EXAMINATION TEST QUESTIONS AND
DETAILED SOLUTIONS
◉ A client with renal disease requires IV fluids. It is important for the
nurse to. Answer: place the fluid on an electronic devise
◉ What is an appropriate nursing diagnosis for an 80 yr old with the
diagnosis of congestive heart failure with symptoms of edema,
orthopnea & confusion?. Answer: Extracellular volume excess related
to heart failure as evidence by edema and & orthopnea
◉ A decrease in arterial blood will result in the release of. Answer:
Renin
◉ Potassium. Answer:
◉ Hypokalemia patient lab result show a serum potassium of 3.2
mEq/L. For what should you be alert?. Answer: muscle weakness,
fatigue, & dysrhythmias (3.5 - 5)
◉ A nursing responsibility in managing IV therapy is to monitor the
fluid infusions and to replace the fluid containers as needed. Which of
the following is an accurate guideline for IV management that the
nurse should consider?. Answer: ongoing verification of the IV
solution and the infusion rate with the physician's order.
, ◉ A patient's most recent blood work indicates a K+ level of 7.2
mEq/L, a finding that constitutes hyperkalemia. What signs and
symptoms should the nurse vigilantly monitor for?. Answer: Cardiac
irregularities, hyperkalemia - too much potassium in blood
◉ A nurse is caring for a client with phlebitis. The nurse notices that
the client's forearm, which has the tubing, has become red and slightly
warm. Which of the following actions should the nurse perform to
avoid further complications and provide relief to the client?. Answer:
Discontinue the IV
◉ Which client has more extracellular fluid?. Answer: Newborns
◉ The oncoming nurse is assigned to the following patients. Which
patient should the nurse assess first?. Answer: A newly admitted 88-
year-old with a two-day history of vomiting and loose stools
◉ Endurance athletes who exercise for long periods of time and
consume only water may experience a sodium deficit in their
extracellular fluid. What is this electrolyte imbalance known as?.
Answer: Hyponatremia - low concentration of sodium in the blood
◉ Mr Powell, a dehydrated 35 year old has intravenous fluid running
at 250 cc/h. for rapid rehydration. He is complaining of burning at the
site. You see no redness, swelling, heat, or coolness upon inspection.
You suspect. Answer: that the fluid is infusing too rapidly
◉ Potassium is needed for neural, muscle, and. Answer: normal
cardiac & muscle function