Med-Surg Exam 1 - Practice:
Fluids/Electrolytes Questions And Answers
You're a nurse on a med/surg unit and just received report on your
4 patients for the day. Which patient do you see first?
A)A 55-year-old male with heart failure and 3+ pitting edema
scheduled to receive his Lasix (Furosemide) 30 minutes ago.
B)A 36-year-old female who received IV antibiotics an hour ago and
is reporting a rash and chest tightness.
C)A 75-year-old male post-hip replacement reporting sudden onset
9/10 pain requesting pain medication.
D)A 90-year-old patient with COPD and an O2 sat of 89%. -
correct answer ✅B)A 36-year-old female who received IV
antibiotics an hour ago and is reporting a rash and chest tightness.
We are concerned about this patient having an anaphylactic
reaction to the antibiotics recently infused. The patient could
develop anaphylaxis, which could compromise their airway.
Which of the following are signs and symptoms of fluid volume
excess (FVE)?
A)Low serum osmolarity
,Med-Surg Exam 1 - Practice:
Fluids/Electrolytes Questions And Answers
B)Furrowed tongue
C)Jugular vein distension
D)Orthostatic hypotension
E)Low pulse pressure
F)Full and bounding pulse -
correct answer ✅A)Low serum osmolarity
C)Jugular vein distension
F)Full and bounding pulse
The telemetry monitor technician notifies the nurse of the morning
telemetry readings. Which client should the nurse assess first?
A. The client in normal sinus rhythm with a peaked T wave.
B. The client diagnosed with atrial fibrillation, HR of 100.
C. The client diagnosed with a myocardial infarction who has
occasional PVC.
D. The client with a first-degree AV block and a rate of 92. -
correct answer ✅A. The client in normal sinus rhythm with a
peaked T wave.
, Med-Surg Exam 1 - Practice:
Fluids/Electrolytes Questions And Answers
The client is admitted with a serum sodium level of 110 mEq/L.
Which nursing intervention should be implemented?
A. Encourage fluids orally.
B. Administer 10% saline solution IVPB.
C. Administer antidiuretic hormone intranasally.
D. Place on seizure precautions. -
correct answer ✅D. Place on seizure precautions.
The client is admitted to a nursing unit from a long-term care
facility with a hematocrit of 56% and a serum sodium level of 152
mEq/L. Which condition would be a cause for these findings?
A. Overhydration.
B. Anemia.
C. Dehydration.
D. Renal failure. -
correct answer ✅C. Dehydration.
A client who is post-gallbladder surgery has a nasogastric tube,
decreased reflexes, pulse of 110 weak and irregular, and blood
Fluids/Electrolytes Questions And Answers
You're a nurse on a med/surg unit and just received report on your
4 patients for the day. Which patient do you see first?
A)A 55-year-old male with heart failure and 3+ pitting edema
scheduled to receive his Lasix (Furosemide) 30 minutes ago.
B)A 36-year-old female who received IV antibiotics an hour ago and
is reporting a rash and chest tightness.
C)A 75-year-old male post-hip replacement reporting sudden onset
9/10 pain requesting pain medication.
D)A 90-year-old patient with COPD and an O2 sat of 89%. -
correct answer ✅B)A 36-year-old female who received IV
antibiotics an hour ago and is reporting a rash and chest tightness.
We are concerned about this patient having an anaphylactic
reaction to the antibiotics recently infused. The patient could
develop anaphylaxis, which could compromise their airway.
Which of the following are signs and symptoms of fluid volume
excess (FVE)?
A)Low serum osmolarity
,Med-Surg Exam 1 - Practice:
Fluids/Electrolytes Questions And Answers
B)Furrowed tongue
C)Jugular vein distension
D)Orthostatic hypotension
E)Low pulse pressure
F)Full and bounding pulse -
correct answer ✅A)Low serum osmolarity
C)Jugular vein distension
F)Full and bounding pulse
The telemetry monitor technician notifies the nurse of the morning
telemetry readings. Which client should the nurse assess first?
A. The client in normal sinus rhythm with a peaked T wave.
B. The client diagnosed with atrial fibrillation, HR of 100.
C. The client diagnosed with a myocardial infarction who has
occasional PVC.
D. The client with a first-degree AV block and a rate of 92. -
correct answer ✅A. The client in normal sinus rhythm with a
peaked T wave.
, Med-Surg Exam 1 - Practice:
Fluids/Electrolytes Questions And Answers
The client is admitted with a serum sodium level of 110 mEq/L.
Which nursing intervention should be implemented?
A. Encourage fluids orally.
B. Administer 10% saline solution IVPB.
C. Administer antidiuretic hormone intranasally.
D. Place on seizure precautions. -
correct answer ✅D. Place on seizure precautions.
The client is admitted to a nursing unit from a long-term care
facility with a hematocrit of 56% and a serum sodium level of 152
mEq/L. Which condition would be a cause for these findings?
A. Overhydration.
B. Anemia.
C. Dehydration.
D. Renal failure. -
correct answer ✅C. Dehydration.
A client who is post-gallbladder surgery has a nasogastric tube,
decreased reflexes, pulse of 110 weak and irregular, and blood
