Fluid, Electrolyte, and Acid-Base
Regulation Exam/30 Accurate Q’s and A’s
A nurse on a pediatric floor is teaching a newly licensed nurse about iv
therapy. Which of the following information should the nurse include?
a. Perform range of motion exercises on the extremity containing the IV site.
b. Shave the client's hair if the IV is to be placed in the scalp.
c. IV sites can be placed in the lower extremities up to the age of 2 years.
d. Monitor the IV site, tubing, and connections every 4 hr. - -a. Perform
range of motion exercises on the extremity containing the IV site.
-A nurse is caring for a client who has a prescription to receive one unit of
packed red blood cells. The clients blood type is AB+, and the nurse receives
a unit of A- blood from the blood bank. Which of the following actions should
the nurse take?
a. Return the blood unit as it is not compatible with the client's blood type.
b. Stay with the client for 15 min prior to starting the blood transfusion.
c. Verify the unit of blood with another nurse.
d. Prime the blood tubing with 0.45% sodium chloride - -c. Verify the unit of
blood with another nurse.
-A nurse is caring for an older adult client who is experiencing dehydration.
The nurse should identify that which of the following factors increases the
risk for dehydration in older adult clients? (Select all that apply.)
-Decreased kidney function
-Decreased thirst response
-Decreased total body fluid
-Eating watermelon daily
-Eating cucumbers with each meal - --Decreased kidney function
-Decreased thirst response
-Decreased total body fluid
-A nurse is preparing to administer 4,200 ml of intravenous fluids to a client
to infuse over 24 hr. The nurse should set the IV pump to deliver how many
, mL/hr? (Round the answer to the nearest whole number. Use a leading zero
if it applies. Do not use a trailing zero.) - -175
-A nurse is reviewing a clients laboratory results. Which of the following
results should the nurse report to the provider?
a. Potassium 4.5 mEq/L
b. Sodium 138 mEq/L
c. Magnesium 3 mEq/L
d. Calcium 10 mg/dL - -c. Magnesium 3 mEq/L
-A nurse is assessing a client who is exhibiting signs of a fluid and
electrolyte imbalance. Which of the following findings should the nurse
identify as a potential cause for the client's fluid and electrolyte imbalance?
a. The client reports working in a warehouse in 21.1° C (70° F) temperature.
b. The client reports that they performed yard work for 8 hr in 35° C (95° F)
temperature earlier that day.
c. The client reports that their provider decreased their diuretic dose.
d. The client reports they had a 24-hr intestinal virus 2 weeks ago. - -b. The
client reports that they performed yard work for 8 hr in 35° C (95° F)
temperature earlier that day.
-A nurse is preparing to start an iv for a client who has a high risk for
bleeding. Which of the following actions should the nurse take?
a. Apply a cold compress to the selected IV site.
b. Ask the client to hold the extremity up prior to searching for an IV site.
c. Ask the client to spread the fingers of the selected extremity.
d. Apply a blood pressure cuff set to 30 mm Hg. - -d. Apply a blood pressure
cuff set to 30 mm Hg.
-A nurse is caring for a client who has a peripherally inserted central
catheter (PICC). For which of the following complications should the nurse
monitor?
a. The need for multiple IV sticks
b. Infection at the access site
Regulation Exam/30 Accurate Q’s and A’s
A nurse on a pediatric floor is teaching a newly licensed nurse about iv
therapy. Which of the following information should the nurse include?
a. Perform range of motion exercises on the extremity containing the IV site.
b. Shave the client's hair if the IV is to be placed in the scalp.
c. IV sites can be placed in the lower extremities up to the age of 2 years.
d. Monitor the IV site, tubing, and connections every 4 hr. - -a. Perform
range of motion exercises on the extremity containing the IV site.
-A nurse is caring for a client who has a prescription to receive one unit of
packed red blood cells. The clients blood type is AB+, and the nurse receives
a unit of A- blood from the blood bank. Which of the following actions should
the nurse take?
a. Return the blood unit as it is not compatible with the client's blood type.
b. Stay with the client for 15 min prior to starting the blood transfusion.
c. Verify the unit of blood with another nurse.
d. Prime the blood tubing with 0.45% sodium chloride - -c. Verify the unit of
blood with another nurse.
-A nurse is caring for an older adult client who is experiencing dehydration.
The nurse should identify that which of the following factors increases the
risk for dehydration in older adult clients? (Select all that apply.)
-Decreased kidney function
-Decreased thirst response
-Decreased total body fluid
-Eating watermelon daily
-Eating cucumbers with each meal - --Decreased kidney function
-Decreased thirst response
-Decreased total body fluid
-A nurse is preparing to administer 4,200 ml of intravenous fluids to a client
to infuse over 24 hr. The nurse should set the IV pump to deliver how many
, mL/hr? (Round the answer to the nearest whole number. Use a leading zero
if it applies. Do not use a trailing zero.) - -175
-A nurse is reviewing a clients laboratory results. Which of the following
results should the nurse report to the provider?
a. Potassium 4.5 mEq/L
b. Sodium 138 mEq/L
c. Magnesium 3 mEq/L
d. Calcium 10 mg/dL - -c. Magnesium 3 mEq/L
-A nurse is assessing a client who is exhibiting signs of a fluid and
electrolyte imbalance. Which of the following findings should the nurse
identify as a potential cause for the client's fluid and electrolyte imbalance?
a. The client reports working in a warehouse in 21.1° C (70° F) temperature.
b. The client reports that they performed yard work for 8 hr in 35° C (95° F)
temperature earlier that day.
c. The client reports that their provider decreased their diuretic dose.
d. The client reports they had a 24-hr intestinal virus 2 weeks ago. - -b. The
client reports that they performed yard work for 8 hr in 35° C (95° F)
temperature earlier that day.
-A nurse is preparing to start an iv for a client who has a high risk for
bleeding. Which of the following actions should the nurse take?
a. Apply a cold compress to the selected IV site.
b. Ask the client to hold the extremity up prior to searching for an IV site.
c. Ask the client to spread the fingers of the selected extremity.
d. Apply a blood pressure cuff set to 30 mm Hg. - -d. Apply a blood pressure
cuff set to 30 mm Hg.
-A nurse is caring for a client who has a peripherally inserted central
catheter (PICC). For which of the following complications should the nurse
monitor?
a. The need for multiple IV sticks
b. Infection at the access site
