NCLEX-Style Questions for Fluid &
Electrolytes Latest Update Graded A+
Which of the following is a common symptom of hypokalemia?
a) Bradycardia
b) Hyperactive reflexes
c) High blood pressure
d) Increased urinary output
✔✔ a) Bradycardia
Which of the following would be most appropriate for a patient experiencing fluid volume
overload?
a) Monitor blood pressure every hour
b) Encourage fluid intake to prevent dehydration
c) Administer a loop diuretic as prescribed
d) Restrict potassium intake
✔✔ c) Administer a loop diuretic as prescribed
1
,A patient has a serum potassium level of 2.8 mEq/L. Which of the following is the priority
intervention?
a) Encourage high-potassium foods
b) Administer potassium chloride intravenously
c) Restrict fluid intake
d) Monitor for hyperkalemia
✔✔ b) Administer potassium chloride intravenously
A patient with kidney failure develops hypercalcemia. Which of the following is most likely to
be seen?
a) Diarrhea
b) Decreased level of consciousness
c) Increased reflexes
d) Weight loss
✔✔ b) Decreased level of consciousness
When assessing a patient’s lab results, the nurse notes a bicarbonate level of 12 mEq/L. Which of
the following conditions is most likely?
a) Metabolic alkalosis
2
,b) Respiratory acidosis
c) Metabolic acidosis
d) Respiratory alkalosis
✔✔ c) Metabolic acidosis
Which of the following is a common cause of hypovolemia?
a) Heart failure
b) Excessive fluid retention
c) Diarrhea and vomiting
d) Kidney failure
✔✔ c) Diarrhea and vomiting
A patient with hypermagnesemia is at risk for which of the following?
a) Seizures
b) Hyperreflexia
c) Decreased deep tendon reflexes
d) Muscle cramps
✔✔ c) Decreased deep tendon reflexes
3
, A nurse is caring for a patient with a serum calcium level of 7.2 mg/dL. Which of the following
interventions should be prioritized?
a) Administer calcium gluconate
b) Restrict vitamin D intake
c) Increase phosphorus intake
d) Administer phosphate binders
✔✔ a) Administer calcium gluconate
Which of the following would be most concerning in a patient with fluid overload?
a) Dry skin
b) Weight loss
c) Edema and shortness of breath
d) Decreased urine output
✔✔ c) Edema and shortness of breath
A patient with renal insufficiency is being treated for hyperkalemia. Which of the following
medications should be avoided?
a) Furosemide
4
Electrolytes Latest Update Graded A+
Which of the following is a common symptom of hypokalemia?
a) Bradycardia
b) Hyperactive reflexes
c) High blood pressure
d) Increased urinary output
✔✔ a) Bradycardia
Which of the following would be most appropriate for a patient experiencing fluid volume
overload?
a) Monitor blood pressure every hour
b) Encourage fluid intake to prevent dehydration
c) Administer a loop diuretic as prescribed
d) Restrict potassium intake
✔✔ c) Administer a loop diuretic as prescribed
1
,A patient has a serum potassium level of 2.8 mEq/L. Which of the following is the priority
intervention?
a) Encourage high-potassium foods
b) Administer potassium chloride intravenously
c) Restrict fluid intake
d) Monitor for hyperkalemia
✔✔ b) Administer potassium chloride intravenously
A patient with kidney failure develops hypercalcemia. Which of the following is most likely to
be seen?
a) Diarrhea
b) Decreased level of consciousness
c) Increased reflexes
d) Weight loss
✔✔ b) Decreased level of consciousness
When assessing a patient’s lab results, the nurse notes a bicarbonate level of 12 mEq/L. Which of
the following conditions is most likely?
a) Metabolic alkalosis
2
,b) Respiratory acidosis
c) Metabolic acidosis
d) Respiratory alkalosis
✔✔ c) Metabolic acidosis
Which of the following is a common cause of hypovolemia?
a) Heart failure
b) Excessive fluid retention
c) Diarrhea and vomiting
d) Kidney failure
✔✔ c) Diarrhea and vomiting
A patient with hypermagnesemia is at risk for which of the following?
a) Seizures
b) Hyperreflexia
c) Decreased deep tendon reflexes
d) Muscle cramps
✔✔ c) Decreased deep tendon reflexes
3
, A nurse is caring for a patient with a serum calcium level of 7.2 mg/dL. Which of the following
interventions should be prioritized?
a) Administer calcium gluconate
b) Restrict vitamin D intake
c) Increase phosphorus intake
d) Administer phosphate binders
✔✔ a) Administer calcium gluconate
Which of the following would be most concerning in a patient with fluid overload?
a) Dry skin
b) Weight loss
c) Edema and shortness of breath
d) Decreased urine output
✔✔ c) Edema and shortness of breath
A patient with renal insufficiency is being treated for hyperkalemia. Which of the following
medications should be avoided?
a) Furosemide
4
