1. A nurse is assessing a client with dehydration. Which finding is most concerning?
n6 n6 n6 n6 n6 n6 n6 n6 n6 n6 n6 n6
A. Moist mucous membranes
n6 n6
B. Urine specific gravity of 1.010
n6 n6 n6 n6
C. Tachycardia
D. Bounding peripheral pulses n6 n6
2. Which electrolyte imbalance places a client at highest risk for cardiac dysrhythmias?
n6 n6 n6 n6 n6 n6 n6 n6 n6 n6 n6
A. Hyponatremia
B. Hypercalcemia
C. Hypokalemia
D. Hypophosphatemia
3. The nurse reviews laboratory results for a client receiving IV fluids. Which sodium level requires
n6 n6 n6 n6 n6 n6 n6 n6 n6 n6 n6 n6 n6 n6
immediate intervention?
n6 n6
A. 145 mEq/L
n6
B. 138 mEq/L
n6
C. 132 mEq/L
n6
D. 118 mEq/L
n6
4. Which IV solution is considered isotonic?
n6 n6 n6 n6 n6
A. 0.45% sodium chloride
n6 n6
B. D5W
C. Lactated Ringer’s n6
messages.downloaded_by
, D. 3% sodium chloride
n6 n6
5. A nurse is caring for a client with fluid volume overload. Which assessment finding should the nurse
n6 n6 n6 n6 n6 n6 n6 n6 n6 n6 n6 n6 n6 n6 n6 n6
expect?
n6
A. Dry skin
n6
B. Flat neck veins
n6 n6
C. Crackles in the lungs n6 n6 n6
D. Decreased blood pressure n6 n6
6. Which action is most important when initiating IV therapy?
n6 n6 n6 n6 n6 n6 n6 n6
A. Prime the tubing with medication
n6 n6 n6 n6
B. Verify the provider’s prescription
n6 n6 n6
C. Insert the IV catheter quickly
n6 n6 n6 n6
D. Flush the IV line every hour
n6 n6 n6 n6 n6
7. A client has metabolic acidosis. Which condition is the most likely cause?
n6 n6 n6 n6 n6 n6 n6 n6 n6 n6 n6
A. Prolonged vomiting n6
B. Hyperventilation
C. Diabetic ketoacidosis n6
D. Excess antacid use n6 n6
8. Which finding indicates effective fluid resuscitation?
n6 n6 n6 n6 n6
A. Increased heart rate n6 n6
B. Urine output of 40 mL/hr
n6 n6 n6 n6
C. Decreased blood pressure n6 n6
D. Dry mucous membranes
n6 n6
messages.downloaded_by