8/17/25, 8:59
AM
NUR104: FLUID AND ELECTROLYTE
IMBALANCE EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED
LATEST UPDATE GRADED A++ 2025/2026
Terms in this set (40)
An older adult client Blood pressure decreases when changing
is admitted with positions. The client may not have sufficient
dehydration. Which blood flow to the brain, causing sensations of
nursing assessment light-headedness and dizziness. This problem
data identify that the increases the risk for falling, especially in older
client is at risk for adults.
falling? Assessment of oral mucous membranes and
A. Dry oral mucous the pulse rate can detect symptoms of
membranes dehydration, but these are not the best ways to
B. Orthostatic blood assess for a fall risk. Checking serum
pressure changes potassium does not assess for fall risk.
Correct
C. Pulse rate of 72
beats/min and bounding
D. Serum potassium level
of 4.0 mEq/L
A client has a low A dose of KCl 10 mEq given over 1 hour is
1/36
,8/17/25, 8:59
AM
serum potassium level appropriate for this client. A dose of KCl 200
and is ordered a dose mEq in 1 liter of normal saline infused at 100
of parenteral mL/hr is too concentrated and can cause injury.
potassium chloride (KCl). Potassium is a severe tissue irritant and is
How does a never given by the
nurse safely administer intramuscular or subcutaneous route. Because
KCl to the client? rapid infusion of potassium can cause cardiac
A. Administers 5 mEq arrest, potassium is not administered through
intramuscularly central lines.
B. Dilutes 200 mEq in 1
liter of normal saline
and infuses at 100
mL/hr
C. Infuses 10 mEq over
a 1-hour period
Correct
D. Pushes 5 mEq through a
central access
line
2/36
,8/17/25, 8:59
AM
A client is being The nurse should educate the nursing assistant as to why
monitored for daily obtaining the client's
weights. The night nurse weight at the same time each day is important.
asks the nursing Although the nursing assistant may be hesitant to
assistant for the wake the client, assessing the client's fluid
morning weight, and balance is more important. The responses that
the assistant replies, the client needed the rest, telling the nursing
"She was sleeping so assistant to get the
well, I didn't want to information now or she'll be reported, or that the nurse
wake her to get her will get the information
weight." How does the herself do not demonstrate good leadership.
nurse respond? The assistant needs to understand the
A. "Fast thinking! She rationale for waking and weighing the
really needs to rest client. She should not be dismissed and
after the night she belittled by the nurse.
had."
B. "Get the information
now, or I'll report you
for not doing your
job."
C. "Never mind—I will do it
myself."
D. "Weigh her now. We
need her weight
daily, at the same
time." Correct
The nurse instructs an High-ceiling (loop) diuretics are potassium-
3/36
, 8/17/25, 8:59
AM
older adult client to depleting drugs. The client should increase
increase intake of intake of dietary potassium to compensate for
dietary potassium when this depletion. Alpha
the client is prescribed antagonists, beta blockers, and corticosteroids are not
which classification of potassium-depleting drugs.
drugs?
A. Alpha antagonists
B. Beta blockers
C. Corticosteroids
D. High-ceiling (loop)
diuretics Correct
The nurse is instructing Fluid retention may not be visible. Rapid weight
a client who is being gain is the best indicator of fluid retention and
discharged with a overload. Each pound of weight gained (after
diagnosis of the first half-pound)
congestive heart failure equates to 500 mL of retained water. The client
(CHF). Which client should be weighed at the same time every day
statement indicates a (before breakfast) on the same scale. The client
correct should call the health care provider if more than
understanding of CHF? 1 or 2 pounds are gained in a 24-hour period or
A. "I can gain 2 if more than 3 pounds are gained in 1 week.
pounds of water a Daily weights are not an indication of effective
day without risk." dieting for purposes of weight loss or gain. They
B. "I should call my will show fluid retention after an especially high
provider if I gain more sodium intake (in a client with fluid retention
than 1 pound a week." problems), but caloric intake is
C. "Weighing myself related to food intake rather than fluid retention
daily can determine if problems.
