NUR 113 - Practice Questions Test 1 Questions
With Correct Answers
An adult client in the clinic complains of a cough, fever, nausea, and vomiting for
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three days. Examination reveals dry tongue and oral mucosa and concentrated
| | | | | | | | | | |
urine. The client also reports feeling weak and dizzy. Which vital sign
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measurement would provide the best indicator of current fluid status?
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A. Temperature
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B. Respiratory rate and depth
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C. BP and pulse in lying and standing position
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D. Pulse oximetry reading at rest - CORRECT ANSWER✔✔-C. BP and pulse in lying
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and standing position
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A 70 year old client with a past medical history of hypertension and myocardial
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infarction is in the hospital following stomach surgery. Vital signs have been
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stable and an IV of D51/2 NS is infusing at 100 ml/hr. The client now complains of
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|trouble breathing, has a moist cough, and pulse oximetry reading has fallen to
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92%. What action should the nurse take first?
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A. Measure blood pressure and heart rate
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B. Assess legs and arms for pitting edema
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C. Telephone and notify the physician
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, D. Slow the IV rate to 10 to 20 ml/hr - CORRECT ANSWER✔✔-D. Slow the IV rate
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to 10-20 mL/hr
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A 45 year old client diagnosed with fluid volume overload due to acute kidney
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dysfunction is placed on 1,000 mL fluid restriction per 24 hour period. The client
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asks the nurse, "Why is there such a severe fluid restriction when I already have
| | | | | | | | | | | | | | |
dry lips and mouth?" What is the nurses best response?
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A. "The doctor ordered the fluid restriction, so you must comply with those
| | | | | | | | | | | | |
orders."
B. "Your kidneys are not able to eliminate extra fluid right now, so fluid intake has
| | | | | | | | | | | | | | | |
to be limited to protect your heart and lungs from being overloaded with fluid."
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C. "You probably drank too much fluid before you got sick, so you can't compare
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your usual intake to your limitations now that your kidneys are working."
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D. "Too much fluid will cause your heart to fail and your lungs to fill with water,
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which could be fatal." - CORRECT ANSWER✔✔-B. "Your kidneys are not able to
| | | | | | | | | | | | |
eliminate extra fluid right now, so fluid intake has to be limited to protect your
| | | | | | | | | | | | | | |
heart and lungs from being overloaded with fluid."
| | | | | | |
The nurse is helping a client who was recently placed on a low-sodium diet to
| | | | | | | | | | | | | | |
choose foods for lunch. Which lunch menu would be best for this client?
| | | | | | | | | | | |
A. Grilled chicken sandwich on white bread, apple, salad, and iced tea
| | | | | | | | | | |
B. Bologna sandwich on wheat bread, canned fruit cocktail, salad, and a soda
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C. Canned ham and bean soup, fresh fruit salad, pickles, and a diet soda
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With Correct Answers
An adult client in the clinic complains of a cough, fever, nausea, and vomiting for
| | | | | | | | | | | | | | |
three days. Examination reveals dry tongue and oral mucosa and concentrated
| | | | | | | | | | |
urine. The client also reports feeling weak and dizzy. Which vital sign
| | | | | | | | | | | |
measurement would provide the best indicator of current fluid status?
| | | | | | | | |
A. Temperature
|
B. Respiratory rate and depth
| | | |
C. BP and pulse in lying and standing position
| | | | | | | |
D. Pulse oximetry reading at rest - CORRECT ANSWER✔✔-C. BP and pulse in lying
| | | | | | | | | | | | | |
and standing position
| |
A 70 year old client with a past medical history of hypertension and myocardial
| | | | | | | | | | | | | |
infarction is in the hospital following stomach surgery. Vital signs have been
| | | | | | | | | | | |
stable and an IV of D51/2 NS is infusing at 100 ml/hr. The client now complains of
| | | | | | | | | | | | | | | |
|trouble breathing, has a moist cough, and pulse oximetry reading has fallen to
| | | | | | | | | | | | |
92%. What action should the nurse take first?
| | | | | | |
A. Measure blood pressure and heart rate
| | | | | |
B. Assess legs and arms for pitting edema
| | | | | | |
C. Telephone and notify the physician
| | | | |
, D. Slow the IV rate to 10 to 20 ml/hr - CORRECT ANSWER✔✔-D. Slow the IV rate
| | | | | | | | | | | | | | | | |
to 10-20 mL/hr
| |
A 45 year old client diagnosed with fluid volume overload due to acute kidney
| | | | | | | | | | | | | |
dysfunction is placed on 1,000 mL fluid restriction per 24 hour period. The client
| | | | | | | | | | | | | |
asks the nurse, "Why is there such a severe fluid restriction when I already have
| | | | | | | | | | | | | | |
dry lips and mouth?" What is the nurses best response?
| | | | | | | | |
A. "The doctor ordered the fluid restriction, so you must comply with those
| | | | | | | | | | | | |
orders."
B. "Your kidneys are not able to eliminate extra fluid right now, so fluid intake has
| | | | | | | | | | | | | | | |
to be limited to protect your heart and lungs from being overloaded with fluid."
| | | | | | | | | | | | |
C. "You probably drank too much fluid before you got sick, so you can't compare
| | | | | | | | | | | | | | |
your usual intake to your limitations now that your kidneys are working."
| | | | | | | | | | |
D. "Too much fluid will cause your heart to fail and your lungs to fill with water,
| | | | | | | | | | | | | | | | |
which could be fatal." - CORRECT ANSWER✔✔-B. "Your kidneys are not able to
| | | | | | | | | | | | |
eliminate extra fluid right now, so fluid intake has to be limited to protect your
| | | | | | | | | | | | | | |
heart and lungs from being overloaded with fluid."
| | | | | | |
The nurse is helping a client who was recently placed on a low-sodium diet to
| | | | | | | | | | | | | | |
choose foods for lunch. Which lunch menu would be best for this client?
| | | | | | | | | | | |
A. Grilled chicken sandwich on white bread, apple, salad, and iced tea
| | | | | | | | | | |
B. Bologna sandwich on wheat bread, canned fruit cocktail, salad, and a soda
| | | | | | | | | | | |
C. Canned ham and bean soup, fresh fruit salad, pickles, and a diet soda
| | | | | | | | | | | | |
