with Correct Answers 2025
TheGnurseGisGreviewingGtheGlabGvaluesGforGaGclientGbeingGcaredGforGonGtheGunit.TheGclient'sGphosp
horusGlevelGisGcurrentlyG2.0Gmg/dL.GBasedGonGthisGdata,GwhichGnursingGinterventionGisGmostGappr
opriateGforGtheGnurseGtoGimplement?G
A)EnforceGcontactGprecautions.
B)EncourageGconsumptionGofGaGhigh-calorieGcarbohydrateGdiet.
C)StrainGallGurine.
D)EncourageGconsumptionGofGmilkGandGyogurt.G-GCORRECTGANSWERG-
D)GEncourageGconsumptionGofGmilkGandGyogurt.
AGhomeGhealthGnurseGisGprovidingGcareGforGaGclientGdiagnosedGwithGheartGfailure.GTheGclientGisGtak
ingGfurosemideG(Lasix).GTheGnurseGreviewsGtheGclient'sGmostGrecentGserumGpotassium,GwhichGwas
G3.4GmEq/L.GBasedGonGthisGdata,GwhichGfoodGshouldGtheGnurseGencourageGtheGclientGtoGconsume?
G
A)BakedGfishG
B)IcedGteaG
C)BananaG
D)PeasG-GCORRECTGANSWERG-C)GBanana
WhichGofGtheGfollowingGtotalGserumGcalciumGlevelsGwouldGbeGconsideredGnormalGinanGadultGclien
t?G
A)9.88Gmg/dLG
B)2.21Gmg/dLG
C)4.87Gmg/dLG
,D)7.03Gmg/dLG-GCORRECTGANSWERG-A)G9.88Gmg/dL
TheGnurseGisGcaringGforGanGolderGadultGclientGwhoGisGreceivingGintravenousGfluidsGatG150GmL/hr.GU
ponGassessment,GtheGnurseGnotesGcrackles,GshortnessGofGbreath,GandGjugularGveinGdistention.GBas
edGonGthisGdata,GwhichGcomplicationGofIVGfluidGtherapyGdoesGtheGnurseGanticipate?G
A)SpeedGshockG
B)FluidGvolumeGexcessG
C)PulmonaryGembolismG
D)AnGallergicGreactionG-GCORRECTGANSWERG-B)GFluidGvolumeGexcess
AnGincreaseGinGbloodGhydrostaticGpressureGwouldGresultGinGwhichGfluidGvolumeGdisturbance?G
A)FluidGvolumeGexcess,GbecauseGtheGpressureGwouldGforceGfluidGoutGthroughGtheGlymphaticGsyste
mGandGintoGtheGinterstitialGcompartment.G
B)FluidGvolumeGdeficitGbecauseGtheGpressureGwouldGforceGfluidGoutGofGtheGinterstitialGcompartme
ntGandGintoGtheGlymphaticGsystem.G
C)FluidGvolumeGexcessGbecauseGtheGpressureGwouldGforceGfluidGoutGthroughGtheGcapillaryGwallsGa
ndGintoGtheGinterstitialGcompartment.G
D)FluidGvolumeGdeficitGbecauseGtheGpressureGwouldGforceGfluidGoutGofGtheGinterstitialGcompartme
ntGandGintoGtheGcapillaries.G-GCORRECTGANSWERG-
C)GFluidGvolumeGexcessGbecauseGtheGpressureGwouldGforceGfluidGoutGthroughGtheGcapillaryGwallsGa
ndGintoGtheGinterstitialGcompartment.
WhichGclientGstatementGindicatesGthatGadditionalGteachingGisGrequired?G
A)"IGcanGuseGasGmuchGsaltGsubstituteGasGIGwant."G
B)"IGhaveGtoGreadGtheGlabelsGonGfoodsGtoGfindGoutGtheGsodiumGcontent."G
,C)"IGhaveGtoGlimitGtheGintakeGofGfoodGwithGbakingGsodaGorGbakingGpowder."
D)"IGcanGuseGspicesGandGlemonGjuiceGtoGaddGflavorGtoGfoodGwhenGcooking."G-GCORRECTGANSWERG-
A)G"IGcanGuseGasGmuchGsaltGsubstituteGasGIGwant."
