NRS 3015: Exam #3 Practice Questions and
answers With complete solution Newest Rated
A+ 100% pass
A nurse is admitting a client who reports, nausea, vomiting, and weakness. The client has dry oral mucous
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
membranes and blood pressure 102/64 mmHg. Which of the following findings should the nurse identify
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
as manifestations of fluid volume deficit? (Select all that apply.)
II! II! II! II! II! II! II! II! II! II!
a. Decreased skin turgor
II! II! II!
b. Concentrated urine
II! II!
c. Bradycardia
II!
d. Low-grade fever
II! II!
e. TachypneaII!
a, b, d, e II! II! II!
A nurse is admitting an older adult client who reports a weight gain of 2.3 kg (5 lb) in 48 hr. Which of the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
following manifestations of fluid volume excess should the nurse expect? (Select all that apply.)
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
a. Dyspnea II!
b. Edema II!
c. Bradycardia
II!
d. Hypertension
II!
e. Weakness II!
a, b, d, e II! II! II!
A nurse is assessing a client who is dehydrated. Which of the following findings should the nurse expect?
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
a. Moist skin
II! II!
b. Distended neck veins
II! II! II!
c. Increased urinary output
II! II! II!
d. Tachycardia
II!
d
A nurse is caring for a client in a long-term care facility who has become weak, confused, and experienced
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
dizziness when standing. The client's temperature is 38.3º C (100.9º F), pulse 92/min, respirations
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
20/min, and blood pressure 108/60 mmHg. Which of the following actions should the nurse take?
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
a. Initiate fluid restrictions to limit intake
II! II! II! II! II! II!
,b. Check for peripheral edema
II! II! II! II!
c. Encourage the client to ambulate to promote oxygenation
II! II! II! II! II! II! II! II!
d. Monitor for orthostatic hypotension
II! II! II! II!
d
A nurse is assessing a client who has dehydration. Which of the following assessments is the priority?
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
a. Skin turgor
II! II!
b. Urine output
II! II!
c. Weight
II!
d. Mental status
II! II!
d
We have an expert-written solution to this problem!
II! II! II! II! II! II! II!
A nurse is caring for a client who has dehydration and is receiving IV fluids. When assessing for
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
complications, the nurse should recognize which of the following manifestations of fluid overload?
II! II! II! II! II! II! II! II! II! II! II! II! II!
a. Increased urine specific gravity
II! II! II! II!
b. Hypoactive bowel sounds
II! II! II!
c. Bounding peripheral pulses
II! II! II!
d. Decreased respiratory rate
II! II! II!
c
We have an expert-written solution to this problem!
II! II! II! II! II! II! II!
A nurse is providing teaching to a client who has venous insufficiency of the lower extremities. Which of
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
the following statements by the client indicates an understanding of teaching?
II! II! II! II! II! II! II! II! II! II! II!
a. "If my stockings feel tight, I'll roll them down for a while."
II! II! II! II! II! II! II! II! II! II! II! II!
b. "I'll put on my elastic stockings at the first sign of swelling."
II! II! II! II! II! II! II! II! II! II! II! II!
c. "When I sit down to watch television, I'll be sure to put my feet up."
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
d. "It's okay to cross my legs as long as it's for less than one hour."
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
c
We have an expert-written solution to this problem!
II! II! II! II! II! II! II!
,A nurse is assessing a client who has fluid volume overload from a client from a cardiovascular disorder.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
Which of the following manifestations should the nurse expect? (Select all that apply.)
II! II! II! II! II! II! II! II! II! II! II! II! II!
a. Jugular vein distention
II! II! II!
b. Moist crackles
II! II!
c. Postural hypotension
II! II!
d. Increased heart rate
II! II! II!
e. Fever II!
a, b, d II! II!
We have an expert-written solution to this problem!
II! II! II! II! II! II! II!
A nurse is caring for a client who has a major burn injury and is experiencing third spacing. Which of the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
following fluid or electrolyte imbalances should the nurse expect?
II! II! II! II! II! II! II! II! II!
a. Hypokalemia
II!
b. Hypernatremia
II!
c. Elevated Hct
II! II!
d. Decreased Hgb
II! II!
c
We have an expert-written solution to this problem!
II! II! II! II! II! II! II!
A nurse is assessing a client who has isotonic dehydration. Which of the following findings should the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
nurse expect?
