NURS 1023 Module 5 Exam Questions
with Answers
The nurse is reviewing the patient's laboratory results. Which result must be communicated to
the physician immediately?
Group of answer choicesSerum magnesium level 2.3 mEq/LSerum potassium level 6.8
mEq/LSerum sodium level 134 mEq/LSerum chloride level 85 mEq/L - ✔✔c
The nurse is caring for a patient who has a 1200 mL daily fluid restriction. The patient has
consumed 250 mL with each of her three meals and had another 150 mL with her medications.
The patient has received 150 mL of IV fluids during the day. How many mL of fluid may the
patient still consume in order to stay within the prescribed fluid restriction?
Group of answer choices150 mL250 mL100 mL300 mL - ✔✔A
The nurse is caring for a patient who has a history of congestive heart failure. The nurse
includes the problem fluid volume excess in the patient's care plan. Which goal statement has
the highest priority for the patient and nurse?
Group of answer choicesThe patient's pitting pedal edema will resolve within 72 hours.The
patient will verbalize understanding of fluid restrictions.The patient will have urine output of at
least 30 mL/hr.The patient's lung sounds will remain clear. - ✔✔D
The nurse is caring for a patient who takes furosemide (Lasix) daily to treat congestive heart
failure. The nurse will watch for which electrolyte imbalance that may occur as a result of this
therapy?
Group of answer choicesHypocalcemia Hypernatremia Hyperphosphatemia Hypokalemia -
✔✔D
The nurse is caring for a patient who has a history of congestive heart failure and takes once-
daily furosemide (Lasix) in order to prevent fluid overload and pulmonary edema. The patient
tells the nurse that she has stopped taking the medication because she has to urinate
frequently during the night. What is the nurse's best response?
, Group of answer choices"Take the diuretic early in the morning before breakfast.""You should
ask your doctor to decrease the dose.""Eat foods high in potassium and limit your salt
intake.""Restrict your fluid intake after dinner and in the evening." - ✔✔A
The nurse is caring for a patient with a history of hyperparathyroidism who presents with a
serum calcium level of 14.5 mg/dL. What is the highest priority problem for this patient?
Group of answer choicesRisk for constipation caused by decreased gastrointestinal motilityRisk
for injury related to weakened bones that may easily fractureDeficient knowledge related to
need for supplemental calcium in dietActivity intolerance related to muscle cramping and
spasms - ✔✔B
The nurse has telephone messages from four patients who requested information and
assistance. Which one should the nurse refer to a social worker or community agency first?
Group of answer choices"I think I have asthma because I cough when dogs are near.""I ran out
of money and am cutting my insulin dose in half.""I want to lose at least 20 pounds without
getting sick this time.""Is there a place that I can dispose of my unused morphine pills?" - ✔✔B
The nurse will be caring for a patient who is severely malnourished. Laboratory test results
show that the patient's albumin level is critically low. What assessment finding will the nurse
expect to note when meeting with the patient?
Group of answer choicesThe patient's urine is dark and very concentrated.The patient has
generalized 3+ pitting edema.The patient lung sounds are very diminished.The patient is
confused and disoriented. - ✔✔B
The nurse is caring for a patient who is at risk for fluid overload as a result of a history of
congestive heart failure. Which intervention will the nurse teach the patient to perform at
home to monitor fluid balance?
Group of answer choices"Check to make sure that your urine is a bright yellow color.""Drink
plain water rather than soda, coffee, or fruit juice.""Count your heart rate every evening before
you go to bed.""Weigh yourself every morning before breakfast." - ✔✔D
with Answers
The nurse is reviewing the patient's laboratory results. Which result must be communicated to
the physician immediately?
Group of answer choicesSerum magnesium level 2.3 mEq/LSerum potassium level 6.8
mEq/LSerum sodium level 134 mEq/LSerum chloride level 85 mEq/L - ✔✔c
The nurse is caring for a patient who has a 1200 mL daily fluid restriction. The patient has
consumed 250 mL with each of her three meals and had another 150 mL with her medications.
The patient has received 150 mL of IV fluids during the day. How many mL of fluid may the
patient still consume in order to stay within the prescribed fluid restriction?
Group of answer choices150 mL250 mL100 mL300 mL - ✔✔A
The nurse is caring for a patient who has a history of congestive heart failure. The nurse
includes the problem fluid volume excess in the patient's care plan. Which goal statement has
the highest priority for the patient and nurse?
Group of answer choicesThe patient's pitting pedal edema will resolve within 72 hours.The
patient will verbalize understanding of fluid restrictions.The patient will have urine output of at
least 30 mL/hr.The patient's lung sounds will remain clear. - ✔✔D
The nurse is caring for a patient who takes furosemide (Lasix) daily to treat congestive heart
failure. The nurse will watch for which electrolyte imbalance that may occur as a result of this
therapy?
Group of answer choicesHypocalcemia Hypernatremia Hyperphosphatemia Hypokalemia -
✔✔D
The nurse is caring for a patient who has a history of congestive heart failure and takes once-
daily furosemide (Lasix) in order to prevent fluid overload and pulmonary edema. The patient
tells the nurse that she has stopped taking the medication because she has to urinate
frequently during the night. What is the nurse's best response?
, Group of answer choices"Take the diuretic early in the morning before breakfast.""You should
ask your doctor to decrease the dose.""Eat foods high in potassium and limit your salt
intake.""Restrict your fluid intake after dinner and in the evening." - ✔✔A
The nurse is caring for a patient with a history of hyperparathyroidism who presents with a
serum calcium level of 14.5 mg/dL. What is the highest priority problem for this patient?
Group of answer choicesRisk for constipation caused by decreased gastrointestinal motilityRisk
for injury related to weakened bones that may easily fractureDeficient knowledge related to
need for supplemental calcium in dietActivity intolerance related to muscle cramping and
spasms - ✔✔B
The nurse has telephone messages from four patients who requested information and
assistance. Which one should the nurse refer to a social worker or community agency first?
Group of answer choices"I think I have asthma because I cough when dogs are near.""I ran out
of money and am cutting my insulin dose in half.""I want to lose at least 20 pounds without
getting sick this time.""Is there a place that I can dispose of my unused morphine pills?" - ✔✔B
The nurse will be caring for a patient who is severely malnourished. Laboratory test results
show that the patient's albumin level is critically low. What assessment finding will the nurse
expect to note when meeting with the patient?
Group of answer choicesThe patient's urine is dark and very concentrated.The patient has
generalized 3+ pitting edema.The patient lung sounds are very diminished.The patient is
confused and disoriented. - ✔✔B
The nurse is caring for a patient who is at risk for fluid overload as a result of a history of
congestive heart failure. Which intervention will the nurse teach the patient to perform at
home to monitor fluid balance?
Group of answer choices"Check to make sure that your urine is a bright yellow color.""Drink
plain water rather than soda, coffee, or fruit juice.""Count your heart rate every evening before
you go to bed.""Weigh yourself every morning before breakfast." - ✔✔D
