NursGuru
    Login/Signup
    Review ModeExam ModePractice Mode

    Exam Review

    1. Which is the most reliable method for monitoring improvement when restoring fluid balance?
      A)
      Vital signs
      B)
      Dally input and output
      C)
      Daily weights
      D)
      skin turgor
    2. An older adult nursing home resident who has always been alert and oriented is now showing signs of dehydration and has become confused. Which electrolyte imbalance is most likely involved?
      A)
      Hypomagnesemia
      B)
      Hypercalcemia
      C)
      Hypernatremia
      D)
      Hyponatremia
    3. A nurse is monitoring a client who is dehydrated. Which of the following laboratory findings should the nurse report to the provider?
      A)
      Hematocrit 45% (37% to 52%)
      B)
      BUN 25 mg/dL (10-20 mg/dL)
      C)
      Creatinine 0.9 mg/dL (0.5-1.2 mg/dL)
      D)
      Urine specific gravity 1.028 (1.005 to 1.030)
    4. A nurse reviewing the laboratory of a client who had a total thyroidectomy discovers that his calcium level is 7 mg/dL (9-10..5 mg/dL). Which of the following client findings should the nurse expect?
      A)
      Hypertension
      B)
      Muscle tetany
      C)
      Increased thirst
      D)
      Diaphoresis
    Page 1 of 11

    Exam Review

    1. A nurse is collecting data from a client who has acute gastroenteritis. Which of the following data collection findings should the nurse identify as the priority?
      A)
      Urine specific gravity 1.035 (1.005-1.030)
      B)
      Potassium 2.5 mEq/L (3.5-5mEq/L)
      C)
      Blood glucose 150 mg/dL
      D)
      Weight loss of 3% of total body weight.
    2. Which of the following solutions can be administered with a blood component?
      A)
      Lactated Ringers solution
      B)
      5% dextrose/0.2% sodium chloride
      C)
      0.9% sodium chloride
      D)
      5% dextrose/0.45% sodium chloride
    3. A nurse is preparing to administer 400 mL of 0.9% sodium chloride IV over 8 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:50 gtt/min
    4. A nurse is collecting data from a client who has dehydration. Which of the following findings should the nurse expect?
      A)
      Sodium 142 mEq/L (136 to 145 mEq/L)
      B)
      Urine output 20 mL/hr
      C)
      Cool skin
      D)
      Bradycardia
    Page 2 of 11

    Exam Review

    1. A nurse in a provider's office is collecting data from a client who takes furosemide daily for heart failure. Which of the following findings is a manifestation of hypokalemia?
      A)
      Positive Trousseau's sign
      B)
      Increased bowel sounds
      C)
      Reports of numbness in the feet
      D)
      Reports of fatigue
    2. A nurse is reviewing the medical record of a client and identifies a serum potassium 6.8 mEq/L (3.5-5 mEq/L). Which of the following medications should the nurse expect to administer?
      A)
      Acetylcysteine
      B)
      Sodium polystyrene (Kayexalate)
      C)
      Lactulose
      D)
      Triamterene
    3. A nurse is monitoring a client who has dehydration and is receiving IV fluid replacement. Which of the following findings should the nurse identify as effectiveness of the treatment?
      A)
      Urine output 200 mL/4 hr
      B)
      Heart rate 104/min
      C)
      Urine specific gravity 1.04 (1.005 to 1.030)
      D)
      Peripheral pulses +1
    4. A nurse is preparing to administer dextrose 5% in water IV to infuse at 100 mL/60 min. The drop factor on the manual IV tubing is 60 gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min? (Round to the nearest whole number.)
    Page 3 of 11

    Exam Review

    1. A nurse is phoning a provider to report a client's serum potassium of 6.2 mEq/L (3.5-5 mEq/L). Which of the following medications should the nurse expect the provider to prescribe?
      A)
      Acetylcysteine
      B)
      Sodium polystyrene sulfonate (Kayexolate)
      C)
      Lactulose
      D)
      Potassium iodide
    2. At 0330, a nurse is caring for a client who is postoperative. The client's IV fluids are infusing at 120 mL/hr. How many mL of IV fluid should infuse by 0600? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    3. A nurse is planning to monitor a client for dehydration following several episodes of vomiting and an increase in the client's temperature. Which of the following findings should the nurse identify as an indication that the client is dehydrated?
      A)
      BP 146/94 mm Hg
      B)
      Urine specific gravity 1.034
      C)
      Distended neck veins
      D)
      Bounding pulse
    4. A nurse is reviewing the laboratory results of a client who is taking a loop diuretic and notes the client's potassium level is 3.0 mEq/L (3.5-5 mEq/L). Which of the following physiological responses should the nurse expect related to the client's hypokalemia?
      A)
      Hypoglycemia
      B)
      Increased appetite
      C)
      Hyperreflexia
      D)
      Cardiac dysrhythmias
    Page 4 of 11

    Exam Review

    1. The nurse is using Chvostek sign to assess for hypocalcemia. Which statement correctly describes this test?
      A)
      Inflate a blood pressure cuff around the upper arm for 4 minutes.
      B)
      Apply pressure over the ulnar and radial arteries.
      C)
      Forcefully dorsiflex the ankle when the knee is in an extended position.
      D)
      Tap the face just below and in front of the ear.
    2. A nurse is collecting data from a client who has isotonic fluid-volume deficit. Which of the following findings should the nurse expect?
      A)
      Weak pulse
      B)
      Distended neck veins
      C)
      Bradycardia
      D)
      Pitting Edema
    3. Which of the following complications can occur if a clotted cannula is flushed too aggressively?
      A)
      A clot can be forced into the circulation causing serious complications.
      B)
      The catheter can become dislodged and fall out.
      C)
      The patient can experience speed shock
      D)
      A painful arterial spasm can occur
    4. A nurse is caring for a client whose serum potassium level is 5.3 mEq/L (3.5-5 mEq/L). The nurse should anticipate a prescription for which of the following medications?
      A)
      Sodium polystyrene
      B)
      Acetylcysteine
      C)
      Potassium iodide
      D)
      Potassium chloride
    Page 5 of 11

    Exam Review

    1. The nurse is preparing to start an IV on a newly admitted patient. Which action by the nurse places the patient at risk for infection?
      A)
      The nurse cleans the area with an alcohol pad
      B)
      The nurse blows on the area cleansed with alcohol to dry it quickly
      C)
      The nurse dons gloves before starting the IV.
      D)
      The nurse applies a tourniquet to assess a vein.
    2. A nurse is collecting data from a client who has a sodium level of 155 mEq/L (136-145 mEq/L). Which of the following manifestations should the nurse expect?
      A)
      Decreased level of consciousness
      B)
      Hypotension
      C)
      Increased salivation
      D)
      Cool, clammy skin
    3. The nurse is caring for a group of patients. Which patient is at highest risk for hypovolemia?
      A)
      A patient who received 6 liters of IV fluid
      B)
      A patient with UTI on po iv meds
      C)
      A patient who lost 2 liters of blood during surgery
      D)
      A patient with congestive heart failure
    4. An 87-year-old patient recovering from abdominal surgery has a continuous intravenous infusion to supply nutrients and antibiotics. What complication should you suspect when signs and symptoms of redness, warmth, and pain at the infusion site are reported?
      A)
      Thrombosis
      B)
      Speed Shock
      C)
      Hematoma
      D)
      Phlebitis
    Page 6 of 11