TheGnurseGisGcaringGforGaGclientGwithGaGpotassiumGlevelGofG5.9GmEq/L.GTheGhealthcareGproviderGpr
escribesGbothGglucoseGandGinsulinGforGtheGclient.GTheGclient'sGspouseGasks,G"WhyGisGinsulinGneede
d?"GWhichGresponseGbyGtheGnurseGisGtheGmostGappropriate?G
A)"TheGinsulinGwillGcauseGextraGpotassiumGtoGmoveGintoGhisGcells,GwhichGwillGlowerGtheGpotassium
GlevelGinGtheGblood."G
B)"InsulinGisGsaferGthanGotherGmedicationsGthatGcanGlowerGpotassiumGlevels."G
C)"TheGinsulinGlowersGhisGbloodGsugarGlevelsGandGcausesGtheGextraGpotassiumGtoGbeGexcreted."G
D)"TheGinsulinGwillGhelpGhisGkidneysGexcreteGtheGextraGpotassium."G-GCORRECTGANSWERG-
A)G"TheGinsulinGwillGcauseGextraGpotassiumGtoGmoveGintoGhisGcells,GwhichGwillGlowerGtheGpotassiu
mGlevelGinGtheGblood."
TheGnurseGisGinstructingGaGclientGdiagnosedGwithGheartGfailureGaboutGaGprescribedGsodium-
restrictedGdiet.GWhichGofGtheGfollowingGtermsGrefersGtoGsevere,GgeneralizedGedema,GwhichGmayGo
ccurGasGaGresultGofGfluidGvolumeGexcess?G
A)AscitesG
B)AnasarcaG
C)HypervolemiaG
D)OrthopneaG-GCORRECTGANSWERG-B)GAnasarca
TheGnurseGisGcaringGforGaGclientGwhoGisGreceivingGintravenousGfluidsGpostoperativelyGfollowingGcar
diacGsurgery.GTheGnurseGisGawareGthatGthisGclientGisGatGriskGforGfluidGvolumeGexcess.GTheGfamilyGask
sGwhyGtheGclientGisGatGriskGforGthisGcondition.GWhichGresponseGbyGtheGnurseGisGtheGmostGappropria
te?G
, A)"FluidGvolumeGexcessGcommonlyGoccursGdueGtoGnew-
onsetGliverGfailureGcausedGbyGtheGsurgery."G
B)"FluidGvolumeGexcessGisGfrequentlyGcausedGbyGtheGadministrationGofGintravenousGfluids."G
C)"FluidGvolumeGexcessGisGcommonGdueGtoGincreasedGlevelsGofGantidiureticGhormoneGinGresponseG
toGtheGstressGofGsurgery."G
D)"FluidGvolumeGexcessGisGfrequentlyGcausedGbyGinactivity."G-GCORRECTGANSWERG-
C)G"FluidGvolumeGexcessGisGcommonGdueGtoGincreasedGlevelsGofGantidiureticGhormoneGinGresponse
GtoGtheGstressGofGsurgery."
TheGnurseGisGplanningGcareGforGaGclientGadmittedGtoGtheGunitGwithGaGdiagnosisGofGdehydration.GTh
eGclient'sGlabGvaluesGindicateGaGlowGlevelGofGserumGsodium.GBasedGonGtheGassessmentGfinding,Gthe
GnurseGdeterminesGthatGRiskGforGElectrolyteImbalanceGisGanGappropriateGnursingGdiagnosis.GWhic
hGmedicalGconditionGsupportsGthisGnursingGdiagnosis?G
A)IsotonicGdehydrationG
B)HydrostaticGpressureG
C)HypotonicGdehydrationG
D)OsmoticGpressureG-GCORRECTGANSWERG-C)GHypotonicGdehydration
AnGolderGadultGclientGisGbroughtGtoGtheGemergencyGdepartment.GTheGclientGhasGbeenGexperiencin
gGfever,Gnausea,GandGvomitingGforGtheGpastG2Gdays.GTheGclientGdeniesGthirst.GUrineGdipstickGindicat
esGaGdecreasedGurineGspecificGgravity.GBasedGonGthisGdata,GwhichGdiagnosisGshouldGtheGnurseGmos
tGanticipateGforGthisGclient?G
A)CongestiveGheartGfailureG
B)DehydrationG
C)FluidGoverloadG
D)NormalGchangesGofGagingG-GCORRECTGANSWERG-B)GDehydration