NS 660 Exam 2: Fluid And Electrolyte – Practice
Questions With Valid Answer Keys
The nurse provides education for clinical staff regarding the processes that
move water and electrolytes between body compartments. Which statement
made by a participant indicates the need for additional instruction?
"Filtration is the process that moves fluid into and out of the capillaries."
"Osmosis allows the free movement of potassium across cell membranes."
"Active transport uses adenosine triphosphate (ATP) to move electrolytes
against the concentration gradient."
"Diffusion is the passive movement of electrolytes or other particles down a
concentration gradient." Correct Answer - "Osmosis allows the free
movement of potassium across cell membranes."
Which process for transporting fluid between the extracellular fluid and the
intracellular fluid is impacted when the nurse administers a hypotonic
intravenous (IV) solution to the patient who is admitted for the treatment of
dehydration?
Osmosis
Diffusion
Filtration
Active Transport Correct Answer - osmosis
Which vascular access device (VAD) does the nurse prepare to place for the
patient who requires short-term administration of intravenous (IV)
antibiotics?
Subclavian central line
Implanted infusion port
Peripheral intravenous catheter
Peripherally inserted central catheter (PICC) Correct Answer -
Peripheral intravenous catheter
Which type of intravenous (IV) fluid is isotonic when it first enters a patient's
vein but has an effective hypotonic concentration after it flows through the
vascular system?
Dextrose 5% in water (D5W)
Lactated Ringer's (LR)
Dextrose 5% in 0.9% sodium chloride (D5NS)
, 0.45% sodium chloride Correct Answer - Dextrose 5% in water (D5W)
The skin of a patient receiving intravenous fluids appears blanched, cool to
the touch, and edematous. Upon touch, the patient reports pain. Which
complication does the nurse suspect?
Phlebitis
Extravasation
Local infection
Circulatory overload Correct Answer - Extravasation
A patient who is receiving intravenous therapy develops redness,
inflammation, swelling, and purulent drainage at the catheter site. Which
nursing intervention(s) is useful in this situation? Select all that apply.
Applying a hot compress to the site
Cleaning the skin with alcohol
Raising the head of the patient's bed
Applying a pressure dressing over the site
Inserting a new intravenous line in another extremity Correct Answer -
Cleaning the skin with alcohol
Inserting a new intravenous line in another extremity
Which body fluid is a transcellular fluid? Select all that apply
Synovial fluid
Peritoneal fluid
Cerebrospinal fluid
Fluid outside the cells
Fluid outside the blood vessels Correct Answer - Synovial fluid
Peritoneal fluid
Cerebrospinal fluid
A patient receiving a continuous intravenous (IV) infusion of 0.9% sodium
chloride develops shortness of breath and edema in the extremities. Upon
auscultation, the nurse hears crackling sounds in the dependent parts of the
lungs. Which nursing intervention(s) should the nurse perform? Select all that
apply.
Stop the IV infusion
Elevate the head of the bed
Notify the health care provider
Start a new line in another extremity
Questions With Valid Answer Keys
The nurse provides education for clinical staff regarding the processes that
move water and electrolytes between body compartments. Which statement
made by a participant indicates the need for additional instruction?
"Filtration is the process that moves fluid into and out of the capillaries."
"Osmosis allows the free movement of potassium across cell membranes."
"Active transport uses adenosine triphosphate (ATP) to move electrolytes
against the concentration gradient."
"Diffusion is the passive movement of electrolytes or other particles down a
concentration gradient." Correct Answer - "Osmosis allows the free
movement of potassium across cell membranes."
Which process for transporting fluid between the extracellular fluid and the
intracellular fluid is impacted when the nurse administers a hypotonic
intravenous (IV) solution to the patient who is admitted for the treatment of
dehydration?
Osmosis
Diffusion
Filtration
Active Transport Correct Answer - osmosis
Which vascular access device (VAD) does the nurse prepare to place for the
patient who requires short-term administration of intravenous (IV)
antibiotics?
Subclavian central line
Implanted infusion port
Peripheral intravenous catheter
Peripherally inserted central catheter (PICC) Correct Answer -
Peripheral intravenous catheter
Which type of intravenous (IV) fluid is isotonic when it first enters a patient's
vein but has an effective hypotonic concentration after it flows through the
vascular system?
Dextrose 5% in water (D5W)
Lactated Ringer's (LR)
Dextrose 5% in 0.9% sodium chloride (D5NS)
, 0.45% sodium chloride Correct Answer - Dextrose 5% in water (D5W)
The skin of a patient receiving intravenous fluids appears blanched, cool to
the touch, and edematous. Upon touch, the patient reports pain. Which
complication does the nurse suspect?
Phlebitis
Extravasation
Local infection
Circulatory overload Correct Answer - Extravasation
A patient who is receiving intravenous therapy develops redness,
inflammation, swelling, and purulent drainage at the catheter site. Which
nursing intervention(s) is useful in this situation? Select all that apply.
Applying a hot compress to the site
Cleaning the skin with alcohol
Raising the head of the patient's bed
Applying a pressure dressing over the site
Inserting a new intravenous line in another extremity Correct Answer -
Cleaning the skin with alcohol
Inserting a new intravenous line in another extremity
Which body fluid is a transcellular fluid? Select all that apply
Synovial fluid
Peritoneal fluid
Cerebrospinal fluid
Fluid outside the cells
Fluid outside the blood vessels Correct Answer - Synovial fluid
Peritoneal fluid
Cerebrospinal fluid
A patient receiving a continuous intravenous (IV) infusion of 0.9% sodium
chloride develops shortness of breath and edema in the extremities. Upon
auscultation, the nurse hears crackling sounds in the dependent parts of the
lungs. Which nursing intervention(s) should the nurse perform? Select all that
apply.
Stop the IV infusion
Elevate the head of the bed
Notify the health care provider
Start a new line in another extremity
