NURS 4300 EXAM FLUID BALANCE AND
ELECTROLYTE QUESTIONS WITH ANSWERS 2022
• questions
• 1.ID: 293429276
The nurse observes skin tenting on the back of the older adult
client’s hand. Which action by the nurse is most appropriate?
• Notify the physician.
• Examine dependent body areas.
• X Assess turgor on the client’s forehead.
• Document the finding and continue to monitor.
• 2.ID: 293429203
The client is taking a medication that inhibits aldosterone secretion and
release. The nurse assesses for what potential complication?
• Fluid retention
• Hyperkalemia
• X Hyponatremia
• Hypervolemia
• 3.ID: 293429761
Which assessment does the nurse use to determine the adequacy of
circulation in a client whose blood osmolarity is 250 mOsm/L?
• Measuring urine output
• Measuring abdominal girth
• Monitoring fluid intake
• X Comparing radial versus apical pulses
• 4.ID: 293429211
Which statement made by the older adult client alerts the nurse to assess
specifically for fluid and electrolyte imbalances?
• “My skin is always so dry, especially here in the Southwest.”
• “I often use a glycerin suppository for constipation.”
• X “I don’t drink liquids after 5 PM so I don’t have to get up
at night.”
• “In addition to coffee, I drink at least one glass of water with
each meal.”
• 5.ID: 293429268
,NURS 4300 EXAM FLUID BALANCE AND
ELECTROLYTE QUESTIONS WITH ANSWERS 2022
A client has been taught to restrict dietary sodium. Which food selection
by the client indicates to the nurse that teaching has been effective?
• Chinese take-out, including steamed rice
• A grilled cheese sandwich with tomato soup
• Slices of ham and cheese on whole grain crackers
• X A chicken leg, one slice of bread with butter, and
steamed carrots
• 6.ID: 293429256
A client is on a potassium-restricted diet. Which protein choice by the
client indicates a good understanding of the dietary regimen?
• X 1% or 2% milk
• Grilled salmon
• Poached eggs
• Baked chicken
• 7.ID: 293429701
Which assessment finding obtained while taking the history of an older
adult client alerts the nurse that the client needs further assessment for
fluid or electrolyte imbalance?
• “I am often cold and need to wear a sweater.”
• “I seem to urinate more when I drink coffee.”
• “In the summer, I feel thirsty more often.”
• X “My rings seem to be tighter this week.”
• 8.ID: 293428697
Which client is at greatest risk for dehydration?
• Younger adult client on bedrest
• Older adult client receiving hypotonic IV fluid
• Younger adult client receiving hypertonic IV fluid
• X Older adult client with cognitive impairment
• 9.ID: 293429765
Which question does the nurse ask the client who has isotonic dehydration
to determine a possible cause?
• X “Do you take diuretics, or ‘water pills’?”
, NURS 4300 EXAM FLUID BALANCE AND
ELECTROLYTE QUESTIONS WITH ANSWERS 2022
• “What do you normally eat over a day’s time?”
• “How many bowel movements do you have daily?”
• “Have you been diagnosed with diabetes mellitus?”
• 10.ID: 293429235
Which intervention in a client with dehydration-induced confusion is most
likely to relieve the confusion?
• Measuring intake and output every four hours
• Applying oxygen by mask or nasal cannula
• X Increasing the IV flow rate to 250 mL/hr
• Placing the client in a high Fowler’s position
• 11.ID: 293429216
A client is being treated for dehydration. Which statement made by the
client indicates understanding of this condition?
• X “I must drink a quart of water or other liquid each day.”
• “I will weigh myself each morning before I eat or drink.”
• “I will use a salt substitute when making and eating my meals.”
• “I will not drink liquids after 6 PM so I won’t have to get up
at night.”
• 12.ID: 293429742
What intervention is most important to teach the client about identifying
the onset of dehydration?
• Measuring abdominal girth
• Converting ounces to milliliters
• X Obtaining and charting daily weight
• Selecting food items with high water content
• 13.ID: 293429769
A nurse is caring for several clients with dehydration. The nurse assesses
the client with which finding as needing oxygen therapy?
