NUR 330 Exam 1 – UPDATED Questions with 100% Verified Answers
NUR 330 Exam 1 – UPDATED Questions with 100%
Verified Answers
Section 1: Nurse, Fluid, Patient (Q1–Q12)
Question & Answer
Q1 1. A nurse is reading a physician's progress note in the client's record and reads that the
physician has documented "insensible fluid loss of approximately 800 mL daily." The
nurse understands that this type of fluid loss can occur through:
A a. the skin b. urinary output c. wound drainage d. the gastrointestinal tract
Answer: A
Q2 2. A nurse caring for a patient who had been receiving IV diuretics suspects that the
client is experiencing a deficient fluid volume. Which assessment finding would the
nurse note in a client with this condition?
A a. lung congestion b. decreased hematocrit c. decreased BP d. decreased heart rate
Answer: C
Q3 3. The nurse is caring for a patient with congestive heart failure. On assessment, the
nurse notes that the client is dypneic and that crackles are audible on auscultation. The
nurse suspects excess fluid volume. What additional signs would the nurse expect to
note in this patient?
A a. weight loss b. flat neck and hand veins c. increased blood pressure d. diaphoresis
Answer: C
Q4 4. A nurse is assigned to care for a group of patients. On review of the patient's medical
records, the nurse determines which of these patients to be most at risk for fluid volume
excess?
A a. patient taking diuretics b. patient with renal failure c. patient with an ileostomy d. patient
requiring gastrointestinal suctioning
Answer: B
Q5 5. What is the nurses primary concern regarding fluid and electrolytes when caring for
an elderly patient who is intermittently confused?
A a. risk of dehydration b. risk of kidney damage c. risk of stroke d. risk of bleeding
Answer: A thirst mechanism declines
Q6 6. A patient is diagnosed with severe hyponatremia. The nurse realizes this patient will
most likely need which of the following precautions implemented?
A a. seizure b. infection c. neutropenic d. high-risk fall
Answer: A
Page 1 of 8
, NUR 330 Exam 1 – UPDATED Questions with 100% Verified Answers
Question & Answer
Q7 7. The nurse is planning care for a patient with fluid volume overload and hyponatremia.
Which of the following should be included in the patient's plan of care?
A a. restrict fluids b. administer IV fluids c. provide Kayexalate d. administer IV normal saline with
furosemide
Answer: A prevents sodium level from further dilution; (b) if HYPERnatremia, Kayexalate is used for
hyperK, furosemide increases calcium secretion
Q8 lethargy, weakness, depressed reflexes, decreased memory, confusion, personality
changes, psychosis, bone pain, fractures, stupor, coma, EKG changes
A Hypercalcemia
Q9 confusion, hyperactive deep tendon reflexes, tremors, seizures, cardiac dysrhythmias
A Hypomagnesemia
Q10 restlessness, agitation, twitching, seizures, coma; intense thirst, dry, swollen tongue,
postural hypotension, decreased CVP, weight loss, weakness, lethargy
A Hypernatremia (w/decreased ECF volume)
Q11 Hypocalcemia, muscle problems, tetany; deposition of calcium-phosphate precipitates
on the skin, soft tissue, corneas, viscera and/or blood vessels
A Hyperphosphatemia
Q12 Headache, apathy, confusion, muscle spasms, seizures, coma, N & V, diarrhea,
abdominal cramps, weight gain, increased BP (b/c low Na = high water), increased CVP
A Hyponatremia (w/ normal or increased ECF volume
Section 2: Changes, Weakness, Pulse (Q13–Q24)
Question & Answer
Q13 EKG changes, irritability, anxiety, abdominal cramping, weakness in lower extremities,
paresthesias, irregular pulse, cardiac arrest if sudden or severe.
