NCLEX questions F&E
a-
The client has been vomiting and has weak, flabby muscles. The client's pulse is
irregular. The nurse would correctly suspect what type of imbalance?
a. Hypokalemia
b. Hyperkalemia
c. Hopocalcemia
d. Hypercalcemia
b-
The client is receiving potassium supplements. What is the most important nursing
implication when administering this drug?
a. It cannot be given as an IV bolus
b. It must be diluted
c. It must be chilled before administration
d. It must be given only at bedtime
d-
The client is due to receive Kayexalate for complaints of nausea, vomiting,
abdominal cramps, short QT interval, weakness, and oliguria. The nurse is aware that this
drug is used to treat which imbalance?
a. Hypocalcemia
b. Severe Hypercalcemia
c. Hypokalemia
d. Severe Hyperkalemia
c-
The nurse reviews the client's list of medications and results of laboratory tests.
Which drug type may cause an elevated serum sodium level?
a. Antifungals
b. Oral contraceptives
c. Cortisone preparations
d. Antiepileptics
b-
The client's magnesium level is 2.7 mEq/L. Specific health teaching by the nurse for
this client should include which suggestion?
a. Eat fruits, fish, and peanut butter
b. Avoid selected laxatives and antacids
c. Avoid magnesium, which is irritating to the stomach
d. Measure weight daily
1|Page
,a,b,c -
The client is receiving fluid replacement. The nurse's health teaching with this client
includes which suggestions? (Select all that apply)
a. Measure weight daily
b. Know that thirst means a mild fluid deficit
c. Monitor fluid intake
d. Avoid the use of calcium supplements
c-
The client gained 10 pounds in 2 days. It is determined that the weight gain is caused
by fluid retention. The nurse correctly estimates that the weight gain may be equivalent to
how many liters of fluid?
a. 2
b. 3
c. 4
d. 5
a-
The health teaching for a client with hypophosphatemia includes eating which
foods?
a. Meat, milk, whole grain cereals, nuts
b. Dairy products, vitamin D supplements
c. Dairy products, protein-rich foods
d. Dairy products, nuts, vitamin C supplements
a,b -
The nurse reviews the client's medications as part of the initial interview for
admission to the cardiac clinic. Which comment by the client indicates a need for health
teaching? (Select all that apply)
a. "Tetracycline does not affect my medications."
b. "I can take as much calcium as I want."
c. "Calcium increases the effects of my digoxin."
d. "Magnesium and potassium deficits can cause digoxin toxicity."
a,b,d,f,h -
Which findings indicate that a patient may have hypervolemia? (select all that apply)
a. Increased, bounding pulse
b. Jugular venous distention
c. Diminished peripheral pulses
d. Presence of crackles
e. Excessive thirst
f. Elevated blood pressure
g. Orthostatic hypotension
h. Skin pale and cool to touch
2|Page
, b-
The difference in concentration of particles that is greater on one side of a permeable
membrane than on the other side is known as what?
a. Hydrostatic pressure
b. Concentration gradient
c. Passive transport
d. Active transport
b-
A patient's blood osmolality is 302 mOsm/L. What manifestation does the nurse
expect to see in the patient?
a. Increased urine output
b. Thirst
c. Peripheral edema
d. Nausea
a,c,d,e -
A patient is at risk for hypervolemia. For self-management at home, what does the
nurse teach the patient to do? (select all that apply)
a. call the physician if swelling occurs
b. monitor skin turgor and record daily
c. limit the amount of free water intake
d. weigh self each day on the same scale
e. avoid high sodium foods
b-
An older adult patient at risk for fluid and electrolyte problems is vigilantly
monitored by the nurse for the first indication of a fluid balance problem. What is this
indication?
a. Fever
b. Mental status changes
c. Poor skin turgor
d. Dry mucous membranes
b-
Which intake-output record represents the norm for the average adult?
a. 500 mL of fluid per day, ingesting an additional 200 mL of fluid from food
b. 1500 mL of fluid per day, ingesting an additional 800 mL of fluid from food
c. 3000 mL of fluid per day, ingesting an additional 500 mL of fluid from food
d. 5000 mL of fluid per day, ingesting an additional 100 mL of fluid from food
a,d,e -
What are the consequences for a patient who does not meet the obligatory urine
output? (select all that apply)
3|Page
a-
The client has been vomiting and has weak, flabby muscles. The client's pulse is
irregular. The nurse would correctly suspect what type of imbalance?
