FLUID & ELECTROLYTE
IMBALANCES 2026 QUESTIONS |
NURSING NCLEX PRACTICE
QUESTIONS, ANSWERS &
RATIONALES
| GRADED A+ | GUARANTEED
SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,d. Weigh self each day on the same scale. The patient is at risk for fluid volume excess. For self-management at home, what
does the nurse teach the patient to do?
a. Increase diuretic dose if swelling occurs.
b. Limit the amount of free water in relation to sodium intake.
c. Monitor his or her skin turgor.
d. Weigh self each day on the same scale.
b. Mental status change The older adult patient at risk for fluid and electrolyte problems is vigilantly
monitored by the nurse for the first indication of a fluid balance problem. What is
this indication?
a. Fever
b. Mental status change
c. Poor skin turgor
d. Dry mucous membranes
d. Frequent overseas flyer Which person is most likely to have symptoms related to poor lymph circulation?
a. Person with carpal tunnel syndrome
b. Marathon runner
c. Person with a history of myocardial infarction
d. Frequent overseas flyer
d. Obese 68-year-old woman Based on the factors of age, gender, and body type, which patient has the
smallest percentage of total body water?
a. Thin 78-year-old adult man
b. Obese 35-year-old man
c. Thin 25-year-old woman
d. Obese 68-year-old woman
b. 1500 mL of fluid per day, ingesting an additional 800 Which intake-output record represents the norm for the average adult?
mL of fluid from food. a. 500 mL of fluid per day, ingesting an additional 200 mL of fluid from food.
b. 1500 mL of fluid per day, ingesting an additional 800 mL of fluid from food.
c. 3000 mL of fluid per day, ingesting an additional 500 mL of fluid from food.
d. 5000 mL of fluid per day, ingesting an additional 100 mL of fluid from food.
c. Lethal electrolyte imbalance and acidosis What is the consequence and clinical manifestation for the patient who does not
meet the obligatory urine output?
a. Increased salivation and alkalosis
b. Increased thirst with dry mucous membranes
c. Lethal electrolyte imbalance and acidosis
d. Bradycardia and decreased nitrogen level.
b. 400 to 600 mL What is the minimum amount of urine per day needed to excrete toxic waste
products?
a. 200 to 300 mL
b. 400 to 600 mL
c. 500 to 1000 mL
d. 1000 to 1500 mL
, c. Patient who loses a lot of fluid and sodium Which patient in the medical surgical unit is most likely to have increased
aldosterone secretion?
a. Patient who has excessive salt ingestion
b. Patient who drinks a lot of water
c. Patient who loses a lot of fluid and sodium
d. Patient who loses potassium and water
a. Fever of 103 degrees F The patients with which conditions are at great risk for deficient fluid volume?
b. Extensive burns (Select all that apply)
d. Thyroid crisis a. Fever of 103 degrees F
e. Continuous fistula drainage b. Extensive burns
f. Diabetes insipidus c. Thyroid crisis
d. Water intoxication
e. Continuous fistula drainage
f. Diabetes insipidus
a. Offer patients a choice of fluids every 1 to 2 hours The nurse is working in a long-term care facility where there are numerous
patients who are immobile and at risk for dehydration. Which task is best to
delegate to the unlicensed assistive personnel (UAP)?
a. Offer patients a choice of fluids every 1 to 2 hours.
b. Check patients at the beginning of the shift to see who is thirsty.
c. Give patients extra fluids around medication times.
d. Evaluate oral intake and urinary output.
d. bottled water The nurse is assisting a community group to plan a family sports day. In order to
prevent dehydration, what beverage does the nurse suggest be supplied?
a. Iced tea
b. Light beer
c. Diet soda
d. Bottled water
c. 2 The nurse is assessing the weight of the patient with chronic renal failure. The
patient shows a 2 kg weight gain since the last clinic appointment. This is
equivalent to how many liters of fluid?
a. 0.5
b. 1
c. 2
d. 3
b. Tachycardia with weak peripheral pulses The nurse is evaluating the hydration status of the older adult patient. If the patient
is dehydrated, the nurse expects to observe which type of cardiovascular
change?
