Q&A | Graded A+
1. Which electrolyte is primarily responsible for regulating extracellular fluid
volume in the body?
Chloride
Calcium
Potassium
Sodium
2. The nurse is caring for four clients on a medical surgical floor. Which client
should the nurse visit first?
17 year old male post repair using pin and plates in a fractured left
femur
82 year old post colonoscopy who has been difficult to wake.
50 year old female who had reconstructive breast surgery with no
complications.
22 year old who had a splenectomy following a motor vehicle
accident
3. Describe how hypokalemia can affect the heart's rhythm and pulse in a
patient with heart failure.
Hypokalemia causes increased heart rate and strong pulse due to
excess potassium.
Hypokalemia can lead to arrhythmias, causing weak and irregular
apical pulse due to decreased potassium levels affecting cardiac
conduction.
Hypokalemia has no effect on heart rhythm or pulse.
, Hypokalemia causes only respiratory issues, not cardiac symptoms.
4. What is the method used to assess skin turgor in a client?
Measure the circumference of the arm and compare it to baseline
Check for edema by pressing on the ankle and observing for
indentation
Pinch the skin on the back of the hand and observe for color change
Grasp a skin fold on the chest under the clavicle, release it, and
note whether it springs back
5. After collecting data from a client, the nurse documents "1+ pedal edema
bilaterally." This indicates the nurse observed an indentation of which of the
following depths after applying pressure?
8 mm
6mm
2 mm
4 mm
6. A nurse is caring for an infant who is dehydrated and requires therapy. The
nurse should monitor the infant's response to therapy by:
Taking the infant's vital signs every 2 hours.
Counting the number of wet diapers every shift.
Measuring the infant's head circumference twice a day.
Weighing the infant at the same time every day.
, 7. Why is it important for a client to understand the effects of sodium phosphate
when taking furosemide?
Because sodium phosphate can lead to electrolyte imbalances,
especially when combined with diuretics like furosemide.
Because sodium phosphate increases fluid retention, which is
counterproductive to furosemide's purpose.
Because sodium phosphate has no effect on electrolyte levels.
Because sodium phosphate is a substitute for furosemide.
8. A patient with heart failure is admitted with suspected fluid-volume excess.
What assessment finding would most likely confirm this condition?
Hypotension
Crackles in the lung fields
Elevated blood glucose levels
Increased urine output
9. The nurse is reviewing a client's record and notes that the PHCP has
documented that the client has chronic kidney disease. On review of the
laboratory results, the nurse most likely would expect to note which finding?
Increased number of white blood cells in urine
Decreased RBC count
Elevated creatinine levels
Decreased hemoglobin levels
10. What is a common age-related change in the cardiovascular system that
affects older adults?