NUR 317 PRACTICE QUESTIONS 2026/2027 – STUDY GUIDE, EXAM
REVIEW & PRACTICE TEST
A - Correct answer ✔✔ The nurse determines that which client is at highest risk for developing a
fluid volume deficit (FVD)?
a. A 76-year-old client who has a nasogastric tube to low suction following surgery for colon
cancer
b. A thin 55-year-old client who smokes and takes glucocorticoids for chronic lung disease
c. A one-year-old child being treated in the clinic for a runny nose and ear infection
d. A 30-year-old client jogging in 50-degree weather
C - Correct answer ✔✔ The nurse is assisting in a health fair at a senior citizen center. Which
instruction should the nurse include when giving an older adult guidelines about remaining
hydrated in hot weather?
a. "If your urine is clear yellow, you are drinking adequate fluids."
b. "Drink only water to keep yourself properly hydrated."
c. "Popsicles, gelatin, and ice cream provide fluid intake as liquids you drink."
d. "Use your thirst as a guide for the amount of fluid you should drink."
C - Correct answer ✔✔ An adult client in the clinic reports a cough, fever, feeling weak and
dizzy, and having nausea and vomiting for three days. Examination reveals dry tongue and oral
mucosa, and concentrated urine. To best assess the client's fluid status, the nurse checks which
assessment parameters?
a. Core and body temperature
b. Respiratory rate and depth
c. BP and pulse in lying and standing positions
d. Pulse oximetry reading at rest
,A D E - Correct answer ✔✔ The nurse evaluates the hydration status of a client who has been
receiving intravenous (IV) fluids at 150 mL/hour. The nurse identifies that the client has fluid
volume excess (FVE) after assessing which of the following? Select all that apply.
a. Neck veins are distended when head of the bed is elevated 45 degrees
b. Hand veins empty when hand is raised above the head
c. Peripheral pulses are rapid and weak
d. Client becomes short of breath when ambulating
e. Pitting edema is present over tibia
C - Correct answer ✔✔ A client hospitalized for gastrointestinal (GI) bleeding has orders for
nasogastric tube (NGT) placement with irrigations until returns are clear. Which prescribed
solution should the nurse plan on using?
a.10% dextrose in water (D10W)
b.5% dextrose in water (D5W)
c. 0.9% sodium chloride (NaCl)
d. 0.45% sodium chloride (1/2 NaCl)
D - Correct answer ✔✔ A 70-year old client with a past medical history of hypertension and
myocardial infarction is postoperative after stomach surgery. Vital signs have been stable with
an IV of D51/2NS infusing at 100 mL/hour. The client now reports dyspnea, has a moist cough,
and oxygen saturation has fallen to 92%. What action should the nurse take?
a. Measure blood pressure and heart rate
b. Assess legs and arms for pitting edema
c. Telephone and notify the physician
d. Slow the intravenous rate to 10-20 mL/hour
B - Correct answer ✔✔ A 45-year old client with fluid volume excess (FVE) because of acute
kidney dysfunction is placed on a 1000 mL fluid restriction per 24-hour period. The client asks
, the nurse, "Why is there is there such a severe fluid restriction when I already have dry lips and
mouth?" Which response by the nurse is best?
a. "The doctor ordered the fluid restriction, so it is important to comply with those orders."
b. "Your kidneys cannot eliminate extra fluid right now, so intake must be limited to protect your
heart and lungs from being overloaded with fluid."
c. "You probably drank too much fluid before you got sick, so you can't compare your usual
intake to your limitations now that your kidneys are not working."
d. "Too much fluid will cause your heart to fail and your lungs to fill with water, which could be
fatal."
A - Correct answer ✔✔ A 45-year-old client is receiving a loop diuretic for treatment of edema.
The nurse determines the client is experiencing an excessive response to the treatment when
the client demonstrates which of the following?
a. BUN 28 mg/dL, Hct 45% and an 8-pound weight loss in 24 hours
b. BUN 21 mg/dL, Hct 29%, and an 8-pound weight gain in 24 hours
c. BUN 16 mg/dL, Hct 31%, and an 8-pound weight loss in 24 hours
d. BUN 25 mg/dL, Hct 33%, and an 8-pound weight gain in 24 hours
D - Correct answer ✔✔ A client is receiving an intravenous infusion of 0.0225% sodium chloride
at 50 mL/hour. It is most important for the nurse to monitor which of the following to detect
complications of therapy?
a. Urine output and concentration
b. Legs and arms for edema
c. Tongue and mouth for dryness
d. Mental status and orientation
A D E - Correct answer ✔✔ When caring for an adult receiving an IV infusion of 3% sodium
chloride (NaCl), the nurse places priority on monitoring which of the following to detect
complications of therapy?
