NCLEX Questions: Fluid & Electrolytes (Questions 1-60) with Answers
Graded A
The patient X is diagnosed with constipation. As a knowl-
edgeable nurse which nursing intervention is appropriate Assessing dietary intake
for maintaining normal bowel movement?
A 12 year old boy was admitted in the hospital two days
Room temperature
ago due to hyperthermia. His attending nurse, Dennis, is
quite unsure about his plan of care. Which of the following
For patients with hyperthermia, reducing the room tem-
nursing interventions should be included in the car of plan
perature may help decrease the body temperature.
for the client?
"If I have redness, drainage, or fever, I should call my
Tom is ready to be discharged from the med-surg unit
healthcare provider"
after 5 days of hospitalization. Which client statement in-
dicates to the nurse that Tom understands the discharge
Redness, drainage, or fever are signs of infection associ-
teaching about cellular injury?
ated with cellular injury.
Nurse Katee is caring for Adam, a 22 year old client in - Maintaining correct body alignment at all times.
a long term facility. Which nursing intervention would - Using a footboard or pillows to keep feet in correct
be appropriate when identifying nursing interventions position.
aimed at promoting & preventing contractures? - Performing active & passive range of motion exercises
Instructing the client to fill a 2-L bottle with water every
A 36 year old male client is about to be discharged from
night & drink it the next day.
the hospital after 5 days due to surgery. Which interven-
tion should be included in the home health care nurse's
Adequate fluids & fiber in diet are key to preventing con-
instructions about measures to prevent constipation.
stipation.
The presence of infection may slow down the healing
Mr. McPartlin suttered abrasions & lacerations after a car
process.
accident. He was hospitalized & was treated for a couple of
weeks. When planning care for a client with cellular injury,
Infection impairs would healing. Adequate blood supply
the nurse should consider which scientific rationale?
is essential for healing.
A 22 year old lay is displaying facial grimaces during
Administering anti-inflammatory agents as prescribed
her treatment in the hospital due to burn trauma. Which
1/7
, NCLEX Questions: Fluid & Electrolytes (Questions 1-60) with Answers
Graded A
nursing intervention should included for reducing pain
due to cellular injury?
Lisa, a client with altered urinary function, is under the
care of nurse Tine. Which intervention is appropriate to
Having the client perform kegal exercises
include when developing a plan for care for Lisa, who is
experiencing urinary dribbling?
Maintenance of adequate oxygen.
Jeron is admitted in the hospital due to bacterial pneumo-
nia. He is febrile, diaphoretic, & has shortness of breath &
For a client with asthma & infection, oxygenation is the
asthma. Which goal is the most important for this client?
priority
Mang Rogelio, a 32 year old patient is about to be dis-
charged from the acute care setting. Which nursing in-
Home environment evaulation
tervention is the most important to include in the plan of
care?
Mrs. Dela Riva is in her first trimester of pregnancy. She
has been lying all day because her OBGYN requested her
to have complete bed rest. Which nursing intervention is Keeping linens dry & wrinkle free
appropriate when addressing the client's need to main-
tain skin integrity?
Maya who is admitted in a hospital, is scheduled to have
her general checkup & physical assessment. Nurse Tim
Turn the client to the right for 2 hours.
observed a reddened area over her left hip. Which should
the nurse do first?
Pierro was noted to be displaying facial grimaces after
nurse Kara assessed his complaints of pain rated as an Attempting to rule out complications before administering
8 on a scale of 1 (no pain) to 10 (worst pain). Which pain medication
intervention should the nurse do?
Nurse Martha is teaching her students about bacterial
control. Which intervention is the most important factor in Correct hand-washing technique
preventing the spread of microorganism?
2/7
Graded A
The patient X is diagnosed with constipation. As a knowl-
edgeable nurse which nursing intervention is appropriate Assessing dietary intake
for maintaining normal bowel movement?
A 12 year old boy was admitted in the hospital two days
Room temperature
ago due to hyperthermia. His attending nurse, Dennis, is
quite unsure about his plan of care. Which of the following
For patients with hyperthermia, reducing the room tem-
nursing interventions should be included in the car of plan
perature may help decrease the body temperature.
for the client?
"If I have redness, drainage, or fever, I should call my
Tom is ready to be discharged from the med-surg unit
healthcare provider"
after 5 days of hospitalization. Which client statement in-
dicates to the nurse that Tom understands the discharge
Redness, drainage, or fever are signs of infection associ-
teaching about cellular injury?
ated with cellular injury.
Nurse Katee is caring for Adam, a 22 year old client in - Maintaining correct body alignment at all times.
a long term facility. Which nursing intervention would - Using a footboard or pillows to keep feet in correct
be appropriate when identifying nursing interventions position.
aimed at promoting & preventing contractures? - Performing active & passive range of motion exercises
Instructing the client to fill a 2-L bottle with water every
A 36 year old male client is about to be discharged from
night & drink it the next day.
the hospital after 5 days due to surgery. Which interven-
tion should be included in the home health care nurse's
Adequate fluids & fiber in diet are key to preventing con-
instructions about measures to prevent constipation.
stipation.
The presence of infection may slow down the healing
Mr. McPartlin suttered abrasions & lacerations after a car
process.
accident. He was hospitalized & was treated for a couple of
weeks. When planning care for a client with cellular injury,
Infection impairs would healing. Adequate blood supply
the nurse should consider which scientific rationale?
is essential for healing.
A 22 year old lay is displaying facial grimaces during
Administering anti-inflammatory agents as prescribed
her treatment in the hospital due to burn trauma. Which
1/7
, NCLEX Questions: Fluid & Electrolytes (Questions 1-60) with Answers
Graded A
nursing intervention should included for reducing pain
due to cellular injury?
Lisa, a client with altered urinary function, is under the
care of nurse Tine. Which intervention is appropriate to
Having the client perform kegal exercises
include when developing a plan for care for Lisa, who is
experiencing urinary dribbling?
Maintenance of adequate oxygen.
Jeron is admitted in the hospital due to bacterial pneumo-
nia. He is febrile, diaphoretic, & has shortness of breath &
For a client with asthma & infection, oxygenation is the
asthma. Which goal is the most important for this client?
priority
Mang Rogelio, a 32 year old patient is about to be dis-
charged from the acute care setting. Which nursing in-
Home environment evaulation
tervention is the most important to include in the plan of
care?
Mrs. Dela Riva is in her first trimester of pregnancy. She
has been lying all day because her OBGYN requested her
to have complete bed rest. Which nursing intervention is Keeping linens dry & wrinkle free
appropriate when addressing the client's need to main-
tain skin integrity?
Maya who is admitted in a hospital, is scheduled to have
her general checkup & physical assessment. Nurse Tim
Turn the client to the right for 2 hours.
observed a reddened area over her left hip. Which should
the nurse do first?
Pierro was noted to be displaying facial grimaces after
nurse Kara assessed his complaints of pain rated as an Attempting to rule out complications before administering
8 on a scale of 1 (no pain) to 10 (worst pain). Which pain medication
intervention should the nurse do?
Nurse Martha is teaching her students about bacterial
control. Which intervention is the most important factor in Correct hand-washing technique
preventing the spread of microorganism?
2/7
