CNUR 203 OSCE EXAM QUESTIONS WITH
CORRECT ANSWERS
What clinical manifestations may you expect upon physical examination of a
| | | | | | | | | | |
patient with fluid volume deficit? - CORRECT ANSWER✔✔-Lethargy, altered
| | | | | | | | |
mental status, anxiety, restlessness, confusuon, headache, dizziness, sunken
| | | | | | | |
eyeballs, dry mucous membranes, longituindal fissures, poor tissue turgor, pallor,
| | | | | | | | | |
decreases urine output, flattened neck vein, weak/thready pulse, reduces cap
| | | | | | | | | |
refill, tachycardia, hypotension.
| |
What are 3 priority interventions for fluid volume deficit? - CORRECT
| | | | | | | | | | |
ANSWER✔✔-ANY of these 3: | | | |
- administer isotonic IV fluids
| | | | |
- monitor vital signs
| | |
- monitor intake and output
| | | | |
- weigh daily to monitor fluid balance accurately
| | | | | | | |
- monitor lab results closely for changes (trends)
| | | | | | | |
- administer antiemetics and other medications
| | | | | |
- provide mouth care
| | | |
- on-going assessments for signs of dehydration
| | | | | |
What type of fluid should be ordered for hypovolemia? - CORRECT ANSWER✔✔-
| | | | | | | | | | |
Isotonic solution | |
- 0.9 % NS
| | | |
,- ringers lactate
| | |
- D5W
|
During fluid volume replacement, what is the minimum urine fluid volume you
| | | | | | | | | | | |
would like to see? - CORRECT ANSWER✔✔-Greater than 30 mL an hour
| | | | | | | | | | |
What are 2 signs of hypomagnesemia? - CORRECT ANSWER✔✔-- chvostek's sign
| | | | | | | | | | |
- trousseasu's
|
What is Chvostek's sign? - CORRECT ANSWER✔✔-Tapping of the facial nerve
| | | | | | | | | | |
elicits contraction of the facial muscles on the side you have tapped
| | | | | | | | | | |
What is Trousseau's sigh? - CORRECT ANSWER✔✔-Carpooedal spasm elicited
| | | | | | | | |
when a BP cuff is inflated above the systolic BP and left for 3 minutes
| | | | | | | | | | | | | |
What clinical manifestations may you expect upon physical examination of a
| | | | | | | | | | |
patient with fluid volume deficit? - CORRECT ANSWER✔✔-- Edema
| | | | | | | | |
- weight gain over a short period of time
| | | | | | | |
- increase in central venous pressure
| | | | |
- adventitious breath sounds (crackles)
| | | | |
- pleural effusion
| |
- presence of S3
| | | |
- tachycardia
| |
- irregular heartbeat
| | |
,- vein distension
| |
- oliguria
| |
- decrease hgb or hematocrit
| | | | |
- electrolyte imbalance
| | |
- alteration in specific gravity
| | | |
What are 3 priority nursing interventions interventions for hypervolemia? -
| | | | | | | | | |
CORRECT ANSWER✔✔-- administer diuretics to get rid of excess fluid
| | | | | | | | |
- evaluate extremities frequently
| | | |
- place in semi Fowler's
| | | | |
- reduce sodium and water intake
| | | | | |
- reposition q2h or even more often
| | | | | | |
- measure Ins and Outs
| | | | |
- promote mobilization
| |
What are the clinical manifestations of hypokalemia? - CORRECT ANSWER✔✔--
| | | | | | | | | |
ECG changes
| |
- irregular pulse
| | |
- muscle weakness
| | |
- muscle cramps
| | |
- Bradycardia
| |
- nausea
| |
- weekend pulse
| |
, What are the common clinical manifestations of hyperkalemia? - CORRECT
| | | | | | | | | |
ANSWER✔✔-- muscle weakness | | |
- fatigue
| |
- nausea
|
What is the importance of the 60 second check? - CORRECT ANSWER✔✔-
| | | | | | | | | | |
Provides awareness of the patient situation and environment, ensures safety of
| | | | | | | | | | |
patient and environment, provides baseline.
| | | |
A patient is fluid depleted, secondary to severe diarrhea. What trends in
| | | | | | | | | | | |
electrolytes would the nurse expect to see? - CORRECT ANSWER✔✔-- increased
| | | | | | | | | | |
hemoglobin & hematocrit | | |
- increased sodium
| | |
- decreased potassium
| | |
- decreased magnesium
| |
A patient is experiencing hypervolemia. What trends in electrolytes would the
| | | | | | | | | | |
nurse expect to see? - CORRECT ANSWER✔✔-- decreased hemoglobin and
| | | | | | | | | |
hematocrit |
- decreased sodium
| | |
- decreased potassium
| | |
- decreased chloride
| |
List 3 causes of hypervolemia - CORRECT ANSWER✔✔-- excessive fluid intake
| | | | | | | | | | |
- abnormal retention of fluid
| | | | |
CORRECT ANSWERS
What clinical manifestations may you expect upon physical examination of a
| | | | | | | | | | |
patient with fluid volume deficit? - CORRECT ANSWER✔✔-Lethargy, altered
| | | | | | | | |
mental status, anxiety, restlessness, confusuon, headache, dizziness, sunken
| | | | | | | |
eyeballs, dry mucous membranes, longituindal fissures, poor tissue turgor, pallor,
| | | | | | | | | |
decreases urine output, flattened neck vein, weak/thready pulse, reduces cap
| | | | | | | | | |
refill, tachycardia, hypotension.
