Fluid and Electrolyte Balance Practice Quiz
Fundamentals of Nursing and Clinical Ethics
1. Excessive ADH production would cause urine output to be:
a. Excessive
b. Increased
c. Normal
d. Decreased
Would specific gravity be increased or decreased? __________________
2. If abnormal amounts of water were being retained in the body, blood tests would show:
a. Increased hemoglobin
b. Increased hematocrit
c. Decreased blood urea nitrogen (BUN)
d. Decreased blood pressure
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 shif
d. Afer it has been hanging for 24 hours.
Bonus: What is your rationale? ________________________________________
4. All of the following are signs of hyponatremia except for:
a. Lethargy
b. Muscle cramps
c. Nervousness
d. 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 % 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 spaces
Fundamentals of Nursing and Clinical Ethics
1. Excessive ADH production would cause urine output to be:
a. Excessive
b. Increased
c. Normal
d. Decreased
Would specific gravity be increased or decreased? __________________
2. If abnormal amounts of water were being retained in the body, blood tests would show:
a. Increased hemoglobin
b. Increased hematocrit
c. Decreased blood urea nitrogen (BUN)
d. Decreased blood pressure
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 shif
d. Afer it has been hanging for 24 hours.
Bonus: What is your rationale? ________________________________________
4. All of the following are signs of hyponatremia except for:
a. Lethargy
b. Muscle cramps
c. Nervousness
d. 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 % 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 spaces
