Module 6 Fluids and Electrolyte and Example 6.A Exam with Questions and
Answers
1) An older adult client is brought to the emergency department. The client has been
experiencing fever, nausea, and vomiting for the past 2 days. The client denies thirst. Urine
dipstick indicates a decreased urine specific gravity. Based on this data, which diagnosis should
the nurse most anticipate for this client?
A) Congestive heart failure
B) Dehydration
C) Fluid overload
D) Normal changes of aging - ✔✔✔-b
1) The nurse on a medical-surgical unit completes the shift assessment for a client diagnosed
with a multisystem fluid volume deficit and documents that the client is experiencing the
following symptoms: tachycardia; pale, cool skin; and a decreased urine output. The nurse
knows that these symptoms are caused by:
A) The body's natural compensatory mechanisms.
B) Cardiac failure.
C) Pharmacological effects of a diuretic.
D) Effects of rapidly infused intravenous fluids. - ✔✔✔-a
10) The school nurse is preparing a class session for high school students on ways to maintain
fluid balance during the summer months. What should the nurse include in this teaching?
Select all that apply.
A) Drink diet soda.
B) Drink more fluids during hot weather.
C) Drink flat cola or ginger ale if vomiting.
D) Reduce the intake of coffee and tea.
E) Exercise during the hours of 10 am and 2 pm. - ✔✔✔-b,c,d
,Module 6 Fluids and Electrolyte and Example 6.A Exam with Questions and
Answers
10) The school nurse is preparing a class session for high school students on ways to maintain
fluid balance during the summer months. Which interventions should the nurse recommend to
decrease the risk of fluid imbalance? Select all that apply.
A) Drink diet soda.
B) Drink more fluids during hot weather.
C) Drink flat caffeine-free cola or ginger ale if vomiting.
D) Reduce the intake of coffee and tea.
E) Exercise between the hours of 10 a.m. and 2 p.m. - ✔✔✔-bcd
10) When monitoring indicates that a client has a severe fluid and electrolyte imbalance, a
nurse
should be prepared to execute physician's orders to:
Select all that apply.
A) Initiate intravenous therapy.
B) Initiate hypodermoclysis.
C) Administer antibiotics.
D) Administer diuretics. - ✔✔✔-a,b,d
11) A child weighing 33 lbs. is prescribed to receive 50 mL/kg of oral fluids for the next 4 hours.
How many total mL of fluid should the nurse provide to the client?
Calculate to the nearest whole number - ✔✔✔-750
11) The nurse is caring for a child who weighs 33 lb and has been diagnosed with dehydration.
The healthcare provider's orders state that the child is to receive 50 mL/kg of oral fluids for the
next 4 hours. How many total mL of fluid should the nurse provide to the client? Calculate to
the nearest whole number.
, Module 6 Fluids and Electrolyte and Example 6.A Exam with Questions and
Answers
________ mL - ✔✔✔-750
11) The nurse is preparing to administer 20 mEq of potassium chloride to a client who has been
vomiting. What should the nurse explain to the client about the purpose of this medication?
A) It is vital in regulating muscle contraction and relaxation.
B) It is needed to maintain skeletal, cardiac, and neuromuscular activity.
C) It controls and regulates water balance in the body.
D) It is used in the body to synthesize ingested protein - ✔✔✔-b
12) The nurse identifies the diagnosis Risk for Impaired Skin Integrity as applicable for a client
diagnosed with heart failure. Which assessment finding supports the use of this diagnosis for
the client?
A) Shortness of breath with ambulation
B) Productive cough
C) +3 pitting edema both feet
D) Heart rate 104 and regular - ✔✔✔-c
12) The nurse is concerned that a client with a fluid imbalance is at risk for an alteration in
perfusion. Which assessment findings indicate that the client's perfusion status is being
maintained?
Select all that apply.
