2204 Fluid & Electrolyte NCLEX Practice Questions,
Fundamentals Ch. 42 Fluid &Electrolytes Latest 2024.
What is the nurse's primary concern regarding fluid & electrolytes when caring for
an elderly pt who is intermittently confused?
1. risk of dehydration
2. risk of kidney damage
3. risk of stroke
4. risk of bleeding - correct answer ✅Answer: 1
Rationale 1: As an adult ages, the thirst mechanism declines. Adding this in a pt
with an altered level of consciousness, there is an increased risk of dehydration &
high serum osmolality.
Rationale 2: The risks for kidney damage are not specifically related to aging or
fluid & electrolyte issues.
Rationale 3: The risk of stroke is not specifically related to aging or fluid &
electrolyte issues.
Rationale 4: The risk of bleeding is not specifically related to aging or fluid &
electrolyte issues.
The nurse is planning care for a pt with severe burns. Which of the following is this
pt at risk for developing?
1. intracellular fluid deficit
2204 Fluid & Electrolyte NCLEX Practice Questions,
Fundamentals Ch. 42 Fluid &Electrolytes Latest 2023
,2204 Fluid & Electrolyte NCLEX Practice Questions,
Fundamentals Ch. 42 Fluid &Electrolytes Latest 2024.
2. intracellular fluid overload
3. extracellular fluid deficit
4. interstitial fluid deficit - correct answer ✅Answer: 1
Rationale 1: Because this pt was severely burned, the fluid within the cells is
diminished, leading to an intracellular fluid deficit.
Rationale 2: The intracellular fluid is all fluids that exist within the cell cytoplasm &
nucleus. Because this pt was severely burned, the fluid within the cells is
diminished, leading to an intracellular fluid deficit.
Rationale 3: The extracellular fluid is all fluids that exist outside the cell, including
the interstitial fluid between the cells. Because this pt was severely burned, the
fluid within the cells is diminished, leading to an intracellular fluid deficit.
Rationale 4: The extracellular fluid is all fluids that exist outside the cell, including
the interstitial fluid between the cells. Because this pt was severely burned, the
fluid within the cells is diminished, leading to an intracellular fluid deficit.
A pt, experiencing multisystem fluid volume deficit, has the symptoms of
tachycardia, pale, cool skin, & decreased urine output. The nurse realizes these
findings are most likely a direct result of which of the following?
1. the body's natural compensatory mechanisms
2204 Fluid & Electrolyte NCLEX Practice Questions,
Fundamentals Ch. 42 Fluid &Electrolytes Latest 2023
,2204 Fluid & Electrolyte NCLEX Practice Questions,
Fundamentals Ch. 42 Fluid &Electrolytes Latest 2024.
2. pharmacological effects of a diuretic
3. effects of rapidly infused intravenous fluids
4. cardiac failure - correct answer ✅Answer: 1
Rationale 1: The internal vasoconstrictive compensatory reactions within the body
are responsible for the symptoms exhibited. The body naturally attempts to
conserve fluid internally specifically for the brain & heart.
Rationale 2: A diuretic would cause further fluid loss, & is contraindicated.
Rationale 3: Rapidly infused intravenous fluids would not cause a decrease in
urine output.
Rationale 4: The manifestations reported are not indicative of cardiac failure in
this pt.
A pregnant pt is admitted with excessive thirst, increased urination, & has a
medical diagnosis of diabetes insipidus. The nurse chooses which of the following
nursing diagnoses as most appropriate?
1. Risk for Imbalanced Fluid Volume
2. Excess Fluid Volume
3. Imbalanced Nutrition
4. Ineffective Tissue Perfusion - correct answer ✅Answer: 1
2204 Fluid & Electrolyte NCLEX Practice Questions,
Fundamentals Ch. 42 Fluid &Electrolytes Latest 2023
, 2204 Fluid & Electrolyte NCLEX Practice Questions,
Fundamentals Ch. 42 Fluid &Electrolytes Latest 2024.
Rationale 1: The pt with excessive thirst, increased urination & a medical diagnosis
of diabetes insipidus is at risk for Imbalanced Fluid Volume due to the pt &'s
excess volume loss that can increase the serum levels of sodium.
Rationale 2: Excess Fluid Volume is not an issue for pts with diabetes insipidus,
especially during the early stages of treatment.
Rationale 3: Imbalanced Nutrition does not apply.
Rationale 4: Ineffective Tissue Perfusion does not apply
A pt recovering from surgery has an indwelling urinary catheter. The nurse would
contact the pt's primary healthcare provider with which of the following 24-hour
urine output volumes?
1. 600 mL
2. 750 mL
3. 1000 mL
4. 1200 mL - correct answer ✅Answer: 1
Rationale 1: A urine output of less than 30 mL per hour must be reported to the
primary healthcare provider. This indicates inadequate renal perfusion, placing the
pt at increased risk for acute renal failure & inadequate tissue perfusion. A
2204 Fluid & Electrolyte NCLEX Practice Questions,
Fundamentals Ch. 42 Fluid &Electrolytes Latest 2023
Fundamentals Ch. 42 Fluid &Electrolytes Latest 2024.
