GAURATTED QUESTIONS AND
ANSWER
A nurse is caring for a patient with hypervolemia. Which of the following findings should the nurse
expect during assessment?
A. Decreased blood pressure and weak pulse
B. Dry mucous membranes and poor skin turgor
C. Weight gain and edema
D. Tachypnea and decreased urinary output - answer✔✔✨-C. Weight gain and edema
A patient with hyponatremia is receiving an IV infusion of hypertonic saline. The nurse monitors the
patient for which of the following potential complications?
A. Increased intracranial pressure
B. Seizures due to rapid sodium correction
C. Hypoglycemia
D. Pulmonary edema - answer✔✔✨-B. Seizures due to rapid sodium correction
What is the most appropriate nursing intervention for a patient with septic arthritis?
A. Performing frequent neurovascular checks
B. Administering pain medication as needed
C. Applying cold therapy to the affected joint
D. Ensuring rest and immobilization of the joint - answer✔✔✨-D. Ensuring rest and immobilization
of the joint
, A patient presents with a serum sodium level of 150 mEq/L. Which of the following symptoms is most
likely associated with this electrolyte imbalance?
A. Confusion and irritability
B. Nausea and vomiting
C. Hypotension and bradycardia
D. Hyperactive bowel sounds and muscle twitching - answer✔✔✨-A. Confusion and irritability
Which nursing intervention is most important for a patient with hypovolemia who is receiving IV fluid
replacement?
A. Monitoring lung sounds for crackles
B. Observing for signs of tissue swelling
C. Administering potassium supplements
D. Checking for signs of hyperglycemia - answer✔✔✨-A. Monitoring lung sounds for crackles
A nurse is caring for a patient with hypernatremia. The nurse should monitor the patient for which of
the following signs?
A. Increased urine output and dry skin
B. Restlessness and lethargy
C. Decreased blood pressure and confusion
D. Fever and frequent urination - answer✔✔✨-B. Restlessness and lethargy
A patient with heart failure is admitted with hypervolemia. Which intervention should the nurse
prioritize?
A. Administering potassium-rich foods
B. Restricting fluid intake
C. Monitoring glucose levels closely
D. Assessing the patient's ability to swallow - answer✔✔✨-B. Restricting fluid intake
A patient with severe hypovolemia is being treated with IV fluids. The nurse should assess which of the
following to determine if the fluid therapy is effective?