II! II!
a. Increased hematocrit level
II! II! II!
b. Bradycardia
II!
c. Distended neck veins
II! II! II!
d. Decreased urine specific gravity
II! II! II! II!
a
A nurse is caring for a client with dehydration who has developed hypovolemic shock. Which of the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
following laboratory values should the nurse expect for this client?
II! II! II! II! II! II! II! II! II! II!
a. BUN 18 mg/dL
II! II! II!
b. Capillary refill 1.5 sec
II! II! II! II!
, c. Hct 55%
II! II!
d. Urine specific gravity 1.001
II! II! II! II!
c
A nurse is assessing a client who has late-stage heart failure and is experiencing fluid volume overload.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
Which of the following findings should the nurse expect?
II! II! II! II! II! II! II! II! II!
a. Weight gain of 1 kg (2.2 lb) in 1 day
II! II! II! II! II! II! II! II! II! II!
b. Pitting edema +1
II! II! II!
c. Client report of a nocturnal cough
II! II! II! II! II! II!
d. B-type natriuretic peptide (BNP) level of 100 pg/mL
II! II! II! II! II! II! II! II!
a
A nurse is evaluating a client who is receiving IV fluids. to treat isotonic dehydration. Which of the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
following laboratory findings indicates that the fluid therapy has been effective?
II! II! II! II! II! II! II! II! II! II! II!
a. BUN 26 mg/dL
II! II! II!
b. Serum sodium 138 mEq/L
II! II! II! II!
c. Hct 56%
II! II!
d. Urine specific gravity 1.035
II! II! II! II!
b
We have an expert-written solution to this problem!
II! II! II! II! II! II! II!
A nurse is reviewing the laboratory report of a client who has fluid volume excess. Which of the following
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
laboratory values should the nurse expect?
II! II! II! II! II! II!
a. Hemoglobin 20 g/dL
II! II! II!
b. Hematocrit 34%
II! II!
c. BUN 25 mg/dL
II! II! II!
d. Urine specific gravity 1.050
II! II! II! II!
b
We have an expert-written solution to this problem!
II! II! II! II! II! II! II!
A nurse is planning care for a client who has experienced excessive fluid loss. Which of the following
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
interventions should the nurse include in the plan of care? (Select all that apply.)
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
a. Administer IV fluids to the client evenly over 24 hr
II! II! II! II! II! II! II! II! II! II!
answers With complete solution Newest Rated
A+ 100% pass
A nurse is admitting a client who reports, nausea, vomiting, and weakness. The client has dry oral mucous
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
membranes and blood pressure 102/64 mmHg. Which of the following findings should the nurse identify
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
as manifestations of fluid volume deficit? (Select all that apply.)
II! II! II! II! II! II! II! II! II! II!
a. Decreased skin turgor
II! II! II!
b. Concentrated urine
II! II!
c. Bradycardia
II!
d. Low-grade fever
II! II!
e. TachypneaII!
a, b, d, e II! II! II!
A nurse is admitting an older adult client who reports a weight gain of 2.3 kg (5 lb) in 48 hr. Which of the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
following manifestations of fluid volume excess should the nurse expect? (Select all that apply.)
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
a. Dyspnea II!
b. Edema II!
c. Bradycardia
II!
d. Hypertension
II!
e. Weakness II!
a, b, d, e II! II! II!
A nurse is assessing a client who is dehydrated. Which of the following findings should the nurse expect?
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
a. Moist skin
II! II!
b. Distended neck veins
II! II! II!
c. Increased urinary output
II! II! II!
d. Tachycardia
II!
d
A nurse is caring for a client in a long-term care facility who has become weak, confused, and experienced
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
dizziness when standing. The client's temperature is 38.3º C (100.9º F), pulse 92/min, respirations
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
20/min, and blood pressure 108/60 mmHg. Which of the following actions should the nurse take?
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
a. Initiate fluid restrictions to limit intake
II! II! II! II! II! II!
,b. Check for peripheral edema
II! II! II! II!
c. Encourage the client to ambulate to promote oxygenation
II! II! II! II! II! II! II! II!
d. Monitor for orthostatic hypotension
II! II! II! II!
d
A nurse is assessing a client who has dehydration. Which of the following assessments is the priority?
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
a. Skin turgor
II! II!
b. Urine output
II! II!
c. Weight
II!
d. Mental status
II! II!
d
We have an expert-written solution to this problem!
II! II! II! II! II! II! II!
A nurse is caring for a client who has dehydration and is receiving IV fluids. When assessing for
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
complications, the nurse should recognize which of the following manifestations of fluid overload?
