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Fluid 2

54 Questions  I  By Justin82
Fluid 2
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1.          1.   When an excess of body fluid exists in the intravascular compartment, all of the following signs can be expected except:
A.
B.
C.
D.
2.          2.   A homeless client is brought into the emergency department with indications of extremely poor nutrition. Arterial blood gas levels are assessed, and the nurse anticipates that this client will demonstrate which of the following results?
A.
B.
C.
D.
3.          3.   When a client’s serum sodium level is 120 mEq/L, the priority nursing assessment is to monitor the status of which body system?
A.
B.
C.
D.
4.          4.   An 8-year-old is admitted to the pediatric unit with pneumonia. On assessment the nurse notes that the child is warm and flushed, is lethargic, has difficulty breathing, and has moist rales. The nurse determines that the child is suffering from:
A.
B.
C.
D.
5.          5.   Arterial blood gas levels are obtained for the client. If the client’s results are pH 7.48, CO2 42 mm Hg, and HCO3 32 mEq/L, the client is exhibiting which one of the following acid-base imbalances?
A.
B.
C.
D.
6.          6.   The nurse is aware that the compensating mechanism that is most likely to occur in the presence of respiratory acidosis is:
A.
B.
C.
D.
7.          7.   Of all of the following clients, the nurse recognizes that the individual who is most at risk for a fluid volume deficit is:
A.
B.
C.
D.
8.          8.   A client experiences a loss of intracellular fluid. The nurse anticipates that the intravenous (IV) therapy that will be used to replace this type of loss is:
A.
B.
C.
D.
9.          9.   The client has been experiencing right flank and lower back pain. Which of the following laboratory values would be most desirable for the nurse to obtain based on the client’s assessment?
A.
B.
C.
D.
10.        10.   The health care provider orders 1000 mL of D5LR with 20 mEq KCl to run for 8 hours. Using an infusion set with a drop factor of 15 gtt/mL, the nurse calculates the flow rate to be:
A.
B.
C.
D.
11.        11.   The nurse will be starting a new intravenous infusion and needs to select the site for the insertion. In selection of a site, the nurse should:
A.
B.
C.
D.
12.        12.   A client has intravenous therapy for the administration of antibiotics and is stating that the “IV site hurts and is swollen.” Which of the following information assessed on the client indicates the presence of phlebitis, as opposed to infiltration?
A.
B.
C.
D.
13.        13.   A client complains of a headache, nausea, and vomiting during a blood transfusion. Which one of the following actions should the nurse take immediately?
A.
B.
C.
D.
14.        14.   For a client with a nursing diagnosis of excess fluid volume, the nurse is alert to which one of the following signs and symptoms?
A.
B.
C.
D.
15.        15.   A client is currently taking Lasix and digoxin. As a result of the medication regimen, the nurse is alert to the presence of:
A.
B.
C.
D.
16.        16.   A rapid infusion of citrated blood has been given to the client. The nurse observes for:
A.
B.
C.
D.
17.        17.   For a child who has ingested the remaining contents of an aspirin bottle, the nurse suspects signs and symptoms consistent with:
A.
B.
C.
D.
18.        18.   The single best indicator of fluid status is the nurse’s assessment of the client’s:
A.
B.
C.
D.
19.        19.   An IV solution of 125 mL is to be infused over a 1-hour period. A microdrip infusion set will be used. The nurse calculates the infusion rate as:
A.
B.
C.
D.
20.        20.   A client is admitted to the hospital with a diagnosis of adrenal insufficiency. In preparing to complete the admission history, the nurse anticipates that the client will have experienced:
A.
B.
C.
D.
21.        21.   In reviewing the results of the client’s blood work, the nurse recognizes that the unexpected value that should be reported to the health care provider is:
A.
B.
C.
D.
22.        22.   The nurse anticipates that the client with a fluid volume excess will manifest a(n):
A.
B.
C.
D.
23.        23.   The nurse recognizes that the client, based on the imbalance that is present, will require fluid replacement with isotonic solution. One of the isotonic solutions that may be ordered by the health care provider is:
A.
B.
C.
D.
24.        24.   A client has severe anemia and will be receiving blood transfusions. The nurse prepares and begins the infusion. Ten minutes after the infusion has begun, the client develops tachycardia, chills, and low back pain. After stopping the transfusion, the nurse should:
A.
B.
C.
D.
25.        25.   A client is prescribed 0.9% sodium chloride (normal saline), which is an isotonic solution. The nurse recognizes the primary goal of such intravenous therapy is to:
A.
B.
C.
D.
26.        26.   A client is prescribed 3% sodium chloride, which is a hypertonic solution. The nurse recognizes the primary goal of such intravenous therapy is to:
A.
B.
C.
D.
27.        27.   A client is prescribed 0.45% sodium chloride, which is a hypotonic solution. The nurse recognizes the primary goal of such intravenous therapy is to:
A.
B.
C.
D.
28.        28.   The nurse recognizes which of the following clients is at the greatest risk for dehydration?
A.
B.
C.
D.
29.        29.   Which of the following clients is at greatest risk for insensible water loss?
A.
B.
C.
D.
30.        30.   Which of the following foods will have the greatest impact on the water balance of the person consuming it?
