1. A nurse is assessing a client with dehydration. Which finding is most concerning?
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A. Moist mucous membranes
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B. Urine specific gravity of 1.010
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C. Tachycardia
D. Bounding peripheral pulses m8 m8
2. Which electrolyte imbalance places a client at highest risk for cardiac dysrhythmias?
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A. Hyponatremia
B. Hypercalcemia
C. Hypokalemia
D. Hypophosphatemia
3. The nurse reviews laboratory results for a client receiving IV fluids. Which sodium level
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requires immediate intervention?
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A. 145 mEq/L
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B. 138 mEq/L
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C. 132 mEq/L
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D. 118 mEq/L
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4. Which IV solution is considered isotonic?
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A. 0.45% sodium chloride
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B. D5W
C. Lactated Ringer’s m8
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, D. 3% sodium chloride
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5. A nurse is caring for a client with fluid volume overload. Which assessment finding should the
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nurse expect?
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A. Dry skin
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B. Flat neck veins
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C. Crackles in the lungs m8 m8 m8
D. Decreased blood pressure m8 m8
6. Which action is most important when initiating IV therapy?
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A. Prime the tubing with medication
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B. Verify the provider’s prescription
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C. Insert the IV catheter quickly
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D. Flush the IV line every hour
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7. A client has metabolic acidosis. Which condition is the most likely cause?
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A. Prolonged vomiting m8
B. Hyperventilation
C. Diabetic ketoacidosis m8
D. Excess antacid use m8 m8
8. Which finding indicates effective fluid resuscitation?
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A. Increased heart rate m8 m8
B. Urine output of 40 mL/hr
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C. Decreased blood pressure m8 m8
D. Dry mucous membranes
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