my caloric intake is
4/36
AM
NUR104: FLUID AND ELECTROLYTE
IMBALANCE EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED
LATEST UPDATE GRADED A++ 2025/2026
Terms in this set (40)
An older adult client Blood pressure decreases when changing
is admitted with positions. The client may not have sufficient
dehydration. Which blood flow to the brain, causing sensations of
nursing assessment light-headedness and dizziness. This problem
data identify that the increases the risk for falling, especially in older
client is at risk for adults.
falling? Assessment of oral mucous membranes and
A. Dry oral mucous the pulse rate can detect symptoms of
membranes dehydration, but these are not the best ways to
B. Orthostatic blood assess for a fall risk. Checking serum
pressure changes potassium does not assess for fall risk.
Correct
C. Pulse rate of 72
beats/min and bounding
D. Serum potassium level
of 4.0 mEq/L
A client has a low A dose of KCl 10 mEq given over 1 hour is
1/36
,8/17/25, 8:59
AM
serum potassium level appropriate for this client. A dose of KCl 200
and is ordered a dose mEq in 1 liter of normal saline infused at 100
of parenteral mL/hr is too concentrated and can cause injury.
potassium chloride (KCl). Potassium is a severe tissue irritant and is
How does a never given by the
nurse safely administer intramuscular or subcutaneous route. Because
KCl to the client? rapid infusion of potassium can cause cardiac
A. Administers 5 mEq arrest, potassium is not administered through
intramuscularly central lines.
B. Dilutes 200 mEq in 1
liter of normal saline
and infuses at 100
mL/hr
C. Infuses 10 mEq over
a 1-hour period
Correct
D. Pushes 5 mEq through a
central access
line
2/36
,8/17/25, 8:59
AM
A client is being The nurse should educate the nursing assistant as to why
monitored for daily obtaining the client's
weights. The night nurse weight at the same time each day is important.
asks the nursing Although the nursing assistant may be hesitant to
assistant for the wake the client, assessing the client's fluid
morning weight, and balance is more important. The responses that
the assistant replies, the client needed the rest, telling the nursing
"She was sleeping so assistant to get the
well, I didn't want to information now or she'll be reported, or that the nurse
wake her to get her will get the information
weight." How does the herself do not demonstrate good leadership.
nurse respond? The assistant needs to understand the
A. "Fast thinking! She rationale for waking and weighing the
really needs to rest client. She should not be dismissed and
after the night she belittled by the nurse.
had."
B. "Get the information
now, or I'll report you
for not doing your
job."
C. "Never mind—I will do it
myself."
D. "Weigh her now. We
need her weight
daily, at the same
time." Correct
The nurse instructs an High-ceiling (loop) diuretics are potassium-
3/36
, 8/17/25, 8:59
AM
older adult client to depleting drugs. The client should increase
increase intake of intake of dietary potassium to compensate for
dietary potassium when this depletion. Alpha
the client is prescribed antagonists, beta blockers, and corticosteroids are not
which classification of potassium-depleting drugs.
drugs?
A. Alpha antagonists
B. Beta blockers
C. Corticosteroids
D. High-ceiling (loop)
diuretics Correct
The nurse is instructing Fluid retention may not be visible. Rapid weight
a client who is being gain is the best indicator of fluid retention and
discharged with a overload. Each pound of weight gained (after
diagnosis of the first half-pound)
congestive heart failure equates to 500 mL of retained water. The client
(CHF). Which client should be weighed at the same time every day
statement indicates a (before breakfast) on the same scale. The client
correct should call the health care provider if more than
understanding of CHF? 1 or 2 pounds are gained in a 24-hour period or
A. "I can gain 2 if more than 3 pounds are gained in 1 week.
pounds of water a Daily weights are not an indication of effective
day without risk." dieting for purposes of weight loss or gain. They
B. "I should call my will show fluid retention after an especially high
provider if I gain more sodium intake (in a client with fluid retention
than 1 pound a week." problems), but caloric intake is
C. "Weighing myself related to food intake rather than fluid retention
daily can determine if problems.
my caloric intake is
4/36
