Fluid And Electrolyte Imbalance MCQ Quiz
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Do you have any knowledge about fluids and electrolyte imbalance? Try this 'Fluid and electrolyte imbalance' quiz that is given here, and you'll get to test your understanding of this topic. Electrolyte imbalance (also termed water-electrolyte imbalance) can be described as an abnormality in the concentration of electrolytes in the body that occurs when the body has too much or too little water. Do you wish to check your knowledge further? Give this quiz a try!
- 1.Three reasons for IV fluid use is:
- A.
Maintain daily body fluid requirements
- B.
Restore with the anticipation of fluid loss
- C.
Replace current body fluid losses
- D.
All the above
- E.
Restore previous body fluid losses
- 2.A solution that is similar to the osmolality of plasma that will cause no cell damage, it is called:
- A.
Hypotonic
- B.
Normal Saline
- C.
Isotonic
- D.
Hypertonic
- 3.Can the use of isotonic IV fluids cause problems?
- A.
Yes
- B.
No
- 4.A solution that is lower in osmolality of plasma that will cause a cell to swell, it is called:
- A.
Hyportonic
- B.
Normal Saline
- C.
Isotonic
- D.
Hypertonic
- 5.A nurse understands hypotonic solutions when the nurse states:
- A.
Cells that need to be "dried" out are best served by this solution.
- B.
A pt that has had diuretic therapy (DKA) will benefit from replacing cellular fluid.
- C.
This type of fluid helps with renal problems of over drying cells.
- D.
This type of fluid helps release more NA through the renal system by extracting excess water from the cells.
- 6.Which type of fluid can cause ICP and 3rd spacing problems along with water intoxication?
- A.
Isotonic
- B.
Hypertonic
- C.
Normal Saline
- D.
Hypotonic
- 7.Nick has had surgery and is having post op edema. Which solution would you expect, as the nurse, to see being used for Nick?
- A.
Isotonic
- B.
Hypertonic
- C.
Hypotonic
- D.
Normal Saline
- 8.A nurse understands the danger or hypertonic solutions and hypernatremia when the nurse states:
- A.
Hypertonic solutions could rob the cells of Na.
- B.
Hypertonic solutions could increase the level of Na even more.
- C.
Hypertonic solutions will not affect the Na in cells.
- 9.Which condition needs extra assessment when considering hypertonic solutions?
- A.
Respiratory
- B.
Renal
- C.
Heart
- D.
Liver
- 10.Serum Na is what?
- A.
Regulated by BP and kidney perfusion
- B.
Regulated by hormones such as aldosterone and ADH
- C.
Reflects the blood osmolality
- D.
Not affected by K pumps.
- E.
All the above
- 11.Hypernatremia can be caused by:
- A.
Diabetes insipidous
- B.
Diarrhea
- C.
Excess sweating
- D.
High fever
- E.
Heatstroke
- 12.Hyponatremia GI losses include:
- A.
Emisis
- B.
NG suctioning
- C.
Burns
- D.
Diarrhea
- E.
Diuretics
- 13.When giving an enema or tube feeding with tap water, what concern is there?
- A.
Hyponatremia
- B.
Hypernatremia
- C.
Caridovascular overload
- D.
It is preferable to use tap water.
- 14.K is important for what functions?
- A.
Renal function
- B.
Muscle function
- C.
Insulin
- D.
Fat regulation
- E.
Protein regulation
- 15.A nurse understand K and IV infusion when the nurse states:
- A.
Improperly mixed bags can cause K problems.
- B.
Should never be infused into a pt.
- C.
To fast an infusion can cause problems.
- D.
Every K IV order should be double checked with the MD.
- 16.A nurse understands K and renal function when the nurse states:
- A.
The use of non sparring diuretics helps promote K health.
- B.
Urine promotion helps to clear K.
- C.
Renal failure decreases the amount of K.
- D.
K is vital to renal function.
- 17.Why is insulin good for K regulation?
- A.
Keeps K from being moved out of the cells.
- B.
Insulin neutralizes K.
- C.
K promotes diabetes.
- D.
K binds with insulin lowering the available K, keeping the cells healthy.
- 18.A patient is hyperkalemic, which foods are best for this patient?
- A.
Whole grain bread.
- B.
Low Na broth.
- C.
Beans and chicken.
- D.
Pudding
- 19.In pt teaching about hypokalemia, what is the most important education to be done?
- A.
Decreased consumption of bananas.
- B.
Bowel management care.
- C.
Use of rapid weight loss programs.
- D.
Increased insulin in diabetics.
- 20.How much Ca is stored in the bones?
- A.
1%
- B.
2%
- C.
95%
- D.
99%
- 21.PTH is released when Ca++ is at what level?
- A.
- B.
>9
- C.
- D.
>11
- 22.Calcitonin is released when Ca++ levels are at:
- A.
- B.
>9
- C.
- D.
>11
- 23.A nurse understand Ca and hormones when the nurse states:
- A.
Ca needs are not important to a person under 33.
- B.
Ca is stored in the liver and pancrease.
- C.
Ca needs vitamin D to be absorbed in the GI tract.
- D.
Ca needs aldosterone to be absorbed in the kidneys.
- 24.What symptoms do pts with Hyperkalemia exhibit?
- A.
Memory Loss
- B.
Vision Loss
- C.
Constipation
- D.
Poluria
- 25.Which deficiencies are linked to hypocalcemia?
- A.
PTH
- B.
Magnesium
- C.
Aldosterone
- D.
Testosterone
- E.
Vitamin D
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