II! II! II! II! II! II! II! II! II! II! II! II! II!
a. Increased urine specific gravity
II! II! II! II!
b. Hypoactive bowel sounds
II! II! II!
c. Bounding peripheral pulses
II! II! II!
d. Decreased respiratory rate
II! II! II!
c
We have an expert-written solution to this problem!
II! II! II! II! II! II! II!
A nurse is providing teaching to a client who has venous insufficiency of the lower extremities. Which of
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
the following statements by the client indicates an understanding of teaching?
II! II! II! II! II! II! II! II! II! II! II!
a. "If my stockings feel tight, I'll roll them down for a while."
II! II! II! II! II! II! II! II! II! II! II! II!
b. "I'll put on my elastic stockings at the first sign of swelling."
II! II! II! II! II! II! II! II! II! II! II! II!
c. "When I sit down to watch television, I'll be sure to put my feet up."
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
d. "It's okay to cross my legs as long as it's for less than one hour."
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
c
We have an expert-written solution to this problem!
II! II! II! II! II! II! II!
,A nurse is assessing a client who has fluid volume overload from a client from a cardiovascular disorder.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
Which of the following manifestations should the nurse expect? (Select all that apply.)
II! II! II! II! II! II! II! II! II! II! II! II! II!
a. Jugular vein distention
II! II! II!
b. Moist crackles
II! II!
c. Postural hypotension
II! II!
d. Increased heart rate
II! II! II!
e. Fever II!
a, b, d II! II!
We have an expert-written solution to this problem!
II! II! II! II! II! II! II!
A nurse is caring for a client who has a major burn injury and is experiencing third spacing. Which of the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
following fluid or electrolyte imbalances should the nurse expect?
II! II! II! II! II! II! II! II! II!
a. Hypokalemia
II!
b. Hypernatremia
II!
c. Elevated Hct
II! II!
d. Decreased Hgb
II! II!
c
We have an expert-written solution to this problem!
II! II! II! II! II! II! II!
A nurse is assessing a client who has isotonic dehydration. Which of the following findings should the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
nurse expect?
II! II!
a. Increased hematocrit level
II! II! II!
b. Bradycardia
II!
c. Distended neck veins
II! II! II!
d. Decreased urine specific gravity
II! II! II! II!
a
A nurse is caring for a client with dehydration who has developed hypovolemic shock. Which of the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
following laboratory values should the nurse expect for this client?
II! II! II! II! II! II! II! II! II! II!
a. BUN 18 mg/dL
II! II! II!
b. Capillary refill 1.5 sec
II! II! II! II!
, c. Hct 55%
II! II!
d. Urine specific gravity 1.001
II! II! II! II!
c
A nurse is assessing a client who has late-stage heart failure and is experiencing fluid volume overload.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
Which of the following findings should the nurse expect?
II! II! II! II! II! II! II! II! II!
a. Weight gain of 1 kg (2.2 lb) in 1 day
II! II! II! II! II! II! II! II! II! II!
b. Pitting edema +1
II! II! II!
c. Client report of a nocturnal cough
II! II! II! II! II! II!
d. B-type natriuretic peptide (BNP) level of 100 pg/mL
II! II! II! II! II! II! II! II!
a
A nurse is evaluating a client who is receiving IV fluids. to treat isotonic dehydration. Which of the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
following laboratory findings indicates that the fluid therapy has been effective?
II! II! II! II! II! II! II! II! II! II! II!
a. BUN 26 mg/dL
II! II! II!
b. Serum sodium 138 mEq/L
II! II! II! II!
c. Hct 56%
II! II!
d. Urine specific gravity 1.035
II! II! II! II!
b
We have an expert-written solution to this problem!
II! II! II! II! II! II! II!
A nurse is reviewing the laboratory report of a client who has fluid volume excess. Which of the following
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
laboratory values should the nurse expect?
II! II! II! II! II! II!
a. Hemoglobin 20 g/dL
II! II! II!
b. Hematocrit 34%
II! II!
c. BUN 25 mg/dL
II! II! II!
d. Urine specific gravity 1.050
II! II! II! II!
b
We have an expert-written solution to this problem!
II! II! II! II! II! II! II!
A nurse is planning care for a client who has experienced excessive fluid loss. Which of the following
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
interventions should the nurse include in the plan of care? (Select all that apply.)
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
a. Administer IV fluids to the client evenly over 24 hr
II! II! II! II! II! II! II! II! II! II!