A.
B.
C.
D.
31.        31.   Which of the following foods will have the greatest impact on the heart’s conductivity of the person consuming it?
A.
B.
C.
D.
32.        32.   Which of the following foods will have the greatest impact on the blood-clotting mechanism of the person consuming it?
A.
B.
C.
D.
33.        33.   Which of the following foods will have the greatest impact on the neurochemical activity of the person consuming it?
A.
B.
C.
D.
34.        34.   Which of the following clinical assessment findings is most likely seen in a client experiencing partial-thickness burns over 35% of the body as a result of hyponatremia?
A.
B.
C.
D.
35.        35.   Which of the following clinical assessment findings is most likely seen in a client experiencing hypernatremia as a result of diabetes insipidus?
A.
B.
C.
D.
36.        36.   Which of the following clinical assessment findings is most likely seen in a client experiencing hypokalemia as a result of the misuse of potassium-wasting diuretics?
A.
B.
C.
D.
37.        37.   Which of the following clinical assessment findings is most likely seen in a client experiencing hyperkalemia as a result of adrenal insufficiency?
A.
B.
C.
D.
38.        38.   A client who takes furosemide presents at the emergency department with weakness and fatigue and complains of nausea and vomiting for 3 days. Upon assessment, the nurse finds that the client has decreased bowel sounds and ECG abnormalities including a flattened T wave and flattened ST segment. The nurse knows that these are signs of:
A.
B.
C.
D.
39.        39.   A mother brings her 2-year-old daughter to the clinic with a 2-day history of a fever of unknown origin. The mother explains to the nurse that the air conditioning in her apartment is not working and it has been very hot; her daughter has been vomiting for 2 days and has had a fever, and the child is lethargic. The child’s rectal temperature is 101.1° F. The nurse knows the child is probably dehydrated and should do which of the following first?
A.
B.
C.
D.
40.        40.   The nurse is caring for a 73-year-old female client who is 3 days postoperative for a bowel obstruction. The nurse knows that the stress response of surgery causes fluid-balance changes in the second to fifth postoperative day, when aldosterone, glucocorticoids, and antidiuretic hormone (ADH) are increasingly secreted, causing sodium and chloride retention and potassium excretion. Because of this, it is important for the nurse to closely monitor:
A.
B.
C.
D.
41.        41.   Which of the following clients is most at risk for fluid volume deficit?
A.
B.
C.
D.
42.        42.   A 66-year-old female client is admitted to the hospital with diabetic ketoacidosis. The client has a running IV line through which she receives her medications and fluid maintenance. Which of the following would not be counted on the daily intake and output (I&O)?
A.
B.
C.
D.
43.        43.   A client with transient atrial fibrillation has been taking 83 mg of aspirin daily for the past 3 years. When preparing the client for discharge from the hospital, the nurse discontinues his IV line. In order to prevent a hematoma, the nurse needs to hold pressure on the IV site for:
A.
B.
C.
D.
44.        44.   The nurse is preparing to replace a bag of IV fluids for a client receiving fluid therapy. When assessing the client, the nurse notes that the IV solution is not dripping. Which of the following should the nurse do to assess the patency of the site?
A.
B.
C.
D.
45.        45.   A client has been hospitalized following a myocardial infarction. The client has an IV line running with multiple drips. The nurse assesses the client’s medical record to determine the last time the IV tubing was changed, because the nurse knows that the Centers for Disease Control and Prevention (CDC) recommends that IV tubing be changed:
A.
B.
C.
D.
46.        46.   The nurse is assessing the client with an IV line. The nurse notes that the IV insertion site is red, edematous, and painful. The nurse’s first action should be to:
A.
B.
C.
D.
47.        47.   Blood replacement or transfusion is the IV administration of whole blood or a component such as plasma, packed red blood cells (RBCs), or platelets. The minimum gauge IV cannula necessary for administering a blood transfusion is:
A.
B.
C.
D.
48.        48.   The nurse is discontinuing a client’s IV line in preparation for the client’s discharge home. Upon withdrawing the cannula from the peripheral site, the nurse notes that the tip of the cannula is missing. The first thing that the nurse should do is:
A.
B.
C.
D.
49.          1.   A client with partial-thickness burns over 40% of the body is likely to lose body fluid via: (Select all that apply.)
A.
B.
C.
D.
E.
F.
50.          2.   A client experiencing respiratory alkalosis as a result of asthma is likely to present with which of the following clinical signs? (Select all that apply.)
A.
B.
C.
D.
E.
F.
51.          3.   A client experiencing respiratory acidosis as a result of pneumonitis is likely to present with which of the following clinical signs? (Select all that apply.)
A.
B.
C.
D.
E.
F.
52.          4.   A client experiencing diabetic ketoacidosis is likely to present with which of the following clinical signs? (Select all that apply.)
A.
B.
C.
D.
E.
F.
53.          5.   A client experiencing acute congestive heart failure (CHF) is likely to present with which of the following clinical signs? (Select all that apply.)
A.
B.
C.
D.
E.
F.
54.          6.   Which of the following clients is at risk for fluid, electrolyte, and acid-base imbalances? (Select all that apply.)
A.
B.
C.
D.
E.
F.
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