous response to an inflating blood pressure cuff that is inflated
above the systolic pressure
C--This is known as Trousseau's Sign and is present in patients with hypocalemia
D--This is known as Trousseau's Sign and is present in patients with hypercalemia
3. Which patient is at most risk for hypomagnesemia?*
A--A 25 year old suffering from hypoglycemia
B--A 55 year old chronic alcoholic
C--A 57 year old with hyperthyroidism
D--A patient reporting overuse of antacids and laxatives
4. In report from a transferring facility you receive information that your patient's Magnesium level is 1.2.
When the patient arrives you are ordered by the doctor to administer Magnesium Sulfate via IV. Which of the
following interventions takes priority?*
A--Monitor the patient's for reduced deep tendon reflexes and initiate seizure precautions
B--Set-up bedside suction
C--Set-up IV Atropine at bedside due to the bradycardia effects of Magnesium Sulfate
D--None of the above are correct
5. Which patient is at risk for fluid volume deficit?*
A--A patient with an abdominal wound vac at intermittent suction.
B--A patient with continuous nasogastric suction.
C--A patient who has been vomiting and having diarrhea for 2 days.
D--All of the above are correct.
6. A patient is admitted with exacerbation of congestive heart failure. What would you expect to find during
your admission assessment?*
A--Furrowed dry tongue
B--Flat neck and hand veins
C--Bradycardia and pitting edema in lower extremities
D--Increased blood pressure and crackles throughout the lungs
7. A nurse enters a client’s room to administer an IV medication and finds that the IV site is swollen, cool, and
pale. The client reports discomfort at the insertion site. The nurse recognizes that this may be:
A-- An allergic reaction.
B-- Sepsis.
C--Infiltration.
D--Phlebitis.
