1|Page
SAUNDERS NCLEX~FLUIDS AND
ELECTROLYTES ACTUAL EXAM PREP 2026 ALL
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY A GRADED |NEWAND
REVISED
A 0.9% intravenous (IV) solution is prescribed for a client. The IV is to
run at 100 mL/hr. The nurse prepares the solution, understanding that
which are characteristics of this type of solution? Select all that apply. -
ANSWER- Is the same solution as sodium chloride 0.9%, Is used to
administer red blood cell transfusion, Is used to treat hypotension due to
fluid volume deficit
A client enters the emergency department confused, twitching, and
having seizures. Upon assessment, flushed skin, dry mucous
membranes, an elevated temperature, and poor skin turgor is noted. The
serum sodium level is 172 mEq/L (172 mmol/L). Which interventions
should the primary health care provider (PHCP) likely prescribe? Select
all that apply. - ANSWER- Monitor vital signs. Monitor intake and
output. Increase water intake orally. Monitor electrolyte levels. Provide
a sodium-reduced diet.
A client undergoing renal dialysis is prescribed calcitriol to treat
hypocalcemia. The nurse reinforces instructions and informs the client
that this medication is also known as which nutrient? - ANSWER-
Vitamin D
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Etidronate, an antihypercalcemic medication, is prescribed for a client.
Which information should the nurse reinforce when instructing the client
about taking this medication? - ANSWER- Take 2 hours before meals.
The nurse is caring for a client with a suspected diagnosis of
hypercalcemia. Which sign/symptom would be an indication of this
electrolyte imbalance? - ANSWER- Generalized muscle weakness
The nurse is reviewing the health care records of assigned clients. Which
clients are at highest risk for excess fluid volume? Select all that apply. -
ANSWER- The client with renal failure, The client with chronic
congestive heart failure (CHF)
The nurse reviews a client's electrolyte results and notes a potassium
level of 5.5 mEq/L (5.5 mmol/L). The nurse understands that a
potassium value at this level would be noted with which condition? -
ANSWER- Cushing's syndrome
The nurse is reviewing the health records of assigned clients. The nurse
should plan care knowing that which client is at risk for fluid volume
deficit? - ANSWER- The client with a ileostomy
A client is admitted with a diagnosis of pneumonia and dehydration. The
nurse monitors the client and determines which symptoms correlate with
this client's fluid imbalance? Select all that apply. - ANSWER- Flat neck
veins, Weakly palpable peripheral pulses, Heart rate of 104 beats per
minute
SAUNDERS NCLEX~FLUIDS AND
ELECTROLYTES ACTUAL EXAM PREP 2026 ALL
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY A GRADED |NEWAND
REVISED
A 0.9% intravenous (IV) solution is prescribed for a client. The IV is to
run at 100 mL/hr. The nurse prepares the solution, understanding that
which are characteristics of this type of solution? Select all that apply. -
ANSWER- Is the same solution as sodium chloride 0.9%, Is used to
administer red blood cell transfusion, Is used to treat hypotension due to
fluid volume deficit
A client enters the emergency department confused, twitching, and
having seizures. Upon assessment, flushed skin, dry mucous
membranes, an elevated temperature, and poor skin turgor is noted. The
serum sodium level is 172 mEq/L (172 mmol/L). Which interventions
should the primary health care provider (PHCP) likely prescribe? Select
all that apply. - ANSWER- Monitor vital signs. Monitor intake and
output. Increase water intake orally. Monitor electrolyte levels. Provide
a sodium-reduced diet.
A client undergoing renal dialysis is prescribed calcitriol to treat
hypocalcemia. The nurse reinforces instructions and informs the client
that this medication is also known as which nutrient? - ANSWER-
Vitamin D
, 2|Page
Etidronate, an antihypercalcemic medication, is prescribed for a client.
Which information should the nurse reinforce when instructing the client
about taking this medication? - ANSWER- Take 2 hours before meals.
The nurse is caring for a client with a suspected diagnosis of
hypercalcemia. Which sign/symptom would be an indication of this
electrolyte imbalance? - ANSWER- Generalized muscle weakness
The nurse is reviewing the health care records of assigned clients. Which
clients are at highest risk for excess fluid volume? Select all that apply. -
ANSWER- The client with renal failure, The client with chronic
congestive heart failure (CHF)
The nurse reviews a client's electrolyte results and notes a potassium
level of 5.5 mEq/L (5.5 mmol/L). The nurse understands that a
potassium value at this level would be noted with which condition? -
ANSWER- Cushing's syndrome
The nurse is reviewing the health records of assigned clients. The nurse
should plan care knowing that which client is at risk for fluid volume
deficit? - ANSWER- The client with a ileostomy
A client is admitted with a diagnosis of pneumonia and dehydration. The
nurse monitors the client and determines which symptoms correlate with
this client's fluid imbalance? Select all that apply. - ANSWER- Flat neck
veins, Weakly palpable peripheral pulses, Heart rate of 104 beats per
minute