a. Hypokalemia
b. Hyperkalemia
c. Hopocalcemia
d. Hypercalcemia
b-
The client is receiving potassium supplements. What is the most important nursing
implication when administering this drug?
a. It cannot be given as an IV bolus
b. It must be diluted
c. It must be chilled before administration
d. It must be given only at bedtime
d-
The client is due to receive Kayexalate for complaints of nausea, vomiting,
abdominal cramps, short QT interval, weakness, and oliguria. The nurse is aware that this
drug is used to treat which imbalance?
a. Hypocalcemia
b. Severe Hypercalcemia
c. Hypokalemia
d. Severe Hyperkalemia
c-
The nurse reviews the client's list of medications and results of laboratory tests.
Which drug type may cause an elevated serum sodium level?
a. Antifungals
b. Oral contraceptives
c. Cortisone preparations
d. Antiepileptics
b-
The client's magnesium level is 2.7 mEq/L. Specific health teaching by the nurse for
this client should include which suggestion?
a. Eat fruits, fish, and peanut butter
b. Avoid selected laxatives and antacids
c. Avoid magnesium, which is irritating to the stomach
d. Measure weight daily
1|Page
,a,b,c -
The client is receiving fluid replacement. The nurse's health teaching with this client
includes which suggestions? (Select all that apply)
a. Measure weight daily
b. Know that thirst means a mild fluid deficit
c. Monitor fluid intake
d. Avoid the use of calcium supplements
c-
The client gained 10 pounds in 2 days. It is determined that the weight gain is caused
by fluid retention. The nurse correctly estimates that the weight gain may be equivalent to
how many liters of fluid?
a. 2
b. 3
c. 4
d. 5
a-
The health teaching for a client with hypophosphatemia includes eating which
foods?
a. Meat, milk, whole grain cereals, nuts
b. Dairy products, vitamin D supplements
c. Dairy products, protein-rich foods
d. Dairy products, nuts, vitamin C supplements
a,b -
The nurse reviews the client's medications as part of the initial interview for
admission to the cardiac clinic. Which comment by the client indicates a need for health
teaching? (Select all that apply)
a. "Tetracycline does not affect my medications."
b. "I can take as much calcium as I want."
c. "Calcium increases the effects of my digoxin."
d. "Magnesium and potassium deficits can cause digoxin toxicity."
a,b,d,f,h -
Which findings indicate that a patient may have hypervolemia? (select all that apply)
a. Increased, bounding pulse
b. Jugular venous distention
c. Diminished peripheral pulses
d. Presence of crackles
e. Excessive thirst
f. Elevated blood pressure
g. Orthostatic hypotension
h. Skin pale and cool to touch
2|Page
, b-
The difference in concentration of particles that is greater on one side of a permeable
membrane than on the other side is known as what?
a. Hydrostatic pressure
b. Concentration gradient
c. Passive transport
d. Active transport
b-
A patient's blood osmolality is 302 mOsm/L. What manifestation does the nurse
expect to see in the patient?
a. Increased urine output
b. Thirst
c. Peripheral edema
d. Nausea
a,c,d,e -
A patient is at risk for hypervolemia. For self-management at home, what does the
nurse teach the patient to do? (select all that apply)
a. call the physician if swelling occurs
b. monitor skin turgor and record daily
c. limit the amount of free water intake
d. weigh self each day on the same scale
e. avoid high sodium foods
b-
An older adult patient at risk for fluid and electrolyte problems is vigilantly
monitored by the nurse for the first indication of a fluid balance problem. What is this
indication?
a. Fever
b. Mental status changes
c. Poor skin turgor
d. Dry mucous membranes
b-
Which intake-output record represents the norm for the average adult?
a. 500 mL of fluid per day, ingesting an additional 200 mL of fluid from food
b. 1500 mL of fluid per day, ingesting an additional 800 mL of fluid from food
c. 3000 mL of fluid per day, ingesting an additional 500 mL of fluid from food
d. 5000 mL of fluid per day, ingesting an additional 100 mL of fluid from food
a,d,e -
What are the consequences for a patient who does not meet the obligatory urine
output? (select all that apply)
3|Page
