EDAPT NCLEX Readiness Exam – Physiological
Adaptation Part 2: Electrolyte Imbalances, Fluid Volume
& Cardiac Monitoring|Verified Questions Provided with
A+ Graded Rationales Latest Updated 2026
The nurse is caring for a client with heart failure. Upon assessment, the nurse notes dyspnea
and crackles bilaterally. For each additional assessment finding, indicate if the finding is related
to fluid volume overload or not related.
Related:
Tachycardia
Peripheral edema
Hemoglobin decreased
Not Related:
Hypotension
Weak, thready pulses
The nurse is caring for a client with a serum potassium level of 6.2 mEq/L. Which changes
should the nurse monitor on the electrocardiogram (ECG) because of this laboratory value?
Select all that apply.
Tall, peaked T wave
Prolonged PR interval
Widened QRS complex
The nurse recognizes that a client with __________ is most at risk for hypokalemia due to
__________.
Nasogastric suctioning
Increased loss of potassium
The nurse is caring for a client with hypothyroidism and hypocalcemia. Highlight the assessment
findings that relate to the diagnosis.
Confusion
Weakness
Paresthesia of the extremities
Trousseau's sign is present
BP 92/63
, The nurse is caring for a client with hypothyroidism and hypocalcemia. The client has clinical
manifestations consistent with hypocalcemia caused by __________ and placing the client at
greatest risk for __________.
Hypothyroidism
Seizures
The nurse is caring for a client with hypothyroidism and hypocalcemia. The nurse is providing
education to the client about prescribed oral calcium supplements 1000 mg daily. Match each
statement made by the nurse to the corresponding rationale.
"Take calcium 1000 mg daily, divided into two doses."
Increases intestinal absorption
"Take calcium supplements with food."
Stomach acid is needed to dissolve supplement
"Take a vitamin D supplement."
Necessary to push calcium into the bones
"Calcium carbonate is the preferred supplement."
Highest percentage of elemental calcium
The nurse is caring for four clients. Which client should be closely monitored for manifestations
of hyponatremia?
Middle adult client with syndrome of inappropriate antidiuretic hormone
The nurse is planning care for a client with fluid volume deficit secondary to dehydration. For
each healthcare provider prescription, indicate if the prescription is anticipated or
contraindicated.
Anticipated:
Administer 0.9% sodium chloride 150 mL/hour intravenously.
Implement fall precautions.
Document hourly intake and output (I&O) and daily weight.
Contraindicated:
Administer 3% sodium chloride 500 mL intravenous bolus now.
Administer desmopressin 3 mcg via intravenous injection twice daily.
Adaptation Part 2: Electrolyte Imbalances, Fluid Volume
& Cardiac Monitoring|Verified Questions Provided with
A+ Graded Rationales Latest Updated 2026
The nurse is caring for a client with heart failure. Upon assessment, the nurse notes dyspnea
and crackles bilaterally. For each additional assessment finding, indicate if the finding is related
to fluid volume overload or not related.
Related:
Tachycardia
Peripheral edema
Hemoglobin decreased
Not Related:
Hypotension
Weak, thready pulses
The nurse is caring for a client with a serum potassium level of 6.2 mEq/L. Which changes
should the nurse monitor on the electrocardiogram (ECG) because of this laboratory value?
Select all that apply.
Tall, peaked T wave
Prolonged PR interval
Widened QRS complex
The nurse recognizes that a client with __________ is most at risk for hypokalemia due to
__________.
Nasogastric suctioning
Increased loss of potassium
The nurse is caring for a client with hypothyroidism and hypocalcemia. Highlight the assessment
findings that relate to the diagnosis.
Confusion
Weakness
Paresthesia of the extremities
Trousseau's sign is present
BP 92/63
, The nurse is caring for a client with hypothyroidism and hypocalcemia. The client has clinical
manifestations consistent with hypocalcemia caused by __________ and placing the client at
greatest risk for __________.
Hypothyroidism
Seizures
The nurse is caring for a client with hypothyroidism and hypocalcemia. The nurse is providing
education to the client about prescribed oral calcium supplements 1000 mg daily. Match each
statement made by the nurse to the corresponding rationale.
"Take calcium 1000 mg daily, divided into two doses."
Increases intestinal absorption
"Take calcium supplements with food."
Stomach acid is needed to dissolve supplement
"Take a vitamin D supplement."
Necessary to push calcium into the bones
"Calcium carbonate is the preferred supplement."
Highest percentage of elemental calcium
The nurse is caring for four clients. Which client should be closely monitored for manifestations
of hyponatremia?
Middle adult client with syndrome of inappropriate antidiuretic hormone
The nurse is planning care for a client with fluid volume deficit secondary to dehydration. For
each healthcare provider prescription, indicate if the prescription is anticipated or
contraindicated.
Anticipated:
Administer 0.9% sodium chloride 150 mL/hour intravenously.
Implement fall precautions.
Document hourly intake and output (I&O) and daily weight.
Contraindicated:
Administer 3% sodium chloride 500 mL intravenous bolus now.
Administer desmopressin 3 mcg via intravenous injection twice daily.
