N320 EXAM #2 FLUIDS AND ELECTROLYTES EXAM
QUESTIONS AND ANSWERS LATEST UPDATE
2023/2024 GRADED A+
What is one of the best ways to determine fluid status? - correct answer ✅Weigh
self on a daily basis
When taking Spironolactone, the patient should avoid foods high in - correct
answer ✅Potassium
Which assessment finding would indicate fluid volume deficit? - correct answer
✅Pulse rate increases from 100 beats/min to 136 beats/min
An increase in pulse compensates for the decrease in fluid volume
A patient with a sodium level of 178 is ordered to be started on 0.45% Saline.
What is the most IMPORTANT nursing intervention for this patient?
A. Maintain patent IV
B. Give rapidly to ensure fluids levels are shifted properly
C. Clarify doctor's order because 0.45% saline is contraindicated in hypernatremia
,D. Give slowly and watch for signs and symptoms of cerebral edema - correct
answer ✅D. Give slowly and watch for signs and symptoms of cerebral edema
You have completed diet teaching with a patient who has hypernatremia. Which
statement by the patient causes concern?
A. "I will buy fresh vegetables and fruits."
B. "I will avoid eating canned foods."
C. "I'm glad I can still eat sandwiches with bologna."
D. "I will avoid cooking with butter." - correct answer ✅C. "I'm glad I can still eat
sandwiches with bologna."
A patient with Cushing's Syndrome has been experiencing an infection and has a
fever of 102'F. On assessment, you find the patient to be confused, restless, has
dry mucous membranes, and flushed skin. Which finding below correlates with
the presentation of this patient?
A. Sodium level of 144
B. Sodium level of 115
C. Sodium level of 170
D. Sodium level of 135 - correct answer ✅C. Sodium level of 170
A patient has a sodium level of 123 and presents with confusion. The doctor
diagnoses the patient with Syndrome of Inappropriate Antidiuretic Hormone
Secretion (SIADH). Which type of hyponatremia is this?
,A. Hypovolemic
B. Euvolemic
C. Hypervolemic
D. Antivolemic - correct answer ✅B: Euvolemic
A patient with a sodium level of 112 is taking Lithium. Which of the following is a
nursing priority?
A. Hold further doses of Lithium
B. Monitor Lithium drug level due to risk of toxicity
C. Monitor potassium level due to increased risk of toxicity
D. No priority is need. 112 is a normal sodium level - correct answer ✅B. Monitor
Lithium drug level due to risk of toxicity
Which patient below is considered hypernatremic?
A. A patient with a sodium level of 155
B. A patient with a sodium level of 145
C. A patient with a sodium level of 120
, D. A patient with a sodium level of 136 - correct answer ✅A. A patient with a
sodium level of 155
A patient with a sodium level of 115 is ordered to start Declomycin. Which
statement is NOT true about this medication?
A. "Declomycin is an antidiuretic hormone antagonist that treats SIADH."
B. "Declomycin is part of the tetracycline family."
C. "Declomycin is to be taken with food, preferably, milk."
D. "Declomycin is contraindicated in children and pregnant/nursing women." -
correct answer ✅C. "Declomycin is to be taken with food, preferably, milk."
A patient with hypovolemic hyponatremia is started on IV fluids. Which of the
following fluids do you expect the patient to be started on?
A. 0.45% Saline
B. 3% Saline
C. D5W
D. 0.33% Saline - correct answer ✅B. 3% Saline
A patient has a sodium level of 119. Which of the following is NOT related to this
finding?
QUESTIONS AND ANSWERS LATEST UPDATE
2023/2024 GRADED A+
What is one of the best ways to determine fluid status? - correct answer ✅Weigh
self on a daily basis
When taking Spironolactone, the patient should avoid foods high in - correct
answer ✅Potassium
Which assessment finding would indicate fluid volume deficit? - correct answer
✅Pulse rate increases from 100 beats/min to 136 beats/min
An increase in pulse compensates for the decrease in fluid volume
A patient with a sodium level of 178 is ordered to be started on 0.45% Saline.
What is the most IMPORTANT nursing intervention for this patient?
A. Maintain patent IV
B. Give rapidly to ensure fluids levels are shifted properly
C. Clarify doctor's order because 0.45% saline is contraindicated in hypernatremia
,D. Give slowly and watch for signs and symptoms of cerebral edema - correct
answer ✅D. Give slowly and watch for signs and symptoms of cerebral edema
You have completed diet teaching with a patient who has hypernatremia. Which
statement by the patient causes concern?
A. "I will buy fresh vegetables and fruits."
B. "I will avoid eating canned foods."
C. "I'm glad I can still eat sandwiches with bologna."
D. "I will avoid cooking with butter." - correct answer ✅C. "I'm glad I can still eat
sandwiches with bologna."
A patient with Cushing's Syndrome has been experiencing an infection and has a
fever of 102'F. On assessment, you find the patient to be confused, restless, has
dry mucous membranes, and flushed skin. Which finding below correlates with
the presentation of this patient?
A. Sodium level of 144
B. Sodium level of 115
C. Sodium level of 170
D. Sodium level of 135 - correct answer ✅C. Sodium level of 170
A patient has a sodium level of 123 and presents with confusion. The doctor
diagnoses the patient with Syndrome of Inappropriate Antidiuretic Hormone
Secretion (SIADH). Which type of hyponatremia is this?
,A. Hypovolemic
B. Euvolemic
C. Hypervolemic
D. Antivolemic - correct answer ✅B: Euvolemic
A patient with a sodium level of 112 is taking Lithium. Which of the following is a
nursing priority?
A. Hold further doses of Lithium
B. Monitor Lithium drug level due to risk of toxicity
C. Monitor potassium level due to increased risk of toxicity
D. No priority is need. 112 is a normal sodium level - correct answer ✅B. Monitor
Lithium drug level due to risk of toxicity
Which patient below is considered hypernatremic?
A. A patient with a sodium level of 155
B. A patient with a sodium level of 145
C. A patient with a sodium level of 120
, D. A patient with a sodium level of 136 - correct answer ✅A. A patient with a
sodium level of 155
A patient with a sodium level of 115 is ordered to start Declomycin. Which
statement is NOT true about this medication?
A. "Declomycin is an antidiuretic hormone antagonist that treats SIADH."
B. "Declomycin is part of the tetracycline family."
C. "Declomycin is to be taken with food, preferably, milk."
D. "Declomycin is contraindicated in children and pregnant/nursing women." -
correct answer ✅C. "Declomycin is to be taken with food, preferably, milk."
A patient with hypovolemic hyponatremia is started on IV fluids. Which of the
following fluids do you expect the patient to be started on?
A. 0.45% Saline
B. 3% Saline
C. D5W
D. 0.33% Saline - correct answer ✅B. 3% Saline
A patient has a sodium level of 119. Which of the following is NOT related to this
finding?
