NUR 113 Practice Exam Questions And
Already Passed Answers.
An adult client in the clinic complains of a cough, fever, nausea, and vomiting for three days. Examination
reveals dry tongue and oral mucosa and concentrated urine. The client also reports feeling weak and
dizzy. Which vital sign measurement would provide the best indicator of current fluid status?
A. Temperature
B. Respiratory rate and depth
C. BP and pulse in lying and standing position
D. Pulse oximetry reading at rest - Answer C. BP and pulse in lying and standing position
A 70 year old client with a past medical history of hypertension and myocardial infarction is in the
hospital following stomach surgery. Vital signs have been stable and an IV of D51/2 NS is infusing at 100
ml/hr. The client now complains of trouble breathing, has a moist cough, and pulse oximetry reading has
fallen to 92%. What action should the nurse take first?
A. Measure blood pressure and heart rate
B. Assess legs and arms for pitting edema
C. Telephone and notify the physician
D. Slow the IV rate to 10 to 20 ml/hr - Answer D. Slow the IV rate to 10-20 mL/hr
A 45 year old client diagnosed with fluid volume overload due to acute kidney dysfunction is placed on
1,000 mL fluid restriction per 24 hour period. The client asks the nurse, "Why is there such a severe fluid
restriction when I already have dry lips and mouth?" What is the nurses best response?
A. "The doctor ordered the fluid restriction, so you must comply with those orders."
B. "Your kidneys are not able to eliminate extra fluid right now, so fluid intake has to be limited to protect
your heart and lungs from being overloaded with fluid."
, C. "You probably drank too much fluid before you got sick, so you can't compare your usual intake to
your limitations now that your kidneys are working."
D. "Too much fluid will cause your heart to fail and your lungs to fill with water, which could be fatal." -
Answer B. "Your kidneys are not able to eliminate extra fluid right now, so fluid intake has to be limited
to protect your heart and lungs from being overloaded with fluid."
The nurse is helping a client who was recently placed on a low-sodium diet to choose foods for lunch.
Which lunch menu would be best for this client?
A. Grilled chicken sandwich on white bread, apple, salad, and iced tea
B. Bologna sandwich on wheat bread, canned fruit cocktail, salad, and a soda
C. Canned ham and bean soup, fresh fruit salad, pickles, and a diet soda
D. Fast food cheeseburger, grapes, fresh pineapple, and tomato juice - Answer A. Grilled chicken
sandwich on white bread, apple, salad, and iced tea
During intershift report, the nurse is told that a client who has suffered a stroke has also developed
diabetes insipidus. The nurse concludes that this client is now at risk for:
A. Severe fluid volume deficit due to excess urine output
B. Severe fluid volume excess due to inadequate urine output
C. Hyperglycemia due to poor insulin production
D. Hypoglycemia due to excess insulin production - Answer A. Severe fluid volume deficit due to excess
urine output
The nurse is monitoring IV fluid therapy for a client with hyponatremia. The nurse knows that which of
the following types of solutions exerts the same osmotic pressure as the fluid on the other side of the
cell membrane and thus maintains equilibrium and minimizes fluid shifts?
A. Hypertonic
B. Hyperosmolar
C. Hypotonic
D. Isotonic - Answer D. Isotonic
Already Passed Answers.
An adult client in the clinic complains of a cough, fever, nausea, and vomiting for three days. Examination
reveals dry tongue and oral mucosa and concentrated urine. The client also reports feeling weak and
dizzy. Which vital sign measurement would provide the best indicator of current fluid status?
A. Temperature
B. Respiratory rate and depth
C. BP and pulse in lying and standing position
D. Pulse oximetry reading at rest - Answer C. BP and pulse in lying and standing position
A 70 year old client with a past medical history of hypertension and myocardial infarction is in the
hospital following stomach surgery. Vital signs have been stable and an IV of D51/2 NS is infusing at 100
ml/hr. The client now complains of trouble breathing, has a moist cough, and pulse oximetry reading has
fallen to 92%. What action should the nurse take first?
A. Measure blood pressure and heart rate
B. Assess legs and arms for pitting edema
C. Telephone and notify the physician
D. Slow the IV rate to 10 to 20 ml/hr - Answer D. Slow the IV rate to 10-20 mL/hr
A 45 year old client diagnosed with fluid volume overload due to acute kidney dysfunction is placed on
1,000 mL fluid restriction per 24 hour period. The client asks the nurse, "Why is there such a severe fluid
restriction when I already have dry lips and mouth?" What is the nurses best response?
A. "The doctor ordered the fluid restriction, so you must comply with those orders."
B. "Your kidneys are not able to eliminate extra fluid right now, so fluid intake has to be limited to protect
your heart and lungs from being overloaded with fluid."
, C. "You probably drank too much fluid before you got sick, so you can't compare your usual intake to
your limitations now that your kidneys are working."
D. "Too much fluid will cause your heart to fail and your lungs to fill with water, which could be fatal." -
Answer B. "Your kidneys are not able to eliminate extra fluid right now, so fluid intake has to be limited
to protect your heart and lungs from being overloaded with fluid."
The nurse is helping a client who was recently placed on a low-sodium diet to choose foods for lunch.
Which lunch menu would be best for this client?
A. Grilled chicken sandwich on white bread, apple, salad, and iced tea
B. Bologna sandwich on wheat bread, canned fruit cocktail, salad, and a soda
C. Canned ham and bean soup, fresh fruit salad, pickles, and a diet soda
D. Fast food cheeseburger, grapes, fresh pineapple, and tomato juice - Answer A. Grilled chicken
sandwich on white bread, apple, salad, and iced tea
During intershift report, the nurse is told that a client who has suffered a stroke has also developed
diabetes insipidus. The nurse concludes that this client is now at risk for:
A. Severe fluid volume deficit due to excess urine output
B. Severe fluid volume excess due to inadequate urine output
C. Hyperglycemia due to poor insulin production
D. Hypoglycemia due to excess insulin production - Answer A. Severe fluid volume deficit due to excess
urine output
The nurse is monitoring IV fluid therapy for a client with hyponatremia. The nurse knows that which of
the following types of solutions exerts the same osmotic pressure as the fluid on the other side of the
cell membrane and thus maintains equilibrium and minimizes fluid shifts?
A. Hypertonic
B. Hyperosmolar
C. Hypotonic
D. Isotonic - Answer D. Isotonic
