NGN ATI RN FLUID AND ELECTROLYTES ACTUAL
EXAM COMPLETE QUESTIONS AND ANSWERS 2024.
A nurse is assessing a client who has hyperkalemia. Which of the following
findingsshould the nurse expect?
• Decreased muscle strength
• Decreased gastric motility
• Increased heart rate
• Increased blood pressue - A. Decreased muscle strength
A nurse is assessing a client who is receiving hydrochlorothiazide and notes that
the client is confused and lethargic. Which of the following laboratory values
should the nurse report to the provider?
• Sodium 128 mEq/L
• Potassium 4.8 mEq/L
• Calcium 9.1 mg/dL
• Magnesium 2.0 mEq/L - A. Sodium 128 mEq/L
A nurse is assessing a client who is using PCA following a thoracotomy. The
client is short of breath, appears restless, and has respirations of 28/min. The
client's ABG resultsare pH 7.52, PaO2 89mm hg, PaCO2 28 mmHg, and HCO3
-24 mEq/L. Which of the following actions should the nurse take?
• Instruct the client to cough forcefully.
• Assist the client with ambulation.
• C. Provide calming interventions.
D. Discontinue the PCA. - C. Provide calming interventions.
A nurse is assessing a client who has a serum calcium level of 8.1 mg/dL. Which
of the following findings is the priority for the nurse to assess?
A. Deep-tendon reflexes
B. Cardiac rhythm
C. Peripheral sensation
D. Bowel sounds - B. Cardiac rhythm
,A nurse is caring for a client who is experiencing respiratory distress as a result
of acutepulmonary edema. Which of the following actions should the nurse take
first?
• Assist with intubation
• Initiate high-flow oxygen therapy
• Administer a rapid-acting diuretic
• Administer morphine IV - B. Initiate high-flow oxygen therapy
A nurse is evaluating a client who is receiving IV fluids to treat isotonic
dehydration. Which of the following laboratory findings indicates that the fluid
therapy has been effective?
• BUN 26 mg/dL
• Serum sodium 138 mEq/L
• Hct 56%
• Urine specific gravity 1.035 - B. Serum sodium 138 mEq/L
A nurse is teaching nutritional strategies to a client who has a low serum
calcium leveland an allergy to milk. Which of the following statements by the
client indicates an understanding of the teaching?
• "I will eat extra cheese because I can't drink milk."
• "I will need to avoid foods with vitamin D because I am allergic to milk."
• "I will stop taking my calcium supplements if they irritate my stomach."
• "I will add broccoli and kale to my diet." - D. "I will add broccoli and kale to
my diet."
A nurse is caring for a client who has dehydration and is receiving IV
fluids. Whenassessing for complications, the nurse should recognize
which of the following manifestations as a sign of fluid overload?
• Increased urine specific gravity
• Hypoactive bowel sounds
• C. Bounding peripheral pulses
D. Decreased respiratory rate - C. Bounding peripheral pulses
, A nurse is admitting a client who has status asthmaticus. The client's ABG
results are pH7.32, PaO2 74 mm Hg, PaCO2 56 mm Hg, and HCO3 -26 mEq/L.
The nurse should interpret these laboratory values as which of the following
imbalances?
• Respiratory acidosis
• Respiratory alkalosis
• Metabolic acidosis
• Metabolic alkalosis - A. Respiratory acidosis
A nurse is admitting a client who takes 40 mg furosemide daily for heart failure
and has experienced 3 days of vomiting. The nurse suspects hypokalemia. Which
of the following medications should the nurse prepare to administer?
• Sodium polystyrene sulfonate 30 g/day
• 0.9% sodium chloride with 10 mEq/L of potassium chloride at 100 mL/hr
• Bumetanide 8 mg/day
• 100 mL of dextrose 10% in water with 10 units of insulin - B. 0.9%
sodium chloridewith 10 mEq/L of potassium chloride at 100 mL/hr
A nurse is providing teaching for a client who has venous insufficiency of the
lowerextremities. Which of the following statements made by the client
indicates an understanding of the instructions?
• "If my stockings feel tight, I'll just roll them down for a while."
• "I'll put on my elastic stockings at the first sign of swelling."
• "When I sit down to watch television, I'll be sure to put my feet up."
• "It's okay to cross my legs as long as it's for less than an hour." - C. "When I
sit downto watch television, I'll be sure to put my feet up."
A nurse is reviewing the laboratory data on four clients. Which of the following
serum laboratory values should the nurse expect off for the client who is
experiencing 2+ pittingankle edema?
A. Sodium 138 mEq/L
B. Hematocrit 34%
C. BUN 22 mg/dL
D. Protein 9 g/L - B. Hematocrit 34%
EXAM COMPLETE QUESTIONS AND ANSWERS 2024.
