Saunders NCLEX-RN 2025–2026 Review (Ch. 8, 9, 11, 46–49, 54–55) | Verified Real Answers | A+ Study Pack | GUARANTEED PASS"

Saunders NCLEX-RN Chapters 8, 9, 11, 46, 47, 48, 49, 54, 55
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Chapter 8: The nurse is caring for a
client with heart failure. On assessment,
the nurse notes that the client is dysp-
neic, and crackles are audible on aus-
cultation. What additional manifestations
would the nurse expect to note in this
client if excess fluid volume is present?
Answer: 3
1. Weight loss and dry skin
2. Flat neck and hand veins and de-
creased urinary output
3. An increase in blood pressure and
increased respirations
4. Weakness and decreased central ve-
nous pressure (CVP)
Chapter 8: The nurse reviews a client's
record and determines that the client is
at risk for developing a potassium deficit
if which situation is documented?
1. Sustained tissue damage Answer: 2
2. Requires nasogastric suction
3. Has a history of Addison's disease
4. Uric acid level of 9.4 mg/dL (557 mc-
mol/L)
Chapter 8: The nurse reviews a client's
electrolyte laboratory report and notes
that the potassium level is 2.5 mEq/L
(2.5 mmol/L). Which patterns should the
nurse watch for on the electrocardiogram
(ECG) as a result of the laboratory val-
Answer: 1, 3, 4
ue? Select all that apply.
1. U waves
2. Absent P waves
3. Inverted T waves
4. Depressed ST segment
5. Widened QRS complex
Chapter 8: Potassium chloride intra-
venously is prescribed for a client with
heart failure experiencing hypokalemia.


, Saunders NCLEX-RN Chapters 8, 9, 11, 46, 47, 48, 49, 54, 55
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Which actions should the nurse take to
plan for preparation and administration
of the potassium? Select all that apply.
1. Obtain an intravenous (IV) infusion
pump.
2. Monitor urine output during adminis-
tration.
3. Prepare the medication for bolus ad-
Answer: 1, 2, 4, 5, 6
ministration.
4. Monitor the IV site for signs of infiltra-
tion or phlebitis.
5. Ensure that the medication is diluted
in the appropriate volume of fluid.
6. Ensure that the bag is labeled so that
it reads the volume of potassium in the
solution.
Chapter 8: The nurse is assessing a
client with a lactose intolerance dis-
order for a suspected diagnosis of
hypocalcemia. Which clinical manifesta-
tion would the nurse expect to note in the
Answer: 1
client?
1. Twitching
2. Hypoactive bowel sounds
3. Negative Trousseau's sign
4. Hypoactive deep tendon reflexes
Chapter 8: The nurse is caring for a client
with Crohn's disease who has a calcium
level of 8 mg/dL (2 mmol/L). Which pat-
terns would the nurse watch for on the
electrocardiogram? Select all that apply.
Answer: 4, 5
1. U waves
2. Widened T wave
3. Prominent U wave
4. Prolonged QT interval
5. Prolonged ST segment
Chapter 8: The nurse reviews the elec-
trolyte results of a client with chronic kid-


, Saunders NCLEX-RN Chapters 8, 9, 11, 46, 47, 48, 49, 54, 55
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ney disease and notes that the potas-
sium level is 5.7 mEq/L (5.7 mmol/L).
Which patterns would the nurse watch
for on the cardiac monitor as a result
of the laboratory value? Select all that
apply. Answer: 3, 5
1. ST depression
2. Prominent U wave
3. Tall peaked T waves
4. Prolonged ST segment
5. Widened QRS complexes
Chapter 8: Which client is at risk for the
development of a sodium level at 130
mEq/L (130 mmol/L)?
1. The client who is taking diuretics Answer: 1
2. The client with hyperaldosteronism
3. The client with Cushing's syndrome
4. The client who is taking corticosteroids
Chapter 8: The nurse is caring for a
client with heart failure who is receiving
high doses of a diuretic. On assessment,
the nurse notes that the client has flat
neck veins, generalized muscle weak-
ness, and diminished deep tendon re-
flexes. The nurse suspects hyponatrem-
Answer: 3
ia. What additional signs would the nurse
expect to note in a client with hypona-
tremia?
1. Muscle twitches
2. Decreased urinary output
3. Hyperactive bowel sounds
4. Increased specific gravity of the urine
Chapter 8: The nurse reviews a client's
laboratory report and notes that the
client's serum phosphorus (phosphate)
Answer: 1
level is 1.8 mg/dL (0.58 mmol/L). Which
condition most likely caused this serum
phosphorus level?


, Saunders NCLEX-RN Chapters 8, 9, 11, 46, 47, 48, 49, 54, 55
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1. Malnutrition
2. Renal insufficiency
3. Hypoparathyroidism
4. Tumor lysis syndrome
Chapter 8: The nurse is reading a pri-
mary health care provider's (PHCP's)
progress notes in the client's record and
reads that the PHCP has documented
"insensible fluid loss of approximately
800 mL daily." The nurse makes a no-
Answer: 3
tation that insensible fluid loss occurs
through which type of excretion?
1. Urinary output
2. Wound drainage
3. Integumentary output
4. The gastrointestinal tract
Chapter 8: The nurse is assigned to care
for a group of clients. On review of the
clients' medical records, the nurse deter-
mines that which client is most likely at
risk for a fluid volume deficit?
1. A client with an ileostomy Answer: 1
2. A client with heart failure
3. A client on long-term corticosteroid
therapy
4. A client receiving frequent wound irri-
gations
Chapter 8: The nurse caring for a client
who has been receiving intravenous (IV)
diuretics suspects that the client is ex-
periencing a fluid volume deficit. Which
assessment finding would the nurse note
in a client with this condition? Answer: 1
1. Weight loss and poor skin turgor
2. Lung congestion and increased heart
rate
3. Decreased hematocrit and increased
urine output