a. Hypertension with bounding peripheral pulses
b. Tachycardia with weak peripheral pulses
c. Bradycardia and distended neck veins
d. Increase in pulse pressure and systolic pressure
IMBALANCES 2026 QUESTIONS |
NURSING NCLEX PRACTICE
QUESTIONS, ANSWERS &
RATIONALES
| GRADED A+ | GUARANTEED
SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,d. Weigh self each day on the same scale. The patient is at risk for fluid volume excess. For self-management at home, what
does the nurse teach the patient to do?
a. Increase diuretic dose if swelling occurs.
b. Limit the amount of free water in relation to sodium intake.
c. Monitor his or her skin turgor.
d. Weigh self each day on the same scale.
b. Mental status change The older adult patient at risk for fluid and electrolyte problems is vigilantly
monitored by the nurse for the first indication of a fluid balance problem. What is
this indication?
a. Fever
b. Mental status change
c. Poor skin turgor
d. Dry mucous membranes
d. Frequent overseas flyer Which person is most likely to have symptoms related to poor lymph circulation?
a. Person with carpal tunnel syndrome
b. Marathon runner
c. Person with a history of myocardial infarction
d. Frequent overseas flyer
d. Obese 68-year-old woman Based on the factors of age, gender, and body type, which patient has the
smallest percentage of total body water?
a. Thin 78-year-old adult man
b. Obese 35-year-old man
c. Thin 25-year-old woman
d. Obese 68-year-old woman
b. 1500 mL of fluid per day, ingesting an additional 800 Which intake-output record represents the norm for the average adult?
mL of fluid from food. a. 500 mL of fluid per day, ingesting an additional 200 mL of fluid from food.
b. 1500 mL of fluid per day, ingesting an additional 800 mL of fluid from food.
c. 3000 mL of fluid per day, ingesting an additional 500 mL of fluid from food.
d. 5000 mL of fluid per day, ingesting an additional 100 mL of fluid from food.
c. Lethal electrolyte imbalance and acidosis What is the consequence and clinical manifestation for the patient who does not
meet the obligatory urine output?
a. Increased salivation and alkalosis
b. Increased thirst with dry mucous membranes
c. Lethal electrolyte imbalance and acidosis
d. Bradycardia and decreased nitrogen level.
b. 400 to 600 mL What is the minimum amount of urine per day needed to excrete toxic waste
products?
a. 200 to 300 mL
b. 400 to 600 mL
c. 500 to 1000 mL
d. 1000 to 1500 mL
, c. Patient who loses a lot of fluid and sodium Which patient in the medical surgical unit is most likely to have increased
aldosterone secretion?
a. Patient who has excessive salt ingestion
b. Patient who drinks a lot of water
c. Patient who loses a lot of fluid and sodium
d. Patient who loses potassium and water
a. Fever of 103 degrees F The patients with which conditions are at great risk for deficient fluid volume?
b. Extensive burns (Select all that apply)
d. Thyroid crisis a. Fever of 103 degrees F
e. Continuous fistula drainage b. Extensive burns
f. Diabetes insipidus c. Thyroid crisis
d. Water intoxication
e. Continuous fistula drainage
f. Diabetes insipidus
a. Offer patients a choice of fluids every 1 to 2 hours The nurse is working in a long-term care facility where there are numerous
patients who are immobile and at risk for dehydration. Which task is best to
delegate to the unlicensed assistive personnel (UAP)?
a. Offer patients a choice of fluids every 1 to 2 hours.
b. Check patients at the beginning of the shift to see who is thirsty.
c. Give patients extra fluids around medication times.
d. Evaluate oral intake and urinary output.
d. bottled water The nurse is assisting a community group to plan a family sports day. In order to
prevent dehydration, what beverage does the nurse suggest be supplied?
a. Iced tea
b. Light beer
c. Diet soda
d. Bottled water
c. 2 The nurse is assessing the weight of the patient with chronic renal failure. The
patient shows a 2 kg weight gain since the last clinic appointment. This is
equivalent to how many liters of fluid?
a. 0.5
b. 1
c. 2
d. 3
b. Tachycardia with weak peripheral pulses The nurse is evaluating the hydration status of the older adult patient. If the patient
is dehydrated, the nurse expects to observe which type of cardiovascular
change?
a. Hypertension with bounding peripheral pulses
b. Tachycardia with weak peripheral pulses
c. Bradycardia and distended neck veins
d. Increase in pulse pressure and systolic pressure