A) Skin turgor 20 seconds
B) Peripheral pulses present and full
C) Capillary refill of nail beds 3 seconds
D) Oriented to person, place, and time
E) Bowel sounds sluggish in all four quadrants - ✔✔✔-b,c,d
Answers
1) An older adult client is brought to the emergency department. The client has been
experiencing fever, nausea, and vomiting for the past 2 days. The client denies thirst. Urine
dipstick indicates a decreased urine specific gravity. Based on this data, which diagnosis should
the nurse most anticipate for this client?
A) Congestive heart failure
B) Dehydration
C) Fluid overload
D) Normal changes of aging - ✔✔✔-b
1) The nurse on a medical-surgical unit completes the shift assessment for a client diagnosed
with a multisystem fluid volume deficit and documents that the client is experiencing the
following symptoms: tachycardia; pale, cool skin; and a decreased urine output. The nurse
knows that these symptoms are caused by:
A) The body's natural compensatory mechanisms.
B) Cardiac failure.
C) Pharmacological effects of a diuretic.
D) Effects of rapidly infused intravenous fluids. - ✔✔✔-a
10) The school nurse is preparing a class session for high school students on ways to maintain
fluid balance during the summer months. What should the nurse include in this teaching?
Select all that apply.
A) Drink diet soda.
B) Drink more fluids during hot weather.
C) Drink flat cola or ginger ale if vomiting.
D) Reduce the intake of coffee and tea.
E) Exercise during the hours of 10 am and 2 pm. - ✔✔✔-b,c,d
,Module 6 Fluids and Electrolyte and Example 6.A Exam with Questions and
Answers
10) The school nurse is preparing a class session for high school students on ways to maintain
fluid balance during the summer months. Which interventions should the nurse recommend to
decrease the risk of fluid imbalance? Select all that apply.
A) Drink diet soda.
B) Drink more fluids during hot weather.
C) Drink flat caffeine-free cola or ginger ale if vomiting.
D) Reduce the intake of coffee and tea.
E) Exercise between the hours of 10 a.m. and 2 p.m. - ✔✔✔-bcd
10) When monitoring indicates that a client has a severe fluid and electrolyte imbalance, a
nurse
should be prepared to execute physician's orders to:
Select all that apply.
A) Initiate intravenous therapy.
B) Initiate hypodermoclysis.
C) Administer antibiotics.
D) Administer diuretics. - ✔✔✔-a,b,d
11) A child weighing 33 lbs. is prescribed to receive 50 mL/kg of oral fluids for the next 4 hours.
How many total mL of fluid should the nurse provide to the client?
Calculate to the nearest whole number - ✔✔✔-750
11) The nurse is caring for a child who weighs 33 lb and has been diagnosed with dehydration.
The healthcare provider's orders state that the child is to receive 50 mL/kg of oral fluids for the
next 4 hours. How many total mL of fluid should the nurse provide to the client? Calculate to
the nearest whole number.
, Module 6 Fluids and Electrolyte and Example 6.A Exam with Questions and
Answers
________ mL - ✔✔✔-750
11) The nurse is preparing to administer 20 mEq of potassium chloride to a client who has been
vomiting. What should the nurse explain to the client about the purpose of this medication?
A) It is vital in regulating muscle contraction and relaxation.
B) It is needed to maintain skeletal, cardiac, and neuromuscular activity.
C) It controls and regulates water balance in the body.
D) It is used in the body to synthesize ingested protein - ✔✔✔-b
12) The nurse identifies the diagnosis Risk for Impaired Skin Integrity as applicable for a client
diagnosed with heart failure. Which assessment finding supports the use of this diagnosis for
the client?
A) Shortness of breath with ambulation
B) Productive cough
C) +3 pitting edema both feet
D) Heart rate 104 and regular - ✔✔✔-c
12) The nurse is concerned that a client with a fluid imbalance is at risk for an alteration in
perfusion. Which assessment findings indicate that the client's perfusion status is being
maintained?
Select all that apply.
A) Skin turgor 20 seconds
B) Peripheral pulses present and full
C) Capillary refill of nail beds 3 seconds
D) Oriented to person, place, and time
E) Bowel sounds sluggish in all four quadrants - ✔✔✔-b,c,d