What is the nurse's primary concern regarding fluid & electrolytes when caring for
an elderly pt who is intermittently confused?
1. risk of dehydration
2. risk of kidney damage
3. risk of stroke
4. risk of bleeding - correct answer ✅Answer: 1
Rationale 1: As an adult ages, the thirst mechanism declines. Adding this in a pt
with an altered level of consciousness, there is an increased risk of dehydration &
high serum osmolality.
Rationale 2: The risks for kidney damage are not specifically related to aging or
fluid & electrolyte issues.
Rationale 3: The risk of stroke is not specifically related to aging or fluid &
electrolyte issues.
Rationale 4: The risk of bleeding is not specifically related to aging or fluid &
electrolyte issues.
The nurse is planning care for a pt with severe burns. Which of the following is this
pt at risk for developing?
1. intracellular fluid deficit
2204 Fluid & Electrolyte NCLEX Practice Questions,
Fundamentals Ch. 42 Fluid &Electrolytes Latest 2023
,2204 Fluid & Electrolyte NCLEX Practice Questions,
Fundamentals Ch. 42 Fluid &Electrolytes Latest 2024.
2. intracellular fluid overload
3. extracellular fluid deficit
4. interstitial fluid deficit - correct answer ✅Answer: 1
Rationale 1: Because this pt was severely burned, the fluid within the cells is
diminished, leading to an intracellular fluid deficit.
Rationale 2: The intracellular fluid is all fluids that exist within the cell cytoplasm &
nucleus. Because this pt was severely burned, the fluid within the cells is
diminished, leading to an intracellular fluid deficit.
Rationale 3: The extracellular fluid is all fluids that exist outside the cell, including
the interstitial fluid between the cells. Because this pt was severely burned, the
fluid within the cells is diminished, leading to an intracellular fluid deficit.
Rationale 4: The extracellular fluid is all fluids that exist outside the cell, including
the interstitial fluid between the cells. Because this pt was severely burned, the
fluid within the cells is diminished, leading to an intracellular fluid deficit.
A pt, experiencing multisystem fluid volume deficit, has the symptoms of
tachycardia, pale, cool skin, & decreased urine output. The nurse realizes these
findings are most likely a direct result of which of the following?
1. the body's natural compensatory mechanisms
2204 Fluid & Electrolyte NCLEX Practice Questions,
Fundamentals Ch. 42 Fluid &Electrolytes Latest 2023
,2204 Fluid & Electrolyte NCLEX Practice Questions,
Fundamentals Ch. 42 Fluid &Electrolytes Latest 2024.
2. pharmacological effects of a diuretic
3. effects of rapidly infused intravenous fluids
4. cardiac failure - correct answer ✅Answer: 1
Rationale 1: The internal vasoconstrictive compensatory reactions within the body
are responsible for the symptoms exhibited. The body naturally attempts to
conserve fluid internally specifically for the brain & heart.
Rationale 2: A diuretic would cause further fluid loss, & is contraindicated.
Rationale 3: Rapidly infused intravenous fluids would not cause a decrease in
urine output.
Rationale 4: The manifestations reported are not indicative of cardiac failure in
this pt.
A pregnant pt is admitted with excessive thirst, increased urination, & has a
medical diagnosis of diabetes insipidus. The nurse chooses which of the following
nursing diagnoses as most appropriate?
1. Risk for Imbalanced Fluid Volume
2. Excess Fluid Volume
3. Imbalanced Nutrition
4. Ineffective Tissue Perfusion - correct answer ✅Answer: 1
2204 Fluid & Electrolyte NCLEX Practice Questions,
Fundamentals Ch. 42 Fluid &Electrolytes Latest 2023
, 2204 Fluid & Electrolyte NCLEX Practice Questions,
Fundamentals Ch. 42 Fluid &Electrolytes Latest 2024.
Rationale 1: The pt with excessive thirst, increased urination & a medical diagnosis
of diabetes insipidus is at risk for Imbalanced Fluid Volume due to the pt &'s
excess volume loss that can increase the serum levels of sodium.
Rationale 2: Excess Fluid Volume is not an issue for pts with diabetes insipidus,
especially during the early stages of treatment.
Rationale 3: Imbalanced Nutrition does not apply.
Rationale 4: Ineffective Tissue Perfusion does not apply
A pt recovering from surgery has an indwelling urinary catheter. The nurse would
contact the pt's primary healthcare provider with which of the following 24-hour
urine output volumes?
1. 600 mL
2. 750 mL
3. 1000 mL
4. 1200 mL - correct answer ✅Answer: 1
Rationale 1: A urine output of less than 30 mL per hour must be reported to the
primary healthcare provider. This indicates inadequate renal perfusion, placing the
pt at increased risk for acute renal failure & inadequate tissue perfusion. A
2204 Fluid & Electrolyte NCLEX Practice Questions,
Fundamentals Ch. 42 Fluid &Electrolytes Latest 2023
