Page 1 of 25
NR 324 Exam 1 - Review Questions
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School of Nursing
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Exam
, Page 2 of 25
NR 324 Exam 1 - Review Questions
A client is admitted with dehydration. Which findings should the nurse expect
the client to exhibit? Select all that apply.
A. Supple skin turgor
B. Rapid, thready pulse
C. Decreased hematocrit
D. Elevated specific gravity
E. Adventitious breath sounds
Rapid, thready pulse and elevated specific gravity
The pulse is rapid and thready because of decreased blood volume associated with
dehydration. The specific gravity of urine increases as the body reabsorbs water to
correct fluid deficit, as a result, the urine is concentrated.
Skin turgor decreases with tenting. Hematocrit increases. Adventitious breath
sounds occur with FVO not deficit.
Which clinical finding would the nurse anticipate when admitting a client with
an extracellular fluid volume excess?
A. Rapid, thready pulse
B. Distended jugular veins
C. Elevated hematocrit level
D. Increased serum sodium level
Distended jugular veins
Because of fluid overload in the intravascular space, the neck veins become visibly
distended.
Rapid, thready pulse and elevated hematocrit level occur with a fluid volume deficit.
If sodium causes fluid retention, its concentration is unchanged; if fluid is retained
independently of sodium, its concentration is decreased
Which prescription would the nurse question when a clients serum sodium is
123 mEq
A. Add table salt to each meal
B. Fluid restriction of 1000 mL per day
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C. Assess neurological status every 2 hours
D. Provide 0.45% sodium chloride (NaCl) intravenously at 125 mL/h.
Provide 0.45% sodium chloride (NaCl) intravenously at 125 mL/h.
0.45% sodium chloride is a hypotonic solution. Treatment for hyponatremia can
include restricting fluid intake and increasing sodium intake.
When monitoring a client for hyponatremia, which assessment findings would
the nurse consider significant?
A. Seizures
B. Confusion
C. Thirst
D. Erythema
E. Constipation
Confusion and seizures
Cellular swelling and cerebral edema are associated with hyponatremia; as
extracellular sodium level decreases, the cellular fluid becomes relatively more
concentrated and pulls water into cerebral cells, leading to confusion and seizures.
Thirst is a symptom of hypernatremia; it may indicate dehydration. Erythema is not
associated with hyponatremia. Diarrhea is associated with hyponatremia not
constipation.
Which factor would a nurse identify as precipitating hyponatremia? select all
that apply.
A. Wound drainage
B. Diuretic therapy
C. Gastrointestinal (GI) suction
D. Parenteral infusion of 0.9 sodium chloride
E. Inappropriate antidiuretic hormone secretion
-Wound drainage
-Diuretic therapy
-Gastrointestinal (GI) suction
-Inappropriate antidiuretic hormone secretion
Wound drainage can result in hyponatremia from loss of sodium ions. Most diuretics
NR 324 Exam 1 - Review Questions
Download now
Johns Hopkins University
School of Nursing
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
, Page 2 of 25
NR 324 Exam 1 - Review Questions
A client is admitted with dehydration. Which findings should the nurse expect
the client to exhibit? Select all that apply.
A. Supple skin turgor
B. Rapid, thready pulse
C. Decreased hematocrit
D. Elevated specific gravity
E. Adventitious breath sounds
Rapid, thready pulse and elevated specific gravity
The pulse is rapid and thready because of decreased blood volume associated with
dehydration. The specific gravity of urine increases as the body reabsorbs water to
correct fluid deficit, as a result, the urine is concentrated.
Skin turgor decreases with tenting. Hematocrit increases. Adventitious breath
sounds occur with FVO not deficit.
Which clinical finding would the nurse anticipate when admitting a client with
an extracellular fluid volume excess?
A. Rapid, thready pulse
B. Distended jugular veins
C. Elevated hematocrit level
D. Increased serum sodium level
Distended jugular veins
Because of fluid overload in the intravascular space, the neck veins become visibly
distended.
Rapid, thready pulse and elevated hematocrit level occur with a fluid volume deficit.
If sodium causes fluid retention, its concentration is unchanged; if fluid is retained
independently of sodium, its concentration is decreased
Which prescription would the nurse question when a clients serum sodium is
123 mEq
A. Add table salt to each meal
B. Fluid restriction of 1000 mL per day
, Page 3 of 25
C. Assess neurological status every 2 hours
D. Provide 0.45% sodium chloride (NaCl) intravenously at 125 mL/h.
Provide 0.45% sodium chloride (NaCl) intravenously at 125 mL/h.
0.45% sodium chloride is a hypotonic solution. Treatment for hyponatremia can
include restricting fluid intake and increasing sodium intake.
When monitoring a client for hyponatremia, which assessment findings would
the nurse consider significant?
A. Seizures
B. Confusion
C. Thirst
D. Erythema
E. Constipation
Confusion and seizures
Cellular swelling and cerebral edema are associated with hyponatremia; as
extracellular sodium level decreases, the cellular fluid becomes relatively more
concentrated and pulls water into cerebral cells, leading to confusion and seizures.
Thirst is a symptom of hypernatremia; it may indicate dehydration. Erythema is not
associated with hyponatremia. Diarrhea is associated with hyponatremia not
constipation.
Which factor would a nurse identify as precipitating hyponatremia? select all
that apply.
A. Wound drainage
B. Diuretic therapy
C. Gastrointestinal (GI) suction
D. Parenteral infusion of 0.9 sodium chloride
E. Inappropriate antidiuretic hormone secretion
-Wound drainage
-Diuretic therapy
-Gastrointestinal (GI) suction
-Inappropriate antidiuretic hormone secretion
Wound drainage can result in hyponatremia from loss of sodium ions. Most diuretics
