NCLEX Questions: Fluid & Electrolytes
(Questions 1-60) Latest Update
Graded A+
A patient is receiving IV fluids and is at risk for fluid overload. Which of the following should
be closely monitored?
✔✔ Lung sounds
A nurse is caring for a patient with hyponatremia. What is the priority intervention?
✔✔ Administer hypertonic saline as ordered
A patient with hypokalemia is prescribed oral potassium supplements. What should the nurse
instruct the patient to do?
✔✔ Take the potassium with food to reduce gastrointestinal irritation
A patient with chronic kidney disease is being treated with a potassium-sparing diuretic. What is
the nurse’s priority action?
✔✔ Monitor serum potassium levels
1
,A patient with hypercalcemia is experiencing confusion and weakness. Which of the following
interventions should the nurse prioritize?
✔✔ Encourage fluid intake to promote renal excretion of calcium
A nurse is caring for a patient who has a potassium level of 2.8 mEq/L. Which of the following
should be done immediately?
✔✔ Administer potassium supplements as ordered
A patient with hypermagnesemia is showing signs of hypotension and respiratory depression.
What is the nurse’s priority action?
✔✔ Discontinue magnesium administration and notify the physician
A patient with hypomagnesemia is at risk for which of the following complications?
✔✔ Seizures
A patient is being treated for dehydration with IV fluids. The nurse should monitor which of the
following signs for fluid overload?
✔✔ Shortness of breath and crackles in lung sounds
2
, A patient is receiving intravenous potassium chloride. What is the nurse's priority in
administering this medication?
✔✔ Administer the potassium slowly via IV pump
A nurse is caring for a patient with metabolic acidosis. Which of the following laboratory
findings is most likely?
✔✔ Decreased pH and decreased bicarbonate levels
A patient with hyponatremia has a serum sodium level of 128 mEq/L. What should the nurse do
first?
✔✔ Restrict fluid intake
A nurse is caring for a patient with fluid volume excess. Which of the following findings is most
indicative of this condition?
✔✔ Edema and weight gain
A patient with a sodium level of 145 mEq/L has been diagnosed with hypernatremia. What
should the nurse anticipate?
✔✔ Thirst and dry mucous membranes
3
(Questions 1-60) Latest Update
Graded A+
A patient is receiving IV fluids and is at risk for fluid overload. Which of the following should
be closely monitored?
✔✔ Lung sounds
A nurse is caring for a patient with hyponatremia. What is the priority intervention?
✔✔ Administer hypertonic saline as ordered
A patient with hypokalemia is prescribed oral potassium supplements. What should the nurse
instruct the patient to do?
✔✔ Take the potassium with food to reduce gastrointestinal irritation
A patient with chronic kidney disease is being treated with a potassium-sparing diuretic. What is
the nurse’s priority action?
✔✔ Monitor serum potassium levels
1
,A patient with hypercalcemia is experiencing confusion and weakness. Which of the following
interventions should the nurse prioritize?
✔✔ Encourage fluid intake to promote renal excretion of calcium
A nurse is caring for a patient who has a potassium level of 2.8 mEq/L. Which of the following
should be done immediately?
✔✔ Administer potassium supplements as ordered
A patient with hypermagnesemia is showing signs of hypotension and respiratory depression.
What is the nurse’s priority action?
✔✔ Discontinue magnesium administration and notify the physician
A patient with hypomagnesemia is at risk for which of the following complications?
✔✔ Seizures
A patient is being treated for dehydration with IV fluids. The nurse should monitor which of the
following signs for fluid overload?
✔✔ Shortness of breath and crackles in lung sounds
2
, A patient is receiving intravenous potassium chloride. What is the nurse's priority in
administering this medication?
✔✔ Administer the potassium slowly via IV pump
A nurse is caring for a patient with metabolic acidosis. Which of the following laboratory
findings is most likely?
✔✔ Decreased pH and decreased bicarbonate levels
A patient with hyponatremia has a serum sodium level of 128 mEq/L. What should the nurse do
first?
✔✔ Restrict fluid intake
A nurse is caring for a patient with fluid volume excess. Which of the following findings is most
indicative of this condition?
✔✔ Edema and weight gain
A patient with a sodium level of 145 mEq/L has been diagnosed with hypernatremia. What
should the nurse anticipate?
✔✔ Thirst and dry mucous membranes
3
