NR 324 Comprehensive Exam with
Complete Solutions
Which diagnostic tests are used to identify altered fluid balance in the body? Select all that
apply.
Blood culture and sensitivity
Complete blood count
Colonoscopy
Urine and serum osmolality
Comprehensive metabolic panel - ✔✔Complete blood count
Urine and serum osmolality
Comprehensive metabolic panel
The nurse is caring for a client with fluid volume excess. Which medication will help the body
excrete the excess fluid?
Metoprolol
Verapamil
Tamsulosin
Furosemide - ✔✔Furosemide
The nurse is caring for a client who presents to the emergency department with shortness of
breath. Assessment findings include crackles heard in lower lung fields, tachycardia,
hypertension, and oliguria. Which fluid imbalance is the client most likely experiencing?
Dehydration
Fluid volume excess
Renal failure
Fluid volume deficit - ✔✔Fluid volume excess
, The client with fluid volume deficit has been receiving 0.9% sodium chloride intravenous (IV)
infusion at 150 ml/hr for the past 4 hours. Which assessment finding indicates that the client is
developing fluid volume overload?
Crackles heard with auscultation of the lower lung fields
Blood pressure 85/45 mmHg
Capillary refill of the left great toe less than 3 seconds
Poor skin turgor over the front of the chest under the collarbone - ✔✔Crackles heard with
auscultation of the lower lung fields
Which assessment findings are consistent with fluid volume deficit? Select all that apply.
Tachycardia
Orthostatic hypotension
Weight gain
Dry skin and mucus membranes
Tachypnea - ✔✔Tachycardia
Orthostatic hypotension
Dry skin and mucus membranes
Tachypnea
Which intravenous fluid does the nurse anticipate will be administered to correct the fluid
deficit?
D5 0.9% NaCl
D5 Lactated Ringer's (LR)
3% NaCl
0.9% NaCl - ✔✔0.9% NaCl
Normal saline (0.9% NaCl) is now infusing. Four hours later, the nurse reviews laboratory
findings. Which results indicate the client's condition is declining?
Hematocrit 55%
Complete Solutions
Which diagnostic tests are used to identify altered fluid balance in the body? Select all that
apply.
Blood culture and sensitivity
Complete blood count
Colonoscopy
Urine and serum osmolality
Comprehensive metabolic panel - ✔✔Complete blood count
Urine and serum osmolality
Comprehensive metabolic panel
The nurse is caring for a client with fluid volume excess. Which medication will help the body
excrete the excess fluid?
Metoprolol
Verapamil
Tamsulosin
Furosemide - ✔✔Furosemide
The nurse is caring for a client who presents to the emergency department with shortness of
breath. Assessment findings include crackles heard in lower lung fields, tachycardia,
hypertension, and oliguria. Which fluid imbalance is the client most likely experiencing?
Dehydration
Fluid volume excess
Renal failure
Fluid volume deficit - ✔✔Fluid volume excess
, The client with fluid volume deficit has been receiving 0.9% sodium chloride intravenous (IV)
infusion at 150 ml/hr for the past 4 hours. Which assessment finding indicates that the client is
developing fluid volume overload?
Crackles heard with auscultation of the lower lung fields
Blood pressure 85/45 mmHg
Capillary refill of the left great toe less than 3 seconds
Poor skin turgor over the front of the chest under the collarbone - ✔✔Crackles heard with
auscultation of the lower lung fields
Which assessment findings are consistent with fluid volume deficit? Select all that apply.
Tachycardia
Orthostatic hypotension
Weight gain
Dry skin and mucus membranes
Tachypnea - ✔✔Tachycardia
Orthostatic hypotension
Dry skin and mucus membranes
Tachypnea
Which intravenous fluid does the nurse anticipate will be administered to correct the fluid
deficit?
D5 0.9% NaCl
D5 Lactated Ringer's (LR)
3% NaCl
0.9% NaCl - ✔✔0.9% NaCl
Normal saline (0.9% NaCl) is now infusing. Four hours later, the nurse reviews laboratory
findings. Which results indicate the client's condition is declining?
Hematocrit 55%
