NUR1213 EXAM SCRIPT 2026 PRACTICE
QUESTIONS ANSWERS
◉ Powerpoints
Which intervention would most likely be used in severe case of
hypekalemia
A. Diuretics
B. Kayexalate
C. IV infusion of dextrose and insulin
D. hemodialysis. Answer: D. hemodialysis
Diuretics --> mild hyperkalemia
Kayexalate--> mild to moderate
IV infusion of dextrose and insulin--> moderate
◉ Powerpoints
,What happens to the urine specific gravity when a patient is
hypervolemia?
Increases or decreases ?. Answer: Urine specific gravity decreases
(urine diluted)
the higher the number the more dehydrated→ so someone who has
too much water will have a VERY LOW NUMBER)
◉ What happens to the BUN level when a patient is hypovolemia?
Increases or decreases ?. Answer: Increases
◉ Nursing intervention for dehydration (select all that apply)
A. Monitor I&O
B. Monitor oral cavity
C. Elevate HOB or Orthopneic position
D. Monitor skin turgor
E. Encourage PO fluids. Answer: A, B, D, E
,Nursing interventions for FVE:
Monitor vital signs
Monitor I&O
Monitor lung sounds
Elevate HOB or Orthopneic position
Oxygen
Monitor daily weights
Monitor labs
Administer diuretics as ordered
Restrict fluid & Na intake as ordered
Nursing interventions for Dehydration:
Monitor vital signs
Monitor I&O
Monitor daily weights
Monitor skin turgor
Monitor oral cavity
Mental functioning
Encourage PO fluids
Administer IVFs as ordered
, ◉ Adaptive quiz
The nurse is caring for a client with a 30% total body surface area
burn. Which assessment finding indicates to the nurse that the
client's fluid replacement is adequate?
A. Increasing hematocrit level
B. Urinary output of 15 to 20 mL/hr
C. Slowing of a previously rapid pulse rate
D. Central venous pressure progressing from 5 to 1 mm Hg. Answer:
Slowing of a previously rapid pulse rate
The pulse rate is one indicator of optimum vascular fluid volume;
the pulse rate decreases as intravascular volume normalizes.
Increasing hematocrit level indicates hemoconcentration resulting
from hypovolemia. Urinary output of 0.5 to 1 mL/kg/hr indicates
inadequate kidney perfusion; if adequate, output should be greater
than 30 mL/hr. Central venous pressure decreasing from 5 to 1 mm
Hg indicates hypovolemia.
QUESTIONS ANSWERS
◉ Powerpoints
Which intervention would most likely be used in severe case of
hypekalemia
A. Diuretics
B. Kayexalate
C. IV infusion of dextrose and insulin
D. hemodialysis. Answer: D. hemodialysis
Diuretics --> mild hyperkalemia
Kayexalate--> mild to moderate
IV infusion of dextrose and insulin--> moderate
◉ Powerpoints
,What happens to the urine specific gravity when a patient is
hypervolemia?
Increases or decreases ?. Answer: Urine specific gravity decreases
(urine diluted)
the higher the number the more dehydrated→ so someone who has
too much water will have a VERY LOW NUMBER)
◉ What happens to the BUN level when a patient is hypovolemia?
Increases or decreases ?. Answer: Increases
◉ Nursing intervention for dehydration (select all that apply)
A. Monitor I&O
B. Monitor oral cavity
C. Elevate HOB or Orthopneic position
D. Monitor skin turgor
E. Encourage PO fluids. Answer: A, B, D, E
,Nursing interventions for FVE:
Monitor vital signs
Monitor I&O
Monitor lung sounds
Elevate HOB or Orthopneic position
Oxygen
Monitor daily weights
Monitor labs
Administer diuretics as ordered
Restrict fluid & Na intake as ordered
Nursing interventions for Dehydration:
Monitor vital signs
Monitor I&O
Monitor daily weights
Monitor skin turgor
Monitor oral cavity
Mental functioning
Encourage PO fluids
Administer IVFs as ordered
, ◉ Adaptive quiz
The nurse is caring for a client with a 30% total body surface area
burn. Which assessment finding indicates to the nurse that the
client's fluid replacement is adequate?
A. Increasing hematocrit level
B. Urinary output of 15 to 20 mL/hr
C. Slowing of a previously rapid pulse rate
D. Central venous pressure progressing from 5 to 1 mm Hg. Answer:
Slowing of a previously rapid pulse rate
The pulse rate is one indicator of optimum vascular fluid volume;
the pulse rate decreases as intravascular volume normalizes.
Increasing hematocrit level indicates hemoconcentration resulting
from hypovolemia. Urinary output of 0.5 to 1 mL/kg/hr indicates
inadequate kidney perfusion; if adequate, output should be greater
than 30 mL/hr. Central venous pressure decreasing from 5 to 1 mm
Hg indicates hypovolemia.
