Jefferson State Community College / NUR 211
Nur 211 NCLEX DyleQuestions And Correct
Verified Answers New Version 2026
26
Which of the following are signs/symptoms of Diabetes bInsipidus? (Select all that apply)
o [ ] A. Polyuria
20
o [ ] B. Polydipsia
o [ ] C. Hypertension
o [ ] D. Poor skin turgor
s
o [ ] E. Concentrated urine -ANSWER- A,B,D C and E
am
All are SIADH/Fluid overload signs. DI has low BP and dilute urine.
The nurse is preparing to administer Digoxin to a client with cardiomyopathy. Which assessment finding would
Ex
brequire the nurse to hold the medication and notify the nhealthcare provider?
A. Serum potassium level of 3.2 mEq/L
B. Apical pulse of 68 beats per minute
s
C. Blood pressure of 110/70 mmHg
rt
D. Respiratory rate of 18 breaths per minute -ANSWER- A. Serum potassium level of 3.2 mEq
pe
A nurse is caring for a client with dilated cardiomyopathy who is experiencing peripheral edema and dyspnea
on exertion. Which flux-limiting medication should the nurse expect to administer to decrease preload?
Ex
A. Propranolol
B. Furosemide
C. Digoxin
se
D. Amiodarone -ANSWER- B. Furosemide
ur
A client with DI is thirsty and requesting fluids. Which is the best choice?
,
o A. Water
N
o B. Milk
o C. Orange Juice
o D. Diet Soda -ANSWER- A. Water
free water is lost in DI; water is the best replacement.
The nurse is assessing a patient with SIADH. Which physical finding is UNLIKELY?
o A. Peripheral edema
o B. Tachycardia
o C. Normal skin turgor
,o D. Weight gain -ANSWER- oA. Peripheral edema
SIADH usually presents with "water intoxication," but fluid stays in vessels/cells,
usually no peripheral edema.
A patient is diagnosed with Neurogenic DI. The nurse knows this is caused by:
o A. Failure of the kidneys to respond to ADH
o B. Excessive water intake
o C. A defect in the hypothalamus or pituitary gland
26
o D. Oversecretion of aldosterone -ANSWER- C. A defect in the hypothalamus or pituitary gland
Neurogenic = Brain; Nephrogenic = Kidney.
20
Which laboratory value would the nurse expect in a client with DI?
o A. Serum Sodium 130 mEq/L
o B. Serum Osmolality 310 mOsm/kg
s
o C. Urine Osmolality 1200 mOsm/kg
am
o D. Hematocrit 32% -ANSWER- B. Serum Osmolality 310 mOsm/kg
High serum osmolality (blood is concentrated) is classic DI.
Ex
When treating a patient with severe hyponatremia due to SIADH, the nurse must monitor for which
complication of rapid sodium correction?
o A. Cerebral edema
s
o B. Central Pontine Myelinolysis
rt
o C. Acute Kidney Injury
pe
o D. Hypovolemic shock -ANSWER- B. Central Pontine Myelinolysis
Correcting sodium too fast (>8-12 mEq/L per 24h) causes myelin sheath damage.
Ex
A client with DI is being discharged. Which statement indicates a need for further teaching?
o A. "I will weigh myself every morning."
se
o B. "I can stop my medication if my thirst goes away."
o C. "I should wear a medical alert bracelet."
o D. "I will report a weight loss of 2 lbs in one day." -ANSWER- B. "I can stop my medication if my thirst goes
ur
away."
DDAVP is often lifelong; stopping it causes immediate return of symptoms.
N
,The nurse is providing discharge teaching to a client
newly diagnosed with Hypertrophic Cardiomyopathy
(HCM). Which statement by the client indicates a need for
further teaching?
A. "I should avoid strenuous exercise and competitive
sports."
B. "I will make sure to drink plenty of water every day."
C. "I can continue my routine of taking a hot sauna after
my morning walk."
26
D. "I need to report any episodes of dizziness or fainting to my
doctor."
