Saunders NCLEX-RN Chapters 8, 9, 11,
46, 47, 48, 49, 54, 55 Exam Questions
& Answers (Grade A+)
Chapter 8: The nurse is caring for a client with heart failure. On
assessment, the nurse notes that the client is dyspneic, and
crackles are audible on auscultation. What additional
manifestations would the nurse expect to note in this client if
excess fluid volume is present?
1. Weight loss and dry skin
2. Flat neck and hand veins and decreased urinary output
3. An increase in blood pressure and increased respirations
4. Weakness and decreased central venous pressure (CVP) -
correct answer ✅Answer: 3
Chapter 8: The nurse reviews a client's record and determines that
the client is at risk for developing a potassium deficit if which
situation is documented?
1. Sustained tissue damage
2. Requires nasogastric suction
3. Has a history of Addison's disease
4. Uric acid level of 9.4 mg/dL (557 mcmol/L) -
correct answer ✅Answer: 2
,Saunders NCLEX-RN Chapters 8, 9, 11,
46, 47, 48, 49, 54, 55 Exam Questions
& Answers (Grade A+)
Chapter 8: The nurse reviews a client's electrolyte laboratory report
and notes that the potassium level is 2.5 mEq/L (2.5 mmol/L).
Which patterns should the nurse watch for on the
electrocardiogram (ECG) as a result of the laboratory value? Select
all that apply.
1. U waves
2. Absent P waves
3. Inverted T waves
4. Depressed ST segment
5. Widened QRS complex -
correct answer ✅Answer: 1, 3, 4
Chapter 8: Potassium chloride intravenously is prescribed for a
client with heart failure experiencing hypokalemia. Which actions
should the nurse take to plan for preparation and administration of
the potassium? Select all that apply.
1. Obtain an intravenous (IV) infusion pump.
2. Monitor urine output during administration.
3. Prepare the medication for bolus administration.
4. Monitor the IV site for signs of infiltration or phlebitis.
,Saunders NCLEX-RN Chapters 8, 9, 11,
46, 47, 48, 49, 54, 55 Exam Questions
& Answers (Grade A+)
5. Ensure that the medication is diluted in the appropriate volume
of fluid.
6. Ensure that the bag is labeled so that it reads the volume of
potassium in the solution. -
correct answer ✅Answer: 1, 2, 4, 5, 6
Chapter 8: The nurse is assessing a client with a lactose intolerance
disorder for a suspected diagnosis of hypocalcemia. Which clinical
manifestation would the nurse expect to note in the client?
1. Twitching
2. Hypoactive bowel sounds
3. Negative Trousseau's sign
4. Hypoactive deep tendon reflexes -
correct answer ✅Answer: 1
Chapter 8: The nurse is caring for a client with Crohn's disease who
has a calcium level of 8 mg/dL (2 mmol/L). Which patterns would
the nurse watch for on the electrocardiogram? Select all that apply.
1. U waves
2. Widened T wave
, Saunders NCLEX-RN Chapters 8, 9, 11,
46, 47, 48, 49, 54, 55 Exam Questions
& Answers (Grade A+)
3. Prominent U wave
4. Prolonged QT interval
5. Prolonged ST segment -
correct answer ✅Answer: 4, 5
Chapter 8: The nurse reviews the electrolyte results of a client with
chronic kidney disease and notes that the potassium level is 5.7
mEq/L (5.7 mmol/L). Which patterns would the nurse watch for on
the cardiac monitor as a result of the laboratory value? Select all
that apply.
1. ST depression
2. Prominent U wave
3. Tall peaked T waves
4. Prolonged ST segment
5. Widened QRS complexes -
correct answer ✅Answer: 3, 5
Chapter 8: Which client is at risk for the development of a sodium
level at 130 mEq/L (130 mmol/L)?
1. The client who is taking diuretics
46, 47, 48, 49, 54, 55 Exam Questions
& Answers (Grade A+)
Chapter 8: The nurse is caring for a client with heart failure. On
assessment, the nurse notes that the client is dyspneic, and
crackles are audible on auscultation. What additional
manifestations would the nurse expect to note in this client if
excess fluid volume is present?
1. Weight loss and dry skin
2. Flat neck and hand veins and decreased urinary output
3. An increase in blood pressure and increased respirations
4. Weakness and decreased central venous pressure (CVP) -
correct answer ✅Answer: 3
Chapter 8: The nurse reviews a client's record and determines that
the client is at risk for developing a potassium deficit if which
situation is documented?
1. Sustained tissue damage
2. Requires nasogastric suction
3. Has a history of Addison's disease
4. Uric acid level of 9.4 mg/dL (557 mcmol/L) -
correct answer ✅Answer: 2
,Saunders NCLEX-RN Chapters 8, 9, 11,
46, 47, 48, 49, 54, 55 Exam Questions
& Answers (Grade A+)
Chapter 8: The nurse reviews a client's electrolyte laboratory report
and notes that the potassium level is 2.5 mEq/L (2.5 mmol/L).
Which patterns should the nurse watch for on the
electrocardiogram (ECG) as a result of the laboratory value? Select
all that apply.
1. U waves
2. Absent P waves
3. Inverted T waves
4. Depressed ST segment
5. Widened QRS complex -
correct answer ✅Answer: 1, 3, 4
Chapter 8: Potassium chloride intravenously is prescribed for a
client with heart failure experiencing hypokalemia. Which actions
should the nurse take to plan for preparation and administration of
the potassium? Select all that apply.
1. Obtain an intravenous (IV) infusion pump.
2. Monitor urine output during administration.
3. Prepare the medication for bolus administration.
4. Monitor the IV site for signs of infiltration or phlebitis.
,Saunders NCLEX-RN Chapters 8, 9, 11,
46, 47, 48, 49, 54, 55 Exam Questions
& Answers (Grade A+)
5. Ensure that the medication is diluted in the appropriate volume
of fluid.
6. Ensure that the bag is labeled so that it reads the volume of
potassium in the solution. -
correct answer ✅Answer: 1, 2, 4, 5, 6
Chapter 8: The nurse is assessing a client with a lactose intolerance
disorder for a suspected diagnosis of hypocalcemia. Which clinical
manifestation would the nurse expect to note in the client?
1. Twitching
2. Hypoactive bowel sounds
3. Negative Trousseau's sign
4. Hypoactive deep tendon reflexes -
correct answer ✅Answer: 1
Chapter 8: The nurse is caring for a client with Crohn's disease who
has a calcium level of 8 mg/dL (2 mmol/L). Which patterns would
the nurse watch for on the electrocardiogram? Select all that apply.
1. U waves
2. Widened T wave
, Saunders NCLEX-RN Chapters 8, 9, 11,
46, 47, 48, 49, 54, 55 Exam Questions
& Answers (Grade A+)
3. Prominent U wave
4. Prolonged QT interval
5. Prolonged ST segment -
correct answer ✅Answer: 4, 5
Chapter 8: The nurse reviews the electrolyte results of a client with
chronic kidney disease and notes that the potassium level is 5.7
mEq/L (5.7 mmol/L). Which patterns would the nurse watch for on
the cardiac monitor as a result of the laboratory value? Select all
that apply.
1. ST depression
2. Prominent U wave
3. Tall peaked T waves
4. Prolonged ST segment
5. Widened QRS complexes -
correct answer ✅Answer: 3, 5
Chapter 8: Which client is at risk for the development of a sodium
level at 130 mEq/L (130 mmol/L)?
1. The client who is taking diuretics
