1
NURS 3234 PrepU Exam III Questions with Answers
(100% Correct Answers)
The nurse is monitoring a blood transfusion for a client with anemia.
Five minutes after the transfusion begins, the client reports feeling
short of breath and itchy. Which action should the nurse take?
Answer: Stop the transfusion and notify the health care provider.
The nurse's morning assessment of a client who has a history of heart
failure reveals the presence of 2+ pitting edema in the client's ankles
and feet bilaterally. Which action should the nurse take to help
alleviate the edema? Answer: Elevate the legs
The nurse is preparing to administer fluid replacement to a client.
Which action should the nurse take first? Answer: Verify the
prescription for type of solution and amount of infusion.
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,2
An older adult client with hypokalemia is being discharged to the
home of a caregiver. Which information should the nurse include in
the family teaching? Answer: Include more bananas in the diet.
A student has joined the marching band at high school. The band
begins practicing outside during hot summer weather. Which health
promotion information will the school nurse teach the students?
Answer: The student should drink large amounts of water on practice
days.
A client with dehydration is being administered IV fluids. During
rounds, the nurse noticed that the skin immediately surrounding the
IV site was reddish in color and showing signs of inflammation. The
nurse recognizes that what phenomenon is likely responsible?
Answer: phlebitis
Which individual with diarrhea for three days is most likely to suffer
from fluid and electrolyte imbalance? Answer: Infant
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,3
A nurse is reviewing the dietary intake of a client prescribed a
potassium-sparing diuretic. The client tells the nurse that he had a
banana, yogurt, and bran cereal for breakfast and a turkey sandwich
with a glass of milk for lunch. The intake of which food would be a
cause for concern? Answer: Banana
A nursing instructor is explaining the difference between infiltration
and phlebitis to a student. Which statement is most appropriate?
Answer: "Infiltration occurs when IV fluid escapes into the tissue,
while phlebitis is inflammation of the vein."
While obtaining a health history from a client, which question is most
appropriate for the nurse to ask the client to assess fluid balance?
Answer: "How much do you typically urinate during the day?"
Endurance athletes who exercise for long periods of time and consume
only water may experience a sodium deficit in their extracellular fluid.
This electrolyte imbalance is known as: Answer: hyponatremia
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, 4
A nurse measures a client's 24-hour fluid intake and documents the
findings. To be an accurate indicator of fluid status, what must the
nurse also do with the information? Answer: Compare the total intake
and output of fluids for the 24 hours.
A student is learning how to administer intravenous fluids, including
accessing a vein. What is the most potentially harmful risk posed for
the client when accessing the vein? Answer: infection
A client loses consciousness after strenuous exercise and needs to be
admitted to a health care facility. The client is diagnosed with
dehydration. The nurse knows that the client needs restoration of:
Answer: electrolytes.
A nurse is caring for a client with phlebitis. The nurse notices that the
client's forearm, which has the tubing, has become red and slightly
warm. Which actions should the nurse perform to avoid further
complications and provide relief to the client? Answer: Discontinue
the IV promptly.
© 2025 All rights reserved
NURS 3234 PrepU Exam III Questions with Answers
(100% Correct Answers)
The nurse is monitoring a blood transfusion for a client with anemia.
Five minutes after the transfusion begins, the client reports feeling
short of breath and itchy. Which action should the nurse take?
Answer: Stop the transfusion and notify the health care provider.
The nurse's morning assessment of a client who has a history of heart
failure reveals the presence of 2+ pitting edema in the client's ankles
and feet bilaterally. Which action should the nurse take to help
alleviate the edema? Answer: Elevate the legs
The nurse is preparing to administer fluid replacement to a client.
Which action should the nurse take first? Answer: Verify the
prescription for type of solution and amount of infusion.
© 2025 All rights reserved
,2
An older adult client with hypokalemia is being discharged to the
home of a caregiver. Which information should the nurse include in
the family teaching? Answer: Include more bananas in the diet.
A student has joined the marching band at high school. The band
begins practicing outside during hot summer weather. Which health
promotion information will the school nurse teach the students?
Answer: The student should drink large amounts of water on practice
days.
A client with dehydration is being administered IV fluids. During
rounds, the nurse noticed that the skin immediately surrounding the
IV site was reddish in color and showing signs of inflammation. The
nurse recognizes that what phenomenon is likely responsible?
Answer: phlebitis
Which individual with diarrhea for three days is most likely to suffer
from fluid and electrolyte imbalance? Answer: Infant
© 2025 All rights reserved
,3
A nurse is reviewing the dietary intake of a client prescribed a
potassium-sparing diuretic. The client tells the nurse that he had a
banana, yogurt, and bran cereal for breakfast and a turkey sandwich
with a glass of milk for lunch. The intake of which food would be a
cause for concern? Answer: Banana
A nursing instructor is explaining the difference between infiltration
and phlebitis to a student. Which statement is most appropriate?
Answer: "Infiltration occurs when IV fluid escapes into the tissue,
while phlebitis is inflammation of the vein."
While obtaining a health history from a client, which question is most
appropriate for the nurse to ask the client to assess fluid balance?
Answer: "How much do you typically urinate during the day?"
Endurance athletes who exercise for long periods of time and consume
only water may experience a sodium deficit in their extracellular fluid.
This electrolyte imbalance is known as: Answer: hyponatremia
© 2025 All rights reserved
, 4
A nurse measures a client's 24-hour fluid intake and documents the
findings. To be an accurate indicator of fluid status, what must the
nurse also do with the information? Answer: Compare the total intake
and output of fluids for the 24 hours.
A student is learning how to administer intravenous fluids, including
accessing a vein. What is the most potentially harmful risk posed for
the client when accessing the vein? Answer: infection
A client loses consciousness after strenuous exercise and needs to be
admitted to a health care facility. The client is diagnosed with
dehydration. The nurse knows that the client needs restoration of:
Answer: electrolytes.
A nurse is caring for a client with phlebitis. The nurse notices that the
client's forearm, which has the tubing, has become red and slightly
warm. Which actions should the nurse perform to avoid further
complications and provide relief to the client? Answer: Discontinue
the IV promptly.
© 2025 All rights reserved
