NUR 306 Final Exam: Practice Questions on Fluids, Hematology & Oncology Latest
Update.
Fluids and electrolytes:
A RN is reviewing the labs of a client who has a fever and diarrhea. Which of
the following results should the RN report?
a. Calcium 9.5 mg/dl
b. sodium 150 mEq/L
c. Magnesium 1.5 mEq/L
d. potassium 4 mEq/L
A RN is caring for a client who has emphysema and chronic respiratory acidosis.
The RN should monitor for which of these
a. Hyperkalemia
b. hyponatremia
c. hypercalcemia
d. hypomagnesemia
Your client has FVE. You would do all of the following interventions except?
a. Position in semi-fowlers
b. assess for edema
c. promote adherence to fluid restrictions
d. encourage sodium
You think your client has pulmonary edema. You expect all of the s/s except?
a. Frothy pink-tinged sputum
b. rhonchi
c. restlessness
d. PVCs onECG
Poor skin turgor, low BP, dry mucosa and decreased salivation are a sign of?
a. Hyponatremia
b. hypokalemia
c. hypernatremia
d. hypocalcemia
A client presents with the twitching of facial muscles in response to trapping over
the area of the facial nerve. This is
a. Muscle tetany
b. chvostek’s sign
c. trousseau’s sign
Hypoactive bowel sounds, constipation and a paralytic ileus can be a sign that your
client has this imbalance?
a. Hypocalcemia
b. hypomagnesemia
c. fluid volume deficit
d. hyponatremia
Calcium gluconate should be used as a first line agent in patients with EKG changes
or this severe imbalance?
a. Hypercalcemia
b. hypernatremia
®™
, NUR 306 Final Exam: Practice Questions on Fluids, Hematology & Oncology Latest
Update.
c. hyponatremia
d. hyperkalemia
Increased HCT, sodium, urine specific gravity and BUN are signs of?
a. Fluid volume excess
b. hypocalcemia
c. fluid volume deficit
d. hyponatremia
Seizure precautions in a client with severe hyponatremia include all of the following
except:
a. Protection of the head
b. tongue depressor near by
c. padded side rails
d. client in a semi-Fowler position
Hematology:
tongue changes seen in iron deficiency anemia are
a. Beefy red
b. sore and pink
c. smooth red
d. sore and beefy
This disorder is treated by donating blood to reduce blood volume and excess blood
cells
a. Polycythemia vera
b. von willebrand’s disease
c. non-Hodgkin lymphoma
d. multiple myeloma
In anemias the following pathology occurs (select all that apply)
a. Decreasing circulating erythrocytes
b. decreased hemoglobin
c. hemolysis
d. hyperproliferation of RBCs
Once you get your blood from the blood bank, how soon do you need to start the
transfusion?
a. 15 minutes
b. 30 minutes
c. 45 minutes
d. 1 hour
What type of blood is considered the universal donor?
a. O positive
b. O negative
c. AB positive
d. A positive
The most life threatening blood transfusion reactions occur when?
a. In the first 5 minutes
b. in the first 30 minutes
®™
Update.
Fluids and electrolytes:
A RN is reviewing the labs of a client who has a fever and diarrhea. Which of
the following results should the RN report?
a. Calcium 9.5 mg/dl
b. sodium 150 mEq/L
c. Magnesium 1.5 mEq/L
d. potassium 4 mEq/L
A RN is caring for a client who has emphysema and chronic respiratory acidosis.
The RN should monitor for which of these
a. Hyperkalemia
b. hyponatremia
c. hypercalcemia
d. hypomagnesemia
Your client has FVE. You would do all of the following interventions except?
a. Position in semi-fowlers
b. assess for edema
c. promote adherence to fluid restrictions
d. encourage sodium
You think your client has pulmonary edema. You expect all of the s/s except?
a. Frothy pink-tinged sputum
b. rhonchi
c. restlessness
d. PVCs onECG
Poor skin turgor, low BP, dry mucosa and decreased salivation are a sign of?
a. Hyponatremia
b. hypokalemia
c. hypernatremia
d. hypocalcemia
A client presents with the twitching of facial muscles in response to trapping over
the area of the facial nerve. This is
a. Muscle tetany
b. chvostek’s sign
c. trousseau’s sign
Hypoactive bowel sounds, constipation and a paralytic ileus can be a sign that your
client has this imbalance?
a. Hypocalcemia
b. hypomagnesemia
c. fluid volume deficit
d. hyponatremia
Calcium gluconate should be used as a first line agent in patients with EKG changes
or this severe imbalance?
a. Hypercalcemia
b. hypernatremia
®™
, NUR 306 Final Exam: Practice Questions on Fluids, Hematology & Oncology Latest
Update.
c. hyponatremia
d. hyperkalemia
Increased HCT, sodium, urine specific gravity and BUN are signs of?
a. Fluid volume excess
b. hypocalcemia
c. fluid volume deficit
d. hyponatremia
Seizure precautions in a client with severe hyponatremia include all of the following
except:
a. Protection of the head
b. tongue depressor near by
c. padded side rails
d. client in a semi-Fowler position
Hematology:
tongue changes seen in iron deficiency anemia are
a. Beefy red
b. sore and pink
c. smooth red
d. sore and beefy
This disorder is treated by donating blood to reduce blood volume and excess blood
cells
a. Polycythemia vera
b. von willebrand’s disease
c. non-Hodgkin lymphoma
d. multiple myeloma
In anemias the following pathology occurs (select all that apply)
a. Decreasing circulating erythrocytes
b. decreased hemoglobin
c. hemolysis
d. hyperproliferation of RBCs
Once you get your blood from the blood bank, how soon do you need to start the
transfusion?
a. 15 minutes
b. 30 minutes
c. 45 minutes
d. 1 hour
What type of blood is considered the universal donor?
a. O positive
b. O negative
c. AB positive
d. A positive
The most life threatening blood transfusion reactions occur when?
a. In the first 5 minutes
b. in the first 30 minutes
®™