• Tenting of skin on the back of the hand
• Increased urine osmolarity
• Weight loss of 10 pounds
• X Pulse rate of 115 beats/min
ELECTROLYTE QUESTIONS WITH ANSWERS 2022
• questions
• 1.ID: 293429276
The nurse observes skin tenting on the back of the older adult
client’s hand. Which action by the nurse is most appropriate?
• Notify the physician.
• Examine dependent body areas.
• X Assess turgor on the client’s forehead.
• Document the finding and continue to monitor.
• 2.ID: 293429203
The client is taking a medication that inhibits aldosterone secretion and
release. The nurse assesses for what potential complication?
• Fluid retention
• Hyperkalemia
• X Hyponatremia
• Hypervolemia
• 3.ID: 293429761
Which assessment does the nurse use to determine the adequacy of
circulation in a client whose blood osmolarity is 250 mOsm/L?
• Measuring urine output
• Measuring abdominal girth
• Monitoring fluid intake
• X Comparing radial versus apical pulses
• 4.ID: 293429211
Which statement made by the older adult client alerts the nurse to assess
specifically for fluid and electrolyte imbalances?
• “My skin is always so dry, especially here in the Southwest.”
• “I often use a glycerin suppository for constipation.”
• X “I don’t drink liquids after 5 PM so I don’t have to get up
at night.”
• “In addition to coffee, I drink at least one glass of water with
each meal.”
• 5.ID: 293429268
,NURS 4300 EXAM FLUID BALANCE AND
ELECTROLYTE QUESTIONS WITH ANSWERS 2022
A client has been taught to restrict dietary sodium. Which food selection
by the client indicates to the nurse that teaching has been effective?
• Chinese take-out, including steamed rice
• A grilled cheese sandwich with tomato soup
• Slices of ham and cheese on whole grain crackers
• X A chicken leg, one slice of bread with butter, and
steamed carrots
• 6.ID: 293429256
A client is on a potassium-restricted diet. Which protein choice by the
client indicates a good understanding of the dietary regimen?
• X 1% or 2% milk
• Grilled salmon
• Poached eggs
• Baked chicken
• 7.ID: 293429701
Which assessment finding obtained while taking the history of an older
adult client alerts the nurse that the client needs further assessment for
fluid or electrolyte imbalance?
• “I am often cold and need to wear a sweater.”
• “I seem to urinate more when I drink coffee.”
• “In the summer, I feel thirsty more often.”
• X “My rings seem to be tighter this week.”
• 8.ID: 293428697
Which client is at greatest risk for dehydration?
• Younger adult client on bedrest
• Older adult client receiving hypotonic IV fluid
• Younger adult client receiving hypertonic IV fluid
• X Older adult client with cognitive impairment
• 9.ID: 293429765
Which question does the nurse ask the client who has isotonic dehydration
to determine a possible cause?
• X “Do you take diuretics, or ‘water pills’?”
, NURS 4300 EXAM FLUID BALANCE AND
ELECTROLYTE QUESTIONS WITH ANSWERS 2022
• “What do you normally eat over a day’s time?”
• “How many bowel movements do you have daily?”
• “Have you been diagnosed with diabetes mellitus?”
• 10.ID: 293429235
Which intervention in a client with dehydration-induced confusion is most
likely to relieve the confusion?
• Measuring intake and output every four hours
• Applying oxygen by mask or nasal cannula
• X Increasing the IV flow rate to 250 mL/hr
• Placing the client in a high Fowler’s position
• 11.ID: 293429216
A client is being treated for dehydration. Which statement made by the
client indicates understanding of this condition?
• X “I must drink a quart of water or other liquid each day.”
• “I will weigh myself each morning before I eat or drink.”
• “I will use a salt substitute when making and eating my meals.”
• “I will not drink liquids after 6 PM so I won’t have to get up
at night.”
• 12.ID: 293429742
What intervention is most important to teach the client about identifying
the onset of dehydration?
• Measuring abdominal girth
• Converting ounces to milliliters
• X Obtaining and charting daily weight
• Selecting food items with high water content
• 13.ID: 293429769
A nurse is caring for several clients with dehydration. The nurse assesses
the client with which finding as needing oxygen therapy?
• Tenting of skin on the back of the hand
• Increased urine osmolarity
• Weight loss of 10 pounds
• X Pulse rate of 115 beats/min