20
A client with restrictive cardiomyopathy is being A, B, D, E
monitored for signs of heart failure. Which clinical
manifestations should the nurse prioritize? (Select All
s
That Apply)
am
[] A. Orthopnea
[] B. Jugular venous distension (JVD)
Ex
[] C. Weight loss of 2 lbs in 24 hours
[] D. S3 gallop upon auscultation
s
rt
[] E. Crackles in the lung bases
pe
Ex
se
ur
N
, A patient with SIADH has a serum sodium level of 128 B Hyponatremia (SIADH) causes brain cells to swell, leading to confusion.
mEq/L. Which central nervous system manifestation
should the nurse prioritize?
o A. Rapid speech and hyperactivity
o B. Confusion and lethargy
o C. Hyperreflexia
o D. Visual hallucinations
The nurse is caring for a client with Diabetes Insipidus C DI is characterized by massive polyuria (dilute urine).
(DI). Which assessment finding is most consistent with this
diagnosis?
26
o A. Urine Specific Gravity of 1.035
o B. Serum Osmolality of 260 mOsm/kg
o C. Urine output of 500 mL/hr
o D. Weight gain of 2 kg in 24 hours
20
4. A patient with DI is receiving Desmopressin (DDAVP). C DDAVP is synthetic ADH; it helps the body retain water, decreasing urine
s
Which finding indicates the medication is effective? output.
o A. Increased thirst
am
o B. Decreased Urine Specific Gravity
o C. Decreased urine output
o D. Increased serum sodium Ex
5. A client with a head injury develops SIADH. The nurse B Hypertonic saline is used for severe hyponatremia to pull fluid out of cells.
should anticipate which IV fluid order?
o A. 0.45% Sodium Chloride
s
o B.3% Sodium Chloride
rt
o C. D5W
o D. 0.225% Sodium Chloride
pe
6. In a patient with DI, the nurse expects the Urine B DI urine is "water-like" (1.001 to 1.005).
Specific Gravity to be:
Ex
o A. Elevated
o B. Dilute
o C. Normal
o D. Fixed at 1.010
se
7. A client with SIADH is on a fluid restriction of
C Fluid restriction causes extreme thirst; oral care helps manage discomfort.
ur
800mL/day. Which nursing intervention is most
important?
o A. Provide salty snacks to increase thirst
N
o B. Offer ice chips frequently
o C. Frequent oral hygiene
o D. Encourage the client to drink large amounts at once
Which electrolyte imbalance is the primary concern in
C SIADH = Dilutional Hyponatremia.
SIADH?
o A. Hypernatremia
o B. Hypokalemia
o C. Hyponatremia
o D. Hypercalcemia
Nur 211 NCLEX DyleQuestions And Correct
Verified Answers New Version 2026
26
Which of the following are signs/symptoms of Diabetes bInsipidus? (Select all that apply)
o [ ] A. Polyuria
20
o [ ] B. Polydipsia
o [ ] C. Hypertension
o [ ] D. Poor skin turgor
s
o [ ] E. Concentrated urine -ANSWER- A,B,D C and E
am
All are SIADH/Fluid overload signs. DI has low BP and dilute urine.
The nurse is preparing to administer Digoxin to a client with cardiomyopathy. Which assessment finding would
Ex
brequire the nurse to hold the medication and notify the nhealthcare provider?
A. Serum potassium level of 3.2 mEq/L
B. Apical pulse of 68 beats per minute
s
C. Blood pressure of 110/70 mmHg
rt
D. Respiratory rate of 18 breaths per minute -ANSWER- A. Serum potassium level of 3.2 mEq
pe
A nurse is caring for a client with dilated cardiomyopathy who is experiencing peripheral edema and dyspnea
on exertion. Which flux-limiting medication should the nurse expect to administer to decrease preload?
Ex
A. Propranolol
B. Furosemide
C. Digoxin
se
D. Amiodarone -ANSWER- B. Furosemide
ur
A client with DI is thirsty and requesting fluids. Which is the best choice?
,
o A. Water
N
o B. Milk
o C. Orange Juice
o D. Diet Soda -ANSWER- A. Water
free water is lost in DI; water is the best replacement.
The nurse is assessing a patient with SIADH. Which physical finding is UNLIKELY?
o A. Peripheral edema
o B. Tachycardia
o C. Normal skin turgor
,o D. Weight gain -ANSWER- oA. Peripheral edema
SIADH usually presents with "water intoxication," but fluid stays in vessels/cells,
usually no peripheral edema.
A patient is diagnosed with Neurogenic DI. The nurse knows this is caused by:
o A. Failure of the kidneys to respond to ADH
o B. Excessive water intake
o C. A defect in the hypothalamus or pituitary gland
26
o D. Oversecretion of aldosterone -ANSWER- C. A defect in the hypothalamus or pituitary gland
Neurogenic = Brain; Nephrogenic = Kidney.