REVIEW & PRACTICE TEST
A - Correct answer ✔✔ The nurse determines that which client is at highest risk for developing a
fluid volume deficit (FVD)?
a. A 76-year-old client who has a nasogastric tube to low suction following surgery for colon
cancer
b. A thin 55-year-old client who smokes and takes glucocorticoids for chronic lung disease
c. A one-year-old child being treated in the clinic for a runny nose and ear infection
d. A 30-year-old client jogging in 50-degree weather
C - Correct answer ✔✔ The nurse is assisting in a health fair at a senior citizen center. Which
instruction should the nurse include when giving an older adult guidelines about remaining
hydrated in hot weather?
a. "If your urine is clear yellow, you are drinking adequate fluids."
b. "Drink only water to keep yourself properly hydrated."
c. "Popsicles, gelatin, and ice cream provide fluid intake as liquids you drink."
d. "Use your thirst as a guide for the amount of fluid you should drink."
C - Correct answer ✔✔ An adult client in the clinic reports a cough, fever, feeling weak and
dizzy, and having nausea and vomiting for three days. Examination reveals dry tongue and oral
mucosa, and concentrated urine. To best assess the client's fluid status, the nurse checks which
assessment parameters?
a. Core and body temperature
b. Respiratory rate and depth
c. BP and pulse in lying and standing positions
d. Pulse oximetry reading at rest
,A D E - Correct answer ✔✔ The nurse evaluates the hydration status of a client who has been
receiving intravenous (IV) fluids at 150 mL/hour. The nurse identifies that the client has fluid
volume excess (FVE) after assessing which of the following? Select all that apply.
a. Neck veins are distended when head of the bed is elevated 45 degrees
b. Hand veins empty when hand is raised above the head
c. Peripheral pulses are rapid and weak
d. Client becomes short of breath when ambulating
e. Pitting edema is present over tibia
C - Correct answer ✔✔ A client hospitalized for gastrointestinal (GI) bleeding has orders for
nasogastric tube (NGT) placement with irrigations until returns are clear. Which prescribed
solution should the nurse plan on using?
a.10% dextrose in water (D10W)
b.5% dextrose in water (D5W)
c. 0.9% sodium chloride (NaCl)
d. 0.45% sodium chloride (1/2 NaCl)
D - Correct answer ✔✔ A 70-year old client with a past medical history of hypertension and
myocardial infarction is postoperative after stomach surgery. Vital signs have been stable with
an IV of D51/2NS infusing at 100 mL/hour. The client now reports dyspnea, has a moist cough,
and oxygen saturation has fallen to 92%. What action should the nurse take?
a. Measure blood pressure and heart rate
b. Assess legs and arms for pitting edema
c. Telephone and notify the physician
d. Slow the intravenous rate to 10-20 mL/hour
B - Correct answer ✔✔ A 45-year old client with fluid volume excess (FVE) because of acute
kidney dysfunction is placed on a 1000 mL fluid restriction per 24-hour period. The client asks
, the nurse, "Why is there is there such a severe fluid restriction when I already have dry lips and
mouth?" Which response by the nurse is best?
a. "The doctor ordered the fluid restriction, so it is important to comply with those orders."
b. "Your kidneys cannot eliminate extra fluid right now, so intake must be limited to protect your
heart and lungs from being overloaded with fluid."
c. "You probably drank too much fluid before you got sick, so you can't compare your usual
intake to your limitations now that your kidneys are not working."
d. "Too much fluid will cause your heart to fail and your lungs to fill with water, which could be
fatal."
A - Correct answer ✔✔ A 45-year-old client is receiving a loop diuretic for treatment of edema.
The nurse determines the client is experiencing an excessive response to the treatment when
the client demonstrates which of the following?
a. BUN 28 mg/dL, Hct 45% and an 8-pound weight loss in 24 hours
b. BUN 21 mg/dL, Hct 29%, and an 8-pound weight gain in 24 hours
c. BUN 16 mg/dL, Hct 31%, and an 8-pound weight loss in 24 hours
d. BUN 25 mg/dL, Hct 33%, and an 8-pound weight gain in 24 hours
D - Correct answer ✔✔ A client is receiving an intravenous infusion of 0.0225% sodium chloride
at 50 mL/hour. It is most important for the nurse to monitor which of the following to detect
complications of therapy?
a. Urine output and concentration
b. Legs and arms for edema
c. Tongue and mouth for dryness
d. Mental status and orientation
A D E - Correct answer ✔✔ When caring for an adult receiving an IV infusion of 3% sodium
chloride (NaCl), the nurse places priority on monitoring which of the following to detect
complications of therapy?