A Hyperkalemia
Q14 Easy fatiguability, numbness/tingling in extremities and around the mouth,
hyperreflexia, muscle cramps, Chvostek's sign, Trousseua's sign, laryngeal spasm,
tetany, EKG changes
A Hypocalcemia
Q15 lethargy, drowsiness, N & V, loss of deep tendon reflexes, somnolence, eventually
respiratory and cardiac arrest
A Hypermagnesemia
Q16 Irritability, apprehension, confusion, dizziness, personality changes, tremors, seizures,
coma, dry mucous membranes, postural hypotension, decreased CVP, tachycardia,
thready pulse, cold/clammy skin
A Hyponatremia (w/ decreased ECF volume)
Page 2 of 8
NUR 330 Exam 1 – UPDATED Questions with 100%
Verified Answers
Section 1: Nurse, Fluid, Patient (Q1–Q12)
Question & Answer
Q1 1. A nurse is reading a physician's progress note in the client's record and reads that the
physician has documented "insensible fluid loss of approximately 800 mL daily." The
nurse understands that this type of fluid loss can occur through:
A a. the skin b. urinary output c. wound drainage d. the gastrointestinal tract
Answer: A
Q2 2. A nurse caring for a patient who had been receiving IV diuretics suspects that the
client is experiencing a deficient fluid volume. Which assessment finding would the
nurse note in a client with this condition?
A a. lung congestion b. decreased hematocrit c. decreased BP d. decreased heart rate
Answer: C
Q3 3. The nurse is caring for a patient with congestive heart failure. On assessment, the
nurse notes that the client is dypneic and that crackles are audible on auscultation. The
nurse suspects excess fluid volume. What additional signs would the nurse expect to
note in this patient?
A a. weight loss b. flat neck and hand veins c. increased blood pressure d. diaphoresis
Answer: C
Q4 4. A nurse is assigned to care for a group of patients. On review of the patient's medical
records, the nurse determines which of these patients to be most at risk for fluid volume
excess?
A a. patient taking diuretics b. patient with renal failure c. patient with an ileostomy d. patient
requiring gastrointestinal suctioning
Answer: B
Q5 5. What is the nurses primary concern regarding fluid and electrolytes when caring for
an elderly patient who is intermittently confused?
A a. risk of dehydration b. risk of kidney damage c. risk of stroke d. risk of bleeding
Answer: A thirst mechanism declines
Q6 6. A patient is diagnosed with severe hyponatremia. The nurse realizes this patient will
most likely need which of the following precautions implemented?
A a. seizure b. infection c. neutropenic d. high-risk fall
Answer: A
Page 1 of 8
, NUR 330 Exam 1 – UPDATED Questions with 100% Verified Answers
Question & Answer
Q7 7. The nurse is planning care for a patient with fluid volume overload and hyponatremia.
Which of the following should be included in the patient's plan of care?
A a. restrict fluids b. administer IV fluids c. provide Kayexalate d. administer IV normal saline with
furosemide
Answer: A prevents sodium level from further dilution; (b) if HYPERnatremia, Kayexalate is used for
hyperK, furosemide increases calcium secretion
Q8 lethargy, weakness, depressed reflexes, decreased memory, confusion, personality
changes, psychosis, bone pain, fractures, stupor, coma, EKG changes
A Hypercalcemia
Q9 confusion, hyperactive deep tendon reflexes, tremors, seizures, cardiac dysrhythmias
A Hypomagnesemia
Q10 restlessness, agitation, twitching, seizures, coma; intense thirst, dry, swollen tongue,
postural hypotension, decreased CVP, weight loss, weakness, lethargy
A Hypernatremia (w/decreased ECF volume)
Q11 Hypocalcemia, muscle problems, tetany; deposition of calcium-phosphate precipitates
on the skin, soft tissue, corneas, viscera and/or blood vessels
A Hyperphosphatemia
Q12 Headache, apathy, confusion, muscle spasms, seizures, coma, N & V, diarrhea,
abdominal cramps, weight gain, increased BP (b/c low Na = high water), increased CVP
A Hyponatremia (w/ normal or increased ECF volume
Section 2: Changes, Weakness, Pulse (Q13–Q24)
Question & Answer
Q13 EKG changes, irritability, anxiety, abdominal cramping, weakness in lower extremities,
paresthesias, irregular pulse, cardiac arrest if sudden or severe.
A Hyperkalemia
Q14 Easy fatiguability, numbness/tingling in extremities and around the mouth,
hyperreflexia, muscle cramps, Chvostek's sign, Trousseua's sign, laryngeal spasm,
tetany, EKG changes
A Hypocalcemia
Q15 lethargy, drowsiness, N & V, loss of deep tendon reflexes, somnolence, eventually
respiratory and cardiac arrest
A Hypermagnesemia
Q16 Irritability, apprehension, confusion, dizziness, personality changes, tremors, seizures,
coma, dry mucous membranes, postural hypotension, decreased CVP, tachycardia,
thready pulse, cold/clammy skin
A Hyponatremia (w/ decreased ECF volume)
Page 2 of 8
