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NCLEX Questions: Fluid & Electrolytes
(Questions 1-60) Questions and Correct
Solutions Updated 2025 A Grade
A 12 year old boy was admitted in the hospital two days ago due to hyperthermia. His attending nurse, Dennis, is quite unsure about his plan of care. Which of the following nursing interventions should be included in the car of plan for the client? - ANSRoom temperature For patients with hyperthermia, reducing the room temperature may help decrease the body temperature. A 22 year old lay is displaying facial grimaces during her treatment in the hospital due to burn trauma. Which nursing intervention should included for reducing pain due to cellular injury? - ANSAdministering anti-inflammatory agents as prescribed A 36 year old male client is about to be discharged from the hospital after 5 days due to surgery. Which intervention should be included in the home health care nurse's instructions about measures to prevent constipation. - ANSInstructing the client to fill a 2-L bottle with water every night & drink it the next day. Adequate fluids & fiber in diet are key to preventing constipation.
A client is diagnosed with metabolic acidosis, which would the nurse expect the health care provider to order? - ANSSodium bicarbonate A client with very dry mouth, skin, & mucous membranes is diagnosed of having dehydration. Which intervention should the nurse perform when caring for a client diagnosed with fluid volume deficit? - ANSAssessing urinary intake & output A patient in which of the following disorders is at high risk to develop hypermagnesemia? - ANSRenal failure A patient with tented skin integrity, dry mucous membranes, & decreased urinary output is under nurse Mark's care. Which nursing intervention should be included the care of plan of Mark for his patient? - ANSAdministering IV & oral fluids A rise in arterial pressure causes the baroreceptors & stretch receptors to signal an inhibition of the sympathetic nervous system, resulting in - ANSIncreased urine output Aldosterone secretion in response to fluid loss will result in which one of the following electrolyte imbalances? - ANSHypokalemia Dietary recommendations for a patient with a hypotonic fluid excess should include - ANSIncreased sodium intake
Josh is receiving furosemide & digoxin, which lab data would be the most important to assess in planning the care for the client? - ANSPotassium level Diuretics such as furosemide may deplete serum potassium, leading to hypokalemia. Khaleesi is admitted in the hospital due to having lower than normal potassium levels in her bloodstream. Her medical history reveals vomiting & diarrhea prior to hospitalization. Which foods should the nurse instruct the client to increase? - ANSOrange juice & bananas Lab tests revealed that patient Z's (Na+) is 170 mEq/L. Which clinical manifestation would nurse Natty expect to assess? - ANSTented skin turgor & thirst This is an example of hypernatremia Lee Angela's lab test just revealed that her chloride level is 96 mEq/L. As a nurse, you would interpret this serum chloride level as: - ANSWithin normal range Lisa, a client with altered urinary function, is under the care of nurse Tine. Which intervention is appropriate to include when developing a plan for care for Lisa, who is experiencing urinary dribbling? - ANSHaving the client perform kegal exercises
Mang Rogelio, a 32 year old patient is about to be discharged from the acute care setting. Which nursing intervention is the most important to include in the plan of care? - ANSHome environment evaulation Mang Teban has a history of COPD & has the following ABG results: partial pressure of oxygen (PO2), 55 mm Hg, & partial pressure of carbon dioxide (PCO2), 60 mm Hg. When attempting to improve the client's blood gas values through improved ventilation & oxygen therapy, which is the clients primary stimulus for breathing? - ANSLow PO Marie Joy's lab test revealed that her serum calcium is 2.5 mEq/L. Which assessment data does the nurse document when a client diagnosed with hypocalcemia develops a carpopedal spasm after the blood-pressure cuff is inflated? - ANSPositive Trousseau's sign Mary Jean, a first year nursing student, was rushed to the clinic department due to hyperventilation. Which nursing intervention is the most appropriate for the client who is subsequently developing respiratory alkalosis? - ANSEncouraging slow, deep breaths Maya who is admitted in a hospital, is scheduled to have her general checkup & physical assessment. Nurse Tim observed a reddened area over her left hip. Which should the nurse do first? - ANSTurn the client to the right for 2 hours.
Nurse John Joseph is totaling the intake & output for Elena Reyes, a client diagnosed with septicemia who is on a clear liquid diet. The client intakes 8 oz of apple juice, 850 ml of water, 2 cups of beef broth, & 900 ml of half- normal saline solution & outputs 1,500 ml of urine during the shift. How many ml should the nurse document as the client's intake? - ANS2, Nurse Katee is caring for Adam, a 22 year old client in a long term facility. Which nursing intervention would be appropriate when identifying nursing interventions aimed at promoting & preventing contractures? - ANS- Maintaining correct body alignment at all times.
- Using a footboard or pillows to keep feet in correct position.
- Performing active & passive range of motion exercises Nurse Martha is teaching her students about bacterial control. Which intervention is the most important factor in preventing the spread of microorganism? - ANSCorrect hand-washing technique Nursing intervention for the patient with hyperphonsphatemia include encouraging intake of: - ANSAmphogel Nursing interventions for a patient with hypermangesemia include administering calcium gluconate to: - ANSAntagonize the cardiac effects of magnesium Nursing interventions for a patient with hyponatremia include - ANSRestricting fluid intake
Osmotic pressure is created through the process of - ANSDiffusion Pierro was noted to be displaying facial grimaces after nurse Kara assessed his complaints of pain rated as an 8 on a scale of 1 (no pain) to 10 (worst pain). Which intervention should the nurse do? - ANSAttempting to rule out complications before administering pain medication Respiratory regulation of acids & bases involves - ANSCarbon dioxide The nurse would analyze an arterial pH of 7.46 as indicating - ANSAlkalosis The patient X is diagnosed with constipation. As a knowledgeable nurse which nursing intervention is appropriate for maintaining normal bowel movement? - ANSAssessing dietary intake The physician has ordered IV replacement of potassium for a patient with severe hypokalemia. The nurse would administer this: - ANSDiluted in 100 cc over 1 hour To determine if a patient's respiratory system is functioning, the nurse would assess which of the following parameters: - ANSArterial blood gas An ABG will indicate CO2 & O2 levels Tom is ready to be discharged from the med-surg unit after 5 days of hospitalization. Which client statement indicates to the nurse that Tom
Which client situation requires the nurse to discuss the importance of avoiding foods high in potassium? - ANS18 year old Albert who has renal disease Clients with renal disease are predisposed to hyperkalemia & should avoid foods high in potassium. Which clinical manifestation would lead the nurse to suspect that a client is experiencing hypermagnesemia? - ANSHot, flushed skin & diaphoresis Which electrolyte would the nurse identify as the major electrolyte responsible for determining the concentration of extracellular fluid? - ANSSodium Which of the following conditions is an equal decrease of extracellular fluid (ECF) solute & water volume? - ANSIsotonic FVD Which of the following conditions is associated with elevated serum chloride levels? - ANSEclampsia Which of the following findings would the nurse expect to assess in a patient with hypokalemia? - ANSHyporeflexia Which of the following findings would the nurse expect to assess in hypercalcemia? - ANSUrinary calculi
Which of the following intravenous solutions would be appropriate for a patient with severe hyponatremia secondary to syndrome of inappropriate antidiuretic hormone (SIADH)? - ANSHypertonic solution Which of the following is not an appropriate nursing intervention for a patient with hypercalcemia? - ANSAdministering calcium glucontate Which of the following is the most important physical assessment parameter the nurse would consider when assessing fluid & electrolyte imbalance? - ANSCardiac rate & rhythm
