NCOI Actual Questions and Correct Answers

NCOI Actual Questions and Correct Answers



Q1
What is the mist accurate way forthe nurse to evaluate fluid balance?
Answer: Daily Weights




Q2
What can be a indicator of fluidand electrolyte imbalances?
Answer: Decreased alertness since admission




Q3
What can a change in LOC be aindicator of?
Answer: ECF excess, ECF deficit, hypernatremia, hyponatremia,hypokalemia, or
metabolic alkalosis




Q4
What is the most common history and manifestations consistent withhypermagnesemia?
Answer: Renal failure Unresponsive to questionsDecreased deep tendon reflexes




Q5
Which is the most important assessment finding of hypocalcemia (<9) to report to the provider?
Answer: Laryngeal stridor




Q6
What is the range for hypernatremia?
Answer: >145 mEq/L




Q7
What is the range for hyponatremia?
Answer: <135 mEq/L

, Q8
What is the patient at risk for with well above normal levels of calcium?
Answer: Cardiac dysrhythmias




Q9
What action should the nurse take first when the patient history suggests a fluid volume deficit?
Answer: Check the blood pressure ensuring adequate circulation




Q10
What is the most urgent concern with possible hypovolemia?
Answer: Decreased BP (systemic hypoperfusion)




Q11
What is a sign of hypokalemia?
Answer: Generalized weakness




Q12
What is a sign of hypocalcemia?
Answer: Facial muscle spasms




Q13
If a patient had hypokalemia, what would they be advised to drink?
Answer: Orange juice




Q14
What is a sign of hyperkalemia?
Answer: Loose stools




Q15
What should the nurse advise the patient to do when taking spironolactone (a
potassium-sparing drug)?
Answer: Drink apple juice instead of orange juice for breakfast