A nurse is assessing a client who has hyperkalemia. Which of the following
findingsshould the nurse expect?
• Decreased muscle strength
• Decreased gastric motility
• Increased heart rate
• Increased blood pressue - A. Decreased muscle strength
A nurse is assessing a client who is receiving hydrochlorothiazide and notes that
the client is confused and lethargic. Which of the following laboratory values
should the nurse report to the provider?
• Sodium 128 mEq/L
• Potassium 4.8 mEq/L
• Calcium 9.1 mg/dL
• Magnesium 2.0 mEq/L - A. Sodium 128 mEq/L
A nurse is assessing a client who is using PCA following a thoracotomy. The
client is short of breath, appears restless, and has respirations of 28/min. The
client's ABG resultsare pH 7.52, PaO2 89mm hg, PaCO2 28 mmHg, and HCO3
-24 mEq/L. Which of the following actions should the nurse take?
• Instruct the client to cough forcefully.
• Assist the client with ambulation.
• C. Provide calming interventions.
D. Discontinue the PCA. - C. Provide calming interventions.
A nurse is assessing a client who has a serum calcium level of 8.1 mg/dL. Which
of the following findings is the priority for the nurse to assess?
A. Deep-tendon reflexes
B. Cardiac rhythm
C. Peripheral sensation
D. Bowel sounds - B. Cardiac rhythm
,A nurse is caring for a client who is experiencing respiratory distress as a result
of acutepulmonary edema. Which of the following actions should the nurse take
first?
• Assist with intubation
• Initiate high-flow oxygen therapy
• Administer a rapid-acting diuretic
• Administer morphine IV - B. Initiate high-flow oxygen therapy
A nurse is evaluating a client who is receiving IV fluids to treat isotonic
dehydration. Which of the following laboratory findings indicates that the fluid
therapy has been effective?
• BUN 26 mg/dL
• Serum sodium 138 mEq/L
• Hct 56%
• Urine specific gravity 1.035 - B. Serum sodium 138 mEq/L
A nurse is teaching nutritional strategies to a client who has a low serum
calcium leveland an allergy to milk. Which of the following statements by the
client indicates an understanding of the teaching?
• "I will eat extra cheese because I can't drink milk."
• "I will need to avoid foods with vitamin D because I am allergic to milk."
• "I will stop taking my calcium supplements if they irritate my stomach."
• "I will add broccoli and kale to my diet." - D. "I will add broccoli and kale to
my diet."
A nurse is caring for a client who has dehydration and is receiving IV
fluids. Whenassessing for complications, the nurse should recognize
which of the following manifestations as a sign of fluid overload?
• Increased urine specific gravity
• Hypoactive bowel sounds
• C. Bounding peripheral pulses
D. Decreased respiratory rate - C. Bounding peripheral pulses
, A nurse is admitting a client who has status asthmaticus. The client's ABG
results are pH7.32, PaO2 74 mm Hg, PaCO2 56 mm Hg, and HCO3 -26 mEq/L.
The nurse should interpret these laboratory values as which of the following
imbalances?
• Respiratory acidosis
• Respiratory alkalosis
• Metabolic acidosis
• Metabolic alkalosis - A. Respiratory acidosis
A nurse is admitting a client who takes 40 mg furosemide daily for heart failure
and has experienced 3 days of vomiting. The nurse suspects hypokalemia. Which
of the following medications should the nurse prepare to administer?
• Sodium polystyrene sulfonate 30 g/day
• 0.9% sodium chloride with 10 mEq/L of potassium chloride at 100 mL/hr
• Bumetanide 8 mg/day
• 100 mL of dextrose 10% in water with 10 units of insulin - B. 0.9%
sodium chloridewith 10 mEq/L of potassium chloride at 100 mL/hr
A nurse is providing teaching for a client who has venous insufficiency of the
lowerextremities. Which of the following statements made by the client
indicates an understanding of the instructions?
• "If my stockings feel tight, I'll just roll them down for a while."
• "I'll put on my elastic stockings at the first sign of swelling."
• "When I sit down to watch television, I'll be sure to put my feet up."
• "It's okay to cross my legs as long as it's for less than an hour." - C. "When I
sit downto watch television, I'll be sure to put my feet up."
A nurse is reviewing the laboratory data on four clients. Which of the following
serum laboratory values should the nurse expect off for the client who is
experiencing 2+ pittingankle edema?
A. Sodium 138 mEq/L
B. Hematocrit 34%
C. BUN 22 mg/dL
D. Protein 9 g/L - B. Hematocrit 34%
