TEST 1 - Saunders Qs
F&E Questions
36. The nurse is caring for a client with heart
failure. On assessment, the nurse notes that the
client is dyspneic and crackles are audible on
auscultation. What additional signs would the
nurse expect to note in this client if excess fluid
volume is present?
1. Weight loss
2. Flat neck and hand veins
3. An increase in blood pressure
4. Decreased central venous pressure (CVP)
37. The nurse is preparing to care for a client with a
potassium deficit. The nurse reviews the client’s
record and determines that the client was at risk for
developing the potassium deficit because of which
situation?
1. Sustained tissue damage -
hyperkalemia 2. Requires
nasogastric suction
3. Has a history of Addison’s disease - hyperkalemia
4. Is taking a potassium-retaining diuretic –
hyperkalemia
38. The nurse reviews a client’s electrolyte
laboratory report and notes that the potassium level
is 2.5 mEq/L. Which pattern would the nurse note on
the electrocardiogram as a result of the laboratory
value?
1. U waves or inverted T waves; ST segment depression
2. Absent P waves - afib
3. Elevated T waves
4. Elevated ST segment
39. The nursing student needs to administer
potassium chloride intravenously as prescribed to a
client with hypokalemia. The nursing instructor
,TEST 1 - Saunders Qs
determines that the student is unprepared for this
procedure if the student states that which action in
administration of the potassium?
1. Obtaining an intravenous (IV) infusion pump
,TEST 1 - Saunders Qs
2. Monitoring urine output during administration
3. Preparing the medication for bolus
administration – can result in cardiac arrest
4. Ensuring that the medication is diluted in the
appropriate amount of NS
40. The nurse provides instructions to a client with a
low potassium level about the foods that are high in
potassium and tells the client to consume which
foods? Select all that apply.
1. Peas – high in mag
2. Raisins or spinach, orange,
pork 3. Potatoes or
avocado/carrots
4. Cantaloupe
5. Cauliflower – high in
mag 6. Strawberries or
bananas
41. The nurse is reviewing laboratory results and
notes that a client’s serum sodium level is 150 mEq/L.
The nurse reports the serum sodium level to the
health care provider (HCP) and the HCP prescribes
dietary instructions based on the sodium level. Which
food item does the nurse instruct the client to avoid?
1. Peas
2. Nuts
3. Cauliflower
4. Processed oat cereals
42. The nurse is assessing a client with a suspected
diagnosis of hypocalcemia. Which clinical
manifestation would the nurse expect to note in the
client?
1. Twitching
2. Hypoactive bowel sounds
3. Negative Trousseau’s sign
4. Hypoactive deep tendon reflexes
43. The nurse caring for a client with hypocalcemia
, TEST 1 - Saunders Qs
would expect to note which change on the
electrocardiogram
F&E Questions
36. The nurse is caring for a client with heart
failure. On assessment, the nurse notes that the
client is dyspneic and crackles are audible on
auscultation. What additional signs would the
nurse expect to note in this client if excess fluid
volume is present?
1. Weight loss
2. Flat neck and hand veins
3. An increase in blood pressure
4. Decreased central venous pressure (CVP)
37. The nurse is preparing to care for a client with a
potassium deficit. The nurse reviews the client’s
record and determines that the client was at risk for
developing the potassium deficit because of which
situation?
1. Sustained tissue damage -
hyperkalemia 2. Requires
nasogastric suction
3. Has a history of Addison’s disease - hyperkalemia
4. Is taking a potassium-retaining diuretic –
hyperkalemia
38. The nurse reviews a client’s electrolyte
laboratory report and notes that the potassium level
is 2.5 mEq/L. Which pattern would the nurse note on
the electrocardiogram as a result of the laboratory
value?
1. U waves or inverted T waves; ST segment depression
2. Absent P waves - afib
3. Elevated T waves
4. Elevated ST segment
39. The nursing student needs to administer
potassium chloride intravenously as prescribed to a
client with hypokalemia. The nursing instructor
,TEST 1 - Saunders Qs
determines that the student is unprepared for this
procedure if the student states that which action in
administration of the potassium?
1. Obtaining an intravenous (IV) infusion pump
,TEST 1 - Saunders Qs
2. Monitoring urine output during administration
3. Preparing the medication for bolus
administration – can result in cardiac arrest
4. Ensuring that the medication is diluted in the
appropriate amount of NS
40. The nurse provides instructions to a client with a
low potassium level about the foods that are high in
potassium and tells the client to consume which
foods? Select all that apply.
1. Peas – high in mag
2. Raisins or spinach, orange,
pork 3. Potatoes or
avocado/carrots
4. Cantaloupe
5. Cauliflower – high in
mag 6. Strawberries or
bananas
41. The nurse is reviewing laboratory results and
notes that a client’s serum sodium level is 150 mEq/L.
The nurse reports the serum sodium level to the
health care provider (HCP) and the HCP prescribes
dietary instructions based on the sodium level. Which
food item does the nurse instruct the client to avoid?
1. Peas
2. Nuts
3. Cauliflower
4. Processed oat cereals
42. The nurse is assessing a client with a suspected
diagnosis of hypocalcemia. Which clinical
manifestation would the nurse expect to note in the
client?
1. Twitching
2. Hypoactive bowel sounds
3. Negative Trousseau’s sign
4. Hypoactive deep tendon reflexes
43. The nurse caring for a client with hypocalcemia
, TEST 1 - Saunders Qs
would expect to note which change on the
electrocardiogram
