NUR 330 Exam 1: Pharmacology, Fluid Balance, and Pain Management – UPDATED Questions …
NUR 330 Exam 1: Pharmacology, Fluid Balance,
and Pain Management – UPDATED Questions with
100% Verified Answers
Section 1: Client, Finding, Intervention (Q1–Q15)
Question & Answer
Q1 What assessment finding most likely indicates pain in a nonverbal client with advanced
dementia?
A Grimacing and restlessness.
Q2 Which finding requires the most immediate intervention after administering morphine
for severe post-surgical pain?
A Respiratory rate drops to 8 breaths/minute.
Q3 What is the priority intervention for a client recovering from abdominal surgery who
reports severe pain?
A Administer the prescribed opioid for pain.
Q4 What is the nurse's best action for a client receiving opioids who reports constipation?
A Encourage increased fluid and fiber intake.
Q5 What should the nurse do 30 minutes after administering IV morphine for severe pain?
A Reassess the client's pain level and respiratory status.
Q6 Which finding requires immediate intervention in a client with hypermagnesemia?
A Respiratory rate of 8 breaths/minute.
Q7 What finding is consistent with hypercalcemia?
A Constipation and lethargy.
Q8 What is the most important nursing action for a client with hypokalemia receiving IV
potassium chloride?
A Dilute the potassium and administer it using an infusion pump.
Q9 What should the nurse monitor for in a client with hypernatremia?
A Confusion and restlessness.
Q10 What is the priority nursing intervention for a client with a sodium level of 120 mEq/L?
A Place the client on seizure precautions.
Q11 Which prescription should the nurse question for a client with a potassium level of 6.5
mEq/L?
A Spironolactone.
Page 1 of 6
, NUR 330 Exam 1: Pharmacology, Fluid Balance, and Pain Management – UPDATED Questions …
Question & Answer
Q12 What nursing intervention is appropriate for a client with a calcium level of 12.0 mg/dL?
A Encourage increased fluid intake.
Q13 Which medication should the nurse anticipate administering for severe hyperkalemia?
A Calcium gluconate.
Q14 What finding should the nurse expect for a client with a potassium level of 2.8 mEq/L?
A Muscle weakness and decreased bowel sounds.
Q15 A client taking furosemide (Lasix) is at risk for which electrolyte imbalance?
A Hypokalemia.
Section 2: Client, Finding, Fluid (Q16–Q30)
Question & Answer
Q16 Which finding is most consistent with fluid volume deficit in a client with severe
vomiting and diarrhea?
A Dry mucous membranes and tachycardia.
Q17 What is the most important nursing assessment for a client with heart failure admitted
for fluid overload?
A Daily weight.
Q18 Which IV solution is a client with hypernatremia likely to receive?
A 0.45% normal saline.
Q19 Which IV solution should the nurse anticipate for a client with severe hyponatremia
experiencing seizures?
A 3% sodium chloride.
Q20 Why are older adults at increased risk for fluid imbalances?
A Decreased kidney function and decreased total body water.
Q21 What finding indicates effective fluid resuscitation for a client with severe burns
receiving IV fluids?
A Urine output of 30-50 mL/hr.
Q22 Which acid-base imbalance is most likely in a client experiencing an anxiety attack with
rapid, deep breathing?
A Respiratory alkalosis.
Q23 Which acid-base imbalance should the nurse anticipate for a client who has been
vomiting for 3 days?
A Metabolic alkalosis.
Page 2 of 6
NUR 330 Exam 1: Pharmacology, Fluid Balance,
and Pain Management – UPDATED Questions with
100% Verified Answers
Section 1: Client, Finding, Intervention (Q1–Q15)
Question & Answer
Q1 What assessment finding most likely indicates pain in a nonverbal client with advanced
dementia?
A Grimacing and restlessness.
Q2 Which finding requires the most immediate intervention after administering morphine
for severe post-surgical pain?
A Respiratory rate drops to 8 breaths/minute.
Q3 What is the priority intervention for a client recovering from abdominal surgery who
reports severe pain?
A Administer the prescribed opioid for pain.
Q4 What is the nurse's best action for a client receiving opioids who reports constipation?
A Encourage increased fluid and fiber intake.
Q5 What should the nurse do 30 minutes after administering IV morphine for severe pain?
A Reassess the client's pain level and respiratory status.
Q6 Which finding requires immediate intervention in a client with hypermagnesemia?
A Respiratory rate of 8 breaths/minute.
Q7 What finding is consistent with hypercalcemia?
A Constipation and lethargy.
Q8 What is the most important nursing action for a client with hypokalemia receiving IV
potassium chloride?
A Dilute the potassium and administer it using an infusion pump.
Q9 What should the nurse monitor for in a client with hypernatremia?
A Confusion and restlessness.
Q10 What is the priority nursing intervention for a client with a sodium level of 120 mEq/L?
A Place the client on seizure precautions.
Q11 Which prescription should the nurse question for a client with a potassium level of 6.5
mEq/L?
A Spironolactone.
Page 1 of 6
, NUR 330 Exam 1: Pharmacology, Fluid Balance, and Pain Management – UPDATED Questions …
Question & Answer
Q12 What nursing intervention is appropriate for a client with a calcium level of 12.0 mg/dL?
A Encourage increased fluid intake.
Q13 Which medication should the nurse anticipate administering for severe hyperkalemia?
A Calcium gluconate.
Q14 What finding should the nurse expect for a client with a potassium level of 2.8 mEq/L?
A Muscle weakness and decreased bowel sounds.
Q15 A client taking furosemide (Lasix) is at risk for which electrolyte imbalance?
A Hypokalemia.
Section 2: Client, Finding, Fluid (Q16–Q30)
Question & Answer
Q16 Which finding is most consistent with fluid volume deficit in a client with severe
vomiting and diarrhea?
A Dry mucous membranes and tachycardia.
Q17 What is the most important nursing assessment for a client with heart failure admitted
for fluid overload?
A Daily weight.
Q18 Which IV solution is a client with hypernatremia likely to receive?
A 0.45% normal saline.
Q19 Which IV solution should the nurse anticipate for a client with severe hyponatremia
experiencing seizures?
A 3% sodium chloride.
Q20 Why are older adults at increased risk for fluid imbalances?
A Decreased kidney function and decreased total body water.
Q21 What finding indicates effective fluid resuscitation for a client with severe burns
receiving IV fluids?
A Urine output of 30-50 mL/hr.
Q22 Which acid-base imbalance is most likely in a client experiencing an anxiety attack with
rapid, deep breathing?
A Respiratory alkalosis.
Q23 Which acid-base imbalance should the nurse anticipate for a client who has been
vomiting for 3 days?
A Metabolic alkalosis.
Page 2 of 6