20
Which laboratory value would the nurse expect in a client with DI?
o A. Serum Sodium 130 mEq/L
o B. Serum Osmolality 310 mOsm/kg
s
o C. Urine Osmolality 1200 mOsm/kg
am
o D. Hematocrit 32% -ANSWER- B. Serum Osmolality 310 mOsm/kg
High serum osmolality (blood is concentrated) is classic DI.
Ex
When treating a patient with severe hyponatremia due to SIADH, the nurse must monitor for which
complication of rapid sodium correction?
o A. Cerebral edema
s
o B. Central Pontine Myelinolysis
rt
o C. Acute Kidney Injury
pe
o D. Hypovolemic shock -ANSWER- B. Central Pontine Myelinolysis
Correcting sodium too fast (>8-12 mEq/L per 24h) causes myelin sheath damage.
Ex
A client with DI is being discharged. Which statement indicates a need for further teaching?
o A. "I will weigh myself every morning."
se
o B. "I can stop my medication if my thirst goes away."
o C. "I should wear a medical alert bracelet."
o D. "I will report a weight loss of 2 lbs in one day." -ANSWER- B. "I can stop my medication if my thirst goes
ur
away."
DDAVP is often lifelong; stopping it causes immediate return of symptoms.
N
,The nurse is providing discharge teaching to a client
newly diagnosed with Hypertrophic Cardiomyopathy
(HCM). Which statement by the client indicates a need for
further teaching?
A. "I should avoid strenuous exercise and competitive
sports."
B. "I will make sure to drink plenty of water every day."
C. "I can continue my routine of taking a hot sauna after
my morning walk."
26
D. "I need to report any episodes of dizziness or fainting to my
doctor."
20
A client with restrictive cardiomyopathy is being A, B, D, E
monitored for signs of heart failure. Which clinical
manifestations should the nurse prioritize? (Select All
s
That Apply)
am
[] A. Orthopnea
[] B. Jugular venous distension (JVD)
Ex
[] C. Weight loss of 2 lbs in 24 hours
[] D. S3 gallop upon auscultation
s
rt
[] E. Crackles in the lung bases
pe
Ex
se
ur
N
, A patient with SIADH has a serum sodium level of 128 B Hyponatremia (SIADH) causes brain cells to swell, leading to confusion.
mEq/L. Which central nervous system manifestation
should the nurse prioritize?
o A. Rapid speech and hyperactivity
o B. Confusion and lethargy
o C. Hyperreflexia
o D. Visual hallucinations
The nurse is caring for a client with Diabetes Insipidus C DI is characterized by massive polyuria (dilute urine).
(DI). Which assessment finding is most consistent with this
diagnosis?
26
o A. Urine Specific Gravity of 1.035
o B. Serum Osmolality of 260 mOsm/kg
o C. Urine output of 500 mL/hr
o D. Weight gain of 2 kg in 24 hours
20
4. A patient with DI is receiving Desmopressin (DDAVP). C DDAVP is synthetic ADH; it helps the body retain water, decreasing urine
s
Which finding indicates the medication is effective? output.
o A. Increased thirst
am
o B. Decreased Urine Specific Gravity
o C. Decreased urine output
o D. Increased serum sodium Ex
5. A client with a head injury develops SIADH. The nurse B Hypertonic saline is used for severe hyponatremia to pull fluid out of cells.
should anticipate which IV fluid order?
o A. 0.45% Sodium Chloride
s
o B.3% Sodium Chloride
rt
o C. D5W
o D. 0.225% Sodium Chloride
pe
6. In a patient with DI, the nurse expects the Urine B DI urine is "water-like" (1.001 to 1.005).
Specific Gravity to be:
Ex
o A. Elevated
o B. Dilute
o C. Normal
o D. Fixed at 1.010
se
7. A client with SIADH is on a fluid restriction of
C Fluid restriction causes extreme thirst; oral care helps manage discomfort.
ur
800mL/day. Which nursing intervention is most
important?
o A. Provide salty snacks to increase thirst
N
o B. Offer ice chips frequently
o C. Frequent oral hygiene
o D. Encourage the client to drink large amounts at once
Which electrolyte imbalance is the primary concern in
C SIADH = Dilutional Hyponatremia.
SIADH?
o A. Hypernatremia
o B. Hypokalemia
o C. Hyponatremia
o D. Hypercalcemia
