NRS 3015: EXAM #3 PRACTICE QUESTIONS WITH
ACCURATE SOLUTIONS GRADED A+
A nurse is admitting a client who reports, nausea, vomiting, and weakness. The
client has dry oral mucous membranes and blood pressure 102/64 mmHg.
Which of the following findings should the nurse identify as manifestations of
fluid volume deficit? (Select all that apply.)
a. Decreased skin turgor
b. Concentrated urine
c. Bradycardia
d. Low-grade fever
e. Tachypnea Answer - a, b, d, e
A nurse is admitting an older adult client who reports a weight gain of 2.3 kg (5
lb) in 48 hr. Which of the following manifestations of fluid volume excess
should the nurse expect? (Select all that apply.)
a. Dyspnea
b. Edema
c. Bradycardia
d. Hypertension
e. Weakness Answer - a, b, d, e
,A nurse is assessing a client who is dehydrated. Which of the following findings
should the nurse expect?
a. Moist skin
b. Distended neck veins
c. Increased urinary output
d. Tachycardia Answer - d
A nurse is caring for a client in a long-term care facility who has become weak,
confused, and experienced dizziness when standing. The client's temperature is
38.3º C (100.9º F), pulse 92/min, respirations 20/min, and blood pressure
108/60 mmHg. Which of the following actions should the nurse take?
a. Initiate fluid restrictions to limit intake
b. Check for peripheral edema
c. Encourage the client to ambulate to promote oxygenation
d. Monitor for orthostatic hypotension Answer - d
A nurse is assessing a client who has dehydration. Which of the following
assessments is the priority?
a. Skin turgor
b. Urine output
c. Weight
d. Mental status Answer - d
,A nurse is caring for a client who has dehydration and is receiving IV fluids.
When assessing for complications, the nurse should recognize which of the
following manifestations of fluid overload?
a. Increased urine specific gravity
b. Hypoactive bowel sounds
c. Bounding peripheral pulses
d. Decreased respiratory rate Answer - c
A nurse is providing teaching to a client who has venous insufficiency of the
lower extremities. Which of the following statements by the client indicates an
understanding of teaching?
a. "If my stockings feel tight, I'll roll them down for a while."
b. "I'll put on my elastic stockings at the first sign of swelling."
c. "When I sit down to watch television, I'll be sure to put my feet up."
d. "It's okay to cross my legs as long as it's for less than one hour." Answer - c
A nurse is assessing a client who has fluid volume overload from a client from a
cardiovascular disorder. Which of the following manifestations should the
nurse expect? (Select all that apply.)
a. Jugular vein distention
b. Moist crackles
c. Postural hypotension
d. Increased heart rate
e. Fever Answer - a, b, d
, A nurse is caring for a client who has a major burn injury and is experiencing
third spacing. Which of the following fluid or electrolyte imbalances should the
nurse expect?
a. Hypokalemia
b. Hypernatremia
c. Elevated Hct
d. Decreased Hgb Answer - c
A nurse is assessing a client who has isotonic dehydration. Which of the
following findings should the nurse expect?
a. Increased hematocrit level
b. Bradycardia
c. Distended neck veins
d. Decreased urine specific gravity Answer - a
A nurse is caring for a client with dehydration who has developed hypovolemic
shock. Which of the following laboratory values should the nurse expect for
this client?
a. BUN 18 mg/dL
b. Capillary refill 1.5 sec
c. Hct 55%
d. Urine specific gravity 1.001 Answer - c
ACCURATE SOLUTIONS GRADED A+
A nurse is admitting a client who reports, nausea, vomiting, and weakness. The
client has dry oral mucous membranes and blood pressure 102/64 mmHg.
Which of the following findings should the nurse identify as manifestations of
fluid volume deficit? (Select all that apply.)
a. Decreased skin turgor
b. Concentrated urine
c. Bradycardia
d. Low-grade fever
e. Tachypnea Answer - a, b, d, e
A nurse is admitting an older adult client who reports a weight gain of 2.3 kg (5
lb) in 48 hr. Which of the following manifestations of fluid volume excess
should the nurse expect? (Select all that apply.)
a. Dyspnea
b. Edema
c. Bradycardia
d. Hypertension
e. Weakness Answer - a, b, d, e
,A nurse is assessing a client who is dehydrated. Which of the following findings
should the nurse expect?
a. Moist skin
b. Distended neck veins
c. Increased urinary output
d. Tachycardia Answer - d
A nurse is caring for a client in a long-term care facility who has become weak,
confused, and experienced dizziness when standing. The client's temperature is
38.3º C (100.9º F), pulse 92/min, respirations 20/min, and blood pressure
108/60 mmHg. Which of the following actions should the nurse take?
a. Initiate fluid restrictions to limit intake
b. Check for peripheral edema
c. Encourage the client to ambulate to promote oxygenation
d. Monitor for orthostatic hypotension Answer - d
A nurse is assessing a client who has dehydration. Which of the following
assessments is the priority?
a. Skin turgor
b. Urine output
c. Weight
d. Mental status Answer - d
,A nurse is caring for a client who has dehydration and is receiving IV fluids.
When assessing for complications, the nurse should recognize which of the
following manifestations of fluid overload?
a. Increased urine specific gravity
b. Hypoactive bowel sounds
c. Bounding peripheral pulses
d. Decreased respiratory rate Answer - c
A nurse is providing teaching to a client who has venous insufficiency of the
lower extremities. Which of the following statements by the client indicates an
understanding of teaching?
a. "If my stockings feel tight, I'll roll them down for a while."
b. "I'll put on my elastic stockings at the first sign of swelling."
c. "When I sit down to watch television, I'll be sure to put my feet up."
d. "It's okay to cross my legs as long as it's for less than one hour." Answer - c
A nurse is assessing a client who has fluid volume overload from a client from a
cardiovascular disorder. Which of the following manifestations should the
nurse expect? (Select all that apply.)
a. Jugular vein distention
b. Moist crackles
c. Postural hypotension
d. Increased heart rate
e. Fever Answer - a, b, d
, A nurse is caring for a client who has a major burn injury and is experiencing
third spacing. Which of the following fluid or electrolyte imbalances should the
nurse expect?
a. Hypokalemia
b. Hypernatremia
c. Elevated Hct
d. Decreased Hgb Answer - c
A nurse is assessing a client who has isotonic dehydration. Which of the
following findings should the nurse expect?
a. Increased hematocrit level
b. Bradycardia
c. Distended neck veins
d. Decreased urine specific gravity Answer - a
A nurse is caring for a client with dehydration who has developed hypovolemic
shock. Which of the following laboratory values should the nurse expect for
this client?
a. BUN 18 mg/dL
b. Capillary refill 1.5 sec
c. Hct 55%
d. Urine specific gravity 1.001 Answer - c
