NUR 204 EXAM 4 WITH 100%
CORRECT ANSWERS 2025
where should the RN look for the number of drops per mL of fluid
the tubing delivers?
a. on the package of tubing
b. in the drug reference book
c. in the charting from the nurse who started the infusion
d. on the roller clamp of the tubing correct answers >> a. on
the package of tubing
which is first intervention when RN observes the IV solution is not
infusing?
a. inspect the tubing for kinks
b. discontinue the IV
c. lower the height of the IV solution container
d. notify the MD correct answers >> a. inspect the tubing for
kinks
how should the nurse plan for a 1200 mL fluid restriction?
a. remove fluid from diet trays and offer them only between
meals
b. offer the client soft foods such as sherbert and custard
c. allow 600 mL from 7-3, 400 mL from 3-11, and 20 mL from 11-7
d. tell the pt that fluid placed @ bedside must last until tomorrow
correct answers >> c. allow 600 mL from 7-3, 400 mL from 3-11,
and 20 mL from 11-7
,what action by RN would be appropriate for pt on fluid restriction
of 800 mL a day?
a. check pt bedside table for hoarded cups of fluid/juice
b. allow the pt to order her own meals from the kitchen
c. obtain a urinalysis to check for output
d. do not give the pt any fluid after 5:00 pm correct answers
>> b. allow the pt to order her own meals from the kitchen
which intervention should be included in the plan of care for pt
with fluid volume excess?
a. restrict the clients sodium in their diet
b. prepare the patient for hemodialysis
c. do not give the patient intravenous fluids
d. monitor blood glucose levels correct answers >> a. restrict
the clients sodium in their diet
crackles, SOB, and distended neck veins indicate which
complication of IV fluid therapy?
a. impending cardiovascular collapse/ shock
b. pulmonary embolism
c. an allergic reaction to IV fluids
d. fluid volume excess correct answers >> d. fluid volume
excess
what is the priority assessment for a pt refusing to eat or drink for
several days?
,a. increased blood pressure
b. weak, rapid pulse
c. jugular vein distention
d. moist mucous membranes correct answers >> b. weak,
rapid pulse
which statement indicates a need for further teaching regarding
treatment of hypokalemia?
a. i will use avocado in my salads
b. i will stop using my salt substitute
c. i will take potassium in the morning after eating breakfast
d. i will be sure to check my heart rate before i take digoxin
correct answers >> b. i will stop using my salt substitute
which of the following signs or symptoms are most representative
of a sodium imbalance?
a. muscle weakness
b. hyperreflexia
c. mental confusion
d. irregular pulse correct answers >> c. mental confusion
which adaptation would indicate a K deficiency?
a. dry hair
b. muscle weakness
c. increased BP
d. chest pain correct answers >> b. muscle weakness
, a reduction in fluid intake will contribute to:
a. frequent urination
b. decreased urine output
c. incontinence of urine
d. retention of urine correct answers >> b. decreased urine
output
the physician should be notified when the pts hourly urinary
output falls below what amt?
a. 20 mL
b. 120 mL
c. 30 mL
d. 60 mL correct answers >> c. 30 mL
patients who are taking diuretics must be encouraged to ingest
nutrients rich in what?
a. sodium
b. magnesium
c. calcium
d. potassium correct answers >> d. potassium
which if the following signs is indicative of phlebitits at the IV site?
a. warmth
b. cool
c. pallor
CORRECT ANSWERS 2025
where should the RN look for the number of drops per mL of fluid
the tubing delivers?
a. on the package of tubing
b. in the drug reference book
c. in the charting from the nurse who started the infusion
d. on the roller clamp of the tubing correct answers >> a. on
the package of tubing
which is first intervention when RN observes the IV solution is not
infusing?
a. inspect the tubing for kinks
b. discontinue the IV
c. lower the height of the IV solution container
d. notify the MD correct answers >> a. inspect the tubing for
kinks
how should the nurse plan for a 1200 mL fluid restriction?
a. remove fluid from diet trays and offer them only between
meals
b. offer the client soft foods such as sherbert and custard
c. allow 600 mL from 7-3, 400 mL from 3-11, and 20 mL from 11-7
d. tell the pt that fluid placed @ bedside must last until tomorrow
correct answers >> c. allow 600 mL from 7-3, 400 mL from 3-11,
and 20 mL from 11-7
,what action by RN would be appropriate for pt on fluid restriction
of 800 mL a day?
a. check pt bedside table for hoarded cups of fluid/juice
b. allow the pt to order her own meals from the kitchen
c. obtain a urinalysis to check for output
d. do not give the pt any fluid after 5:00 pm correct answers
>> b. allow the pt to order her own meals from the kitchen
which intervention should be included in the plan of care for pt
with fluid volume excess?
a. restrict the clients sodium in their diet
b. prepare the patient for hemodialysis
c. do not give the patient intravenous fluids
d. monitor blood glucose levels correct answers >> a. restrict
the clients sodium in their diet
crackles, SOB, and distended neck veins indicate which
complication of IV fluid therapy?
a. impending cardiovascular collapse/ shock
b. pulmonary embolism
c. an allergic reaction to IV fluids
d. fluid volume excess correct answers >> d. fluid volume
excess
what is the priority assessment for a pt refusing to eat or drink for
several days?
,a. increased blood pressure
b. weak, rapid pulse
c. jugular vein distention
d. moist mucous membranes correct answers >> b. weak,
rapid pulse
which statement indicates a need for further teaching regarding
treatment of hypokalemia?
a. i will use avocado in my salads
b. i will stop using my salt substitute
c. i will take potassium in the morning after eating breakfast
d. i will be sure to check my heart rate before i take digoxin
correct answers >> b. i will stop using my salt substitute
which of the following signs or symptoms are most representative
of a sodium imbalance?
a. muscle weakness
b. hyperreflexia
c. mental confusion
d. irregular pulse correct answers >> c. mental confusion
which adaptation would indicate a K deficiency?
a. dry hair
b. muscle weakness
c. increased BP
d. chest pain correct answers >> b. muscle weakness
, a reduction in fluid intake will contribute to:
a. frequent urination
b. decreased urine output
c. incontinence of urine
d. retention of urine correct answers >> b. decreased urine
output
the physician should be notified when the pts hourly urinary
output falls below what amt?
a. 20 mL
b. 120 mL
c. 30 mL
d. 60 mL correct answers >> c. 30 mL
patients who are taking diuretics must be encouraged to ingest
nutrients rich in what?
a. sodium
b. magnesium
c. calcium
d. potassium correct answers >> d. potassium
which if the following signs is indicative of phlebitits at the IV site?
a. warmth
b. cool
c. pallor
