NURS 660 exam 2 practice quiz
The nurse provides education for clinical staff regarding the processes that move water and electrolytes
between body compartments. Which statement made by a participant indicates the need for additional
instruction? - Answer-"osmosis allows the free movement of K across cell membranes"
Which process for transporting fluid between the extracellular fluid and the intracellular fluid is
impacted when the nurse administers a hypotonic intravenous (IV) solution to the patient who is
admitted for the treatment of dehydration? - Answer-osmosis
Which vascular access device (VAD) does the nurse prepare to place for the patient who requires short-
term administration of intravenous (IV) antibiotics? - Answer-peripheral intravenous catheter
Which type of intravenous (IV) fluid is isotonic when it first enters a patient's vein but has an effective
hypotonic concentration after it flows through the vascular system? - Answer-dextrose 5% in water
(D5W)
The health care provider prescribed 2 L of saline over 10 hours for a patient with diarrhea. Calculate the
rate of infusion in mL/hr. (Round to the nearest whole number, enter numbers only, no units of
measure). - Answer-200
The skin of a patient receiving intravenous fluids appears blanched, cool to the touch, and edematous.
Upon touch, the patient reports pain. Which complication does the nurse suspect? - Answer-
extravasation
A patient who is receiving intravenous therapy develops redness, inflammation, swelling, and purulent
drainage at the catheter site. Which nursing intervention(s) is useful in this situation? Select all that
apply. - Answer--cleaning the skin with alcohol
, -inserting a new IV line in another extremity
Which body fluid is a transcellular fluid? Select all that apply - Answer--synovial fluid
-peritoneal fluid
-cerebrospinal fluid
A patient receiving a continuous intravenous (IV) infusion of 0.9% sodium chloride develops shortness of
breath and edema in the extremities. Upon auscultation, the nurse hears crackling sounds in the
dependent parts of the lungs. Which nursing intervention(s) should the nurse perform? Select all that
apply. - Answer--stop the IV infusion
-elevate the HOB
-notify the health care provider
For which potential complication(s) should the nurse be vigilant for while assessing the patient who has
an intravenous line for fluid therapy? Select all that apply. - Answer--bleeding
-phlebitis
-infection
Which intravenous fluid is appropriate for a patient who requires isotonic fluids to correct dehydration?
- Answer-0.9% sodium chloride
Which defining characteristics are consistent with fluid volume deficit? - Answer-dry mucous
membranes, thready pulse, tachycardia
Which assessment finding(s) would the nurse expect to observe in a patient who has developed
phlebitis? Select all that apply. - Answer--red streak along the vein
-tenderness and pain
-warmth along vein course starting at access site
The nurse provides education for clinical staff regarding the processes that move water and electrolytes
between body compartments. Which statement made by a participant indicates the need for additional
instruction? - Answer-"osmosis allows the free movement of K across cell membranes"
Which process for transporting fluid between the extracellular fluid and the intracellular fluid is
impacted when the nurse administers a hypotonic intravenous (IV) solution to the patient who is
admitted for the treatment of dehydration? - Answer-osmosis
Which vascular access device (VAD) does the nurse prepare to place for the patient who requires short-
term administration of intravenous (IV) antibiotics? - Answer-peripheral intravenous catheter
Which type of intravenous (IV) fluid is isotonic when it first enters a patient's vein but has an effective
hypotonic concentration after it flows through the vascular system? - Answer-dextrose 5% in water
(D5W)
The health care provider prescribed 2 L of saline over 10 hours for a patient with diarrhea. Calculate the
rate of infusion in mL/hr. (Round to the nearest whole number, enter numbers only, no units of
measure). - Answer-200
The skin of a patient receiving intravenous fluids appears blanched, cool to the touch, and edematous.
Upon touch, the patient reports pain. Which complication does the nurse suspect? - Answer-
extravasation
A patient who is receiving intravenous therapy develops redness, inflammation, swelling, and purulent
drainage at the catheter site. Which nursing intervention(s) is useful in this situation? Select all that
apply. - Answer--cleaning the skin with alcohol
, -inserting a new IV line in another extremity
Which body fluid is a transcellular fluid? Select all that apply - Answer--synovial fluid
-peritoneal fluid
-cerebrospinal fluid
A patient receiving a continuous intravenous (IV) infusion of 0.9% sodium chloride develops shortness of
breath and edema in the extremities. Upon auscultation, the nurse hears crackling sounds in the
dependent parts of the lungs. Which nursing intervention(s) should the nurse perform? Select all that
apply. - Answer--stop the IV infusion
-elevate the HOB
-notify the health care provider
For which potential complication(s) should the nurse be vigilant for while assessing the patient who has
an intravenous line for fluid therapy? Select all that apply. - Answer--bleeding
-phlebitis
-infection
Which intravenous fluid is appropriate for a patient who requires isotonic fluids to correct dehydration?
- Answer-0.9% sodium chloride
Which defining characteristics are consistent with fluid volume deficit? - Answer-dry mucous
membranes, thready pulse, tachycardia
Which assessment finding(s) would the nurse expect to observe in a patient who has developed
phlebitis? Select all that apply. - Answer--red streak along the vein
-tenderness and pain
-warmth along vein course starting at access site
