CHAPTER 3 MED SURG NCLEX QUESTIONS AND
ANSWERS LATEST 2025 VERSION VERIFIED
RATIONALE GRADED A+
You respond to a patient complaining of pain, burning, and wetness over the peripheral IV site. On
assessment, you find that the IV insertion site is tender and cool to touch. These are signs and symptoms
of:
Which would be the most accurate way to assess for dehydration in an elderly patient?
Which patient(s) can be considered at high risk for fluid and electrolyte imbalance? (Select all that
apply.)
What should nurses monitor when a patient is receiving a diuretic regularly? (Select all that apply.)
The new patient on the floor has been diagnosed with gastroenteritis. What would be the most critical
level to assess?
In planning care for a patient with congestive heart failure, you choose the problem statement: fluid
volume excess due to altered cardiac output. The Problem statement would most likely be supported by
which sign or symptom?
At the beginning of the shift, there is 410 mL of fluid in the IV bag. A piggyback medication containing
150 mL is hung at 12:00 noon to run over 30 minutes. You hang a new bag of 1000 mL at 1:00 P.M. to run
at 125 mL/hr. At the end of shift there is 250 mL left in the bag. The count for the total amount of fluid
infused during your shift ending at 7:00 P.M. is:
An older adult man is admitted for severe disorientation, confusion, and general weakness. His spouse
reports that he is not able to tolerate any food or fluids and has had several episodes of vomiting and
diarrhea. Which imbalance is the patient most likely experiencing?
A patient who has congestive heart failure has a fluid excess with a weight gain of 1.5 pounds since
yesterday and edematous ankles. Which provider's order has the highest priority?
7. You appropriately elicit a sign of hypocalcemia by:
5. A 30-year-old woman complaining of persistent diarrhea - ans1. a 45 year old woman with thyroid
crisis
5. a 30 year old woman complaining of persistent diarrhea
4. venous spasm. - ans2. infiltration
4. Thirst levels - ans2. urine output
4. Sodium - ans2. Potassium
4. Respiratory alkalosis - ans1) hypokalemia
4. Obtain daily weight. - ans3. administer furosemide 20mg PO once daily
4. Mentation - ans1. skin turgor and integrity
ANSWERS LATEST 2025 VERSION VERIFIED
RATIONALE GRADED A+
You respond to a patient complaining of pain, burning, and wetness over the peripheral IV site. On
assessment, you find that the IV insertion site is tender and cool to touch. These are signs and symptoms
of:
Which would be the most accurate way to assess for dehydration in an elderly patient?
Which patient(s) can be considered at high risk for fluid and electrolyte imbalance? (Select all that
apply.)
What should nurses monitor when a patient is receiving a diuretic regularly? (Select all that apply.)
The new patient on the floor has been diagnosed with gastroenteritis. What would be the most critical
level to assess?
In planning care for a patient with congestive heart failure, you choose the problem statement: fluid
volume excess due to altered cardiac output. The Problem statement would most likely be supported by
which sign or symptom?
At the beginning of the shift, there is 410 mL of fluid in the IV bag. A piggyback medication containing
150 mL is hung at 12:00 noon to run over 30 minutes. You hang a new bag of 1000 mL at 1:00 P.M. to run
at 125 mL/hr. At the end of shift there is 250 mL left in the bag. The count for the total amount of fluid
infused during your shift ending at 7:00 P.M. is:
An older adult man is admitted for severe disorientation, confusion, and general weakness. His spouse
reports that he is not able to tolerate any food or fluids and has had several episodes of vomiting and
diarrhea. Which imbalance is the patient most likely experiencing?
A patient who has congestive heart failure has a fluid excess with a weight gain of 1.5 pounds since
yesterday and edematous ankles. Which provider's order has the highest priority?
7. You appropriately elicit a sign of hypocalcemia by:
5. A 30-year-old woman complaining of persistent diarrhea - ans1. a 45 year old woman with thyroid
crisis
5. a 30 year old woman complaining of persistent diarrhea
4. venous spasm. - ans2. infiltration
4. Thirst levels - ans2. urine output
4. Sodium - ans2. Potassium
4. Respiratory alkalosis - ans1) hypokalemia
4. Obtain daily weight. - ans3. administer furosemide 20mg PO once daily
4. Mentation - ans1. skin turgor and integrity
