QUESTIONS WITH VERIFIED ANSWERS 2026
D) Encourage consumption of milk and yogurt. - CORRECT ANSWER The nurse is
reviewing the lab values for a client being cared for on the unit.The client's
phosphorus level is currently 2.0 mg/dL. Based on this data, which nursing
intervention is most appropriate for the nurse to implement?
A)Enforce contact precautions.
B)Encourage consumption of a high-calorie carbohydrate diet.
C)Strain all urine.
D)Encourage consumption of milk and yogurt.
C) Banana - CORRECT ANSWER A home health nurse is providing care for a client
diagnosed with heart failure. The client is taking furosemide (Lasix). The nurse
reviews the client's most recent serum potassium, which was 3.4 mEq/L. Based on
this data, which food should the nurse encourage the client to consume?
A)Baked fish
B)Iced tea
C)Banana
D)Peas
A) 9.88 mg/dL - CORRECT ANSWER Which of the following total serum calcium
levels would be considered normal inan adult client?
,A)9.88 mg/dL
B)2.21 mg/dL
C)4.87 mg/dL
D)7.03 mg/dL
B) Fluid volume excess - CORRECT ANSWER The nurse is caring for an older adult
client who is receiving intravenous fluids at 150 mL/hr. Upon assessment, the
nurse notes crackles, shortness of breath, and jugular vein distention. Based on
this data, which complication ofIV fluid therapy does the nurse anticipate?
A)Speed shock
B)Fluid volume excess
C)Pulmonary embolism
D)An allergic reaction
C) Fluid volume excess because the pressure would force fluid out through the
capillary walls and into the interstitial compartment. - CORRECT ANSWER An
increase in blood hydrostatic pressure would result in which fluid volume
disturbance?
A)Fluid volume excess, because the pressure would force fluid out through the
lymphatic system and into the interstitial compartment.
B)Fluid volume deficit because the pressure would force fluid out of the interstitial
compartment and into the lymphatic system.
,C)Fluid volume excess because the pressure would force fluid out through the
capillary walls and into the interstitial compartment.
D)Fluid volume deficit because the pressure would force fluid out of the interstitial
compartment and into the capillaries.
A) "I can use as much salt substitute as I want." - CORRECT ANSWER Which client
statement indicates that additional teaching is required?
A)"I can use as much salt substitute as I want."
B)"I have to read the labels on foods to find out the sodium content."
C)"I have to limit the intake of food with baking soda or baking powder."
D)"I can use spices and lemon juice to add flavor to food when cooking."
A) "The insulin will cause extra potassium to move into his cells, which will lower
the potassium level in the blood." - CORRECT ANSWER The nurse is caring for a
client with a potassium level of 5.9 mEq/L. The healthcare provider prescribes
both glucose and insulin for the client. The client's spouse asks, "Why is insulin
needed?" Which response by the nurse is the most appropriate?
A)"The insulin will cause extra potassium to move into his cells, which will lower
the potassium level in the blood."
B)"Insulin is safer than other medications that can lower potassium levels."
C)"The insulin lowers his blood sugar levels and causes the extra potassium to be
excreted."
D)"The insulin will help his kidneys excrete the extra potassium."
, B) Anasarca - CORRECT ANSWER The nurse is instructing a client diagnosed with
heart failure about a prescribed sodium-restricted diet. Which of the following
terms refers to severe, generalized edema, which may occur as a result of fluid
volume excess?
A)Ascites
B)Anasarca
C)Hypervolemia
D)Orthopnea
C) "Fluid volume excess is common due to increased levels of antidiuretic
hormone in response to the stress of surgery." - CORRECT ANSWER The nurse is
caring for a client who is receiving intravenous fluids postoperatively following
cardiac surgery. The nurse is aware that this client is at risk for fluid volume
excess. The family asks why the client is at risk for this condition. Which response
by the nurse is the most appropriate?
A)"Fluid volume excess commonly occurs due to new-onset liver failure caused by
the surgery."
B)"Fluid volume excess is frequently caused by the administration of intravenous
fluids."
C)"Fluid volume excess is common due to increased levels of antidiuretic hormone
in response to the stress of surgery."
D)"Fluid volume excess is frequently caused by inactivity."
C) Hypotonic dehydration - CORRECT ANSWER The nurse is planning care for a
client admitted to the unit with a diagnosis of dehydration. The client's lab values