LATEST FLUID AND ELECTROLYTE BALANCE
QUESTIONS AND CORRECT ANSWERS 2026
1. Excessive ADH production would cause urine output to be:
a. Excessive
b. Increased
c. Normal
- ANSWER- d. DecreasedD. Decreased
2. If abnormal amounts of water were being retained in the body, blood
tests would show:
a. Increased hemoglobin
b. Increased hematrocrit
c. Decreased blood urea nitrogen (BUN)
d. Decreased blood - ANSWER- pressureC. Decreased blood
urea
nitrogen (BUN)
3. The patient has been receiving an IV of 5% Dextrose in ½ NS at 40
ml/hr. His sodium level is reported to be 132. The physician orders the IV
changed to 5% Dextrose in NS. There is 400ml remaining in his liter bag.
You would change the bag:
a. When it is finished.
b. Now.
c. At the change of the shift
d. After it has been hanging for 24 - ANSWER- hours.B. Now
4. All of the following are signs of hyponatremia except for:
a. Lethargy
b. Muscle cramps
c. Nervousness
- ANSWER- d. ThirstD. Thirst
5. The physician orders hypertonic saline for a patient whose serum
sodium is 130. An example of a hypertonic saline is: a. 3% NaCl
, b. 0.9% NaCl
c. 0.45% NaCl
d. 0.22 % - ANSWER- NaCLA. 3% NaCl
6. With administration of hypertonic solution into the intravascular
space, water would be expected to move into the:
a. Interstitial spaces
b. Intracellular spaces
c. Intravascular spaces
d. Transcellular - ANSWER- spacesC. intravascular spaces
7. In the previous question, the water moves by means of:
a. Osmosis
b. Filtration
c. Diffusion
d. Active - ANSWER- transportA. osmosis
8. An electrocardiogram may indicate an abnormal heart rhythm in the
presence of:
a. Hyperkalemia
b. Hypokalemia
c. Both hypo- and hyperkalemia
d. Neither hypo- or - ANSWER- hyperkalemiaC. both hypo-
and
hyperkalemia
9. The nurse is caring for a patient with a fluid restriction. Which of the
following actions by the nursing assistant would cause the nurse to
intervene?
a. Giving the patient ice chips
b. Giving the patient hard candy/gum
c. Frequent mouth rinsing
d. 50% of the total fluid provided during the day - ANSWER- shift.A.
giving the patient ice chips
10. A patient's adrenal gland tumor causes excessive aldosterone
secretion. He is given aldactone, a diuretic that inhibits aldosterone
secretion, thereby causing: a. Potassium excretion
QUESTIONS AND CORRECT ANSWERS 2026
1. Excessive ADH production would cause urine output to be:
a. Excessive
b. Increased
c. Normal
- ANSWER- d. DecreasedD. Decreased
2. If abnormal amounts of water were being retained in the body, blood
tests would show:
a. Increased hemoglobin
b. Increased hematrocrit
c. Decreased blood urea nitrogen (BUN)
d. Decreased blood - ANSWER- pressureC. Decreased blood
urea
nitrogen (BUN)
3. The patient has been receiving an IV of 5% Dextrose in ½ NS at 40
ml/hr. His sodium level is reported to be 132. The physician orders the IV
changed to 5% Dextrose in NS. There is 400ml remaining in his liter bag.
You would change the bag:
a. When it is finished.
b. Now.
c. At the change of the shift
d. After it has been hanging for 24 - ANSWER- hours.B. Now
4. All of the following are signs of hyponatremia except for:
a. Lethargy
b. Muscle cramps
c. Nervousness
- ANSWER- d. ThirstD. Thirst
5. The physician orders hypertonic saline for a patient whose serum
sodium is 130. An example of a hypertonic saline is: a. 3% NaCl
, b. 0.9% NaCl
c. 0.45% NaCl
d. 0.22 % - ANSWER- NaCLA. 3% NaCl
6. With administration of hypertonic solution into the intravascular
space, water would be expected to move into the:
a. Interstitial spaces
b. Intracellular spaces
c. Intravascular spaces
d. Transcellular - ANSWER- spacesC. intravascular spaces
7. In the previous question, the water moves by means of:
a. Osmosis
b. Filtration
c. Diffusion
d. Active - ANSWER- transportA. osmosis
8. An electrocardiogram may indicate an abnormal heart rhythm in the
presence of:
a. Hyperkalemia
b. Hypokalemia
c. Both hypo- and hyperkalemia
d. Neither hypo- or - ANSWER- hyperkalemiaC. both hypo-
and
hyperkalemia
9. The nurse is caring for a patient with a fluid restriction. Which of the
following actions by the nursing assistant would cause the nurse to
intervene?
a. Giving the patient ice chips
b. Giving the patient hard candy/gum
c. Frequent mouth rinsing
d. 50% of the total fluid provided during the day - ANSWER- shift.A.
giving the patient ice chips
10. A patient's adrenal gland tumor causes excessive aldosterone
secretion. He is given aldactone, a diuretic that inhibits aldosterone
secretion, thereby causing: a. Potassium excretion