| |
What are 3 priority interventions for fluid volume deficit? - CORRECT
| | | | | | | | | | |
ANSWER✔✔-ANY of these 3: | | | |
- administer isotonic IV fluids
| | | | |
- monitor vital signs
| | |
- monitor intake and output
| | | | |
- weigh daily to monitor fluid balance accurately
| | | | | | | |
- monitor lab results closely for changes (trends)
| | | | | | | |
- administer antiemetics and other medications
| | | | | |
- provide mouth care
| | | |
- on-going assessments for signs of dehydration
| | | | | |
What type of fluid should be ordered for hypovolemia? - CORRECT ANSWER✔✔-
| | | | | | | | | | |
Isotonic solution | |
- 0.9 % NS
| | | |
,- ringers lactate
| | |
- D5W
|
During fluid volume replacement, what is the minimum urine fluid volume you
| | | | | | | | | | | |
would like to see? - CORRECT ANSWER✔✔-Greater than 30 mL an hour
| | | | | | | | | | |
What are 2 signs of hypomagnesemia? - CORRECT ANSWER✔✔-- chvostek's sign
| | | | | | | | | | |
- trousseasu's
|
What is Chvostek's sign? - CORRECT ANSWER✔✔-Tapping of the facial nerve
| | | | | | | | | | |
elicits contraction of the facial muscles on the side you have tapped
| | | | | | | | | | |
What is Trousseau's sigh? - CORRECT ANSWER✔✔-Carpooedal spasm elicited
| | | | | | | | |
when a BP cuff is inflated above the systolic BP and left for 3 minutes
| | | | | | | | | | | | | |
What clinical manifestations may you expect upon physical examination of a
| | | | | | | | | | |
patient with fluid volume deficit? - CORRECT ANSWER✔✔-- Edema
| | | | | | | | |
- weight gain over a short period of time
| | | | | | | |
- increase in central venous pressure
| | | | |
- adventitious breath sounds (crackles)
| | | | |
- pleural effusion
| |
- presence of S3
| | | |
- tachycardia
| |
- irregular heartbeat
| | |
,- vein distension
| |
- oliguria
| |
- decrease hgb or hematocrit
| | | | |
- electrolyte imbalance
| | |
- alteration in specific gravity
| | | |
What are 3 priority nursing interventions interventions for hypervolemia? -
| | | | | | | | | |
CORRECT ANSWER✔✔-- administer diuretics to get rid of excess fluid
| | | | | | | | |
- evaluate extremities frequently
| | | |
- place in semi Fowler's
| | | | |
- reduce sodium and water intake
| | | | | |
- reposition q2h or even more often
| | | | | | |
- measure Ins and Outs
| | | | |
- promote mobilization
| |
What are the clinical manifestations of hypokalemia? - CORRECT ANSWER✔✔--
| | | | | | | | | |
ECG changes
| |
- irregular pulse
| | |
- muscle weakness
| | |
- muscle cramps
| | |
- Bradycardia
| |
- nausea
| |
- weekend pulse
| |
, What are the common clinical manifestations of hyperkalemia? - CORRECT
| | | | | | | | | |
ANSWER✔✔-- muscle weakness | | |
- fatigue
| |
- nausea
|
What is the importance of the 60 second check? - CORRECT ANSWER✔✔-
| | | | | | | | | | |
Provides awareness of the patient situation and environment, ensures safety of
| | | | | | | | | | |
patient and environment, provides baseline.
| | | |
A patient is fluid depleted, secondary to severe diarrhea. What trends in
| | | | | | | | | | | |
electrolytes would the nurse expect to see? - CORRECT ANSWER✔✔-- increased
| | | | | | | | | | |
hemoglobin & hematocrit | | |
- increased sodium
| | |
- decreased potassium
| | |
- decreased magnesium
| |
A patient is experiencing hypervolemia. What trends in electrolytes would the
| | | | | | | | | | |
nurse expect to see? - CORRECT ANSWER✔✔-- decreased hemoglobin and
| | | | | | | | | |
hematocrit |
- decreased sodium
| | |
- decreased potassium
| | |
- decreased chloride
| |
List 3 causes of hypervolemia - CORRECT ANSWER✔✔-- excessive fluid intake
| | | | | | | | | | |
- abnormal retention of fluid
| | | | |
