Fluid And Electrolyte NCLEX Quiz Questions

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Fluid And Electrolyte NCLEX Quiz Questions - Quiz

How about some fluid and electrolyte NCLEX quiz questions? Below are a few questions related to fluid and electrolyte NCLEX for you to practice as well as increase your knowledge. If you are practicing to be a nurse, you are supposed to have some information related to fluids and electrolytes that are there in the human body, and you also need to know how the food and fluids we take up come into play. Do give it a try!


Questions and Answers
  • 1. 

    You notice that in a patient who has severe burns, the fluid is starting to accumulate in that patient's abdominal tissue. There is no change in his weight, and his intake and output are equal. What is that you suspect?

    • A.

      It's normal after a burn.

    • B.

       Intravascular compartment syndrome.

    • C.

      Third spacing

    • D.

      It's somewhat normal.

    Correct Answer
    C. Third spacing
    Explanation
    In severe burns, the body's response to injury can cause fluid to shift from the intravascular space (blood vessels) to the interstitial space (spaces between cells). This is known as third spacing. Third spacing can lead to fluid accumulation in tissues, such as the abdominal tissue, without a change in weight or a significant difference in intake and output. Therefore, the presence of fluid accumulation in the abdominal tissue without any other significant changes suggests third spacing as the likely cause.

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  • 2. 

    X patient is suffering from constipation; as a nurse, according to you, which is the appropriate nursing intervention for maintaining normal bowel function?

    • A.

      Deep breathing

    • B.

      Turning and coughing.

    • C.

      Fever

    • D.

      Assessing dietary intake

    Correct Answer
    D. Assessing dietary intake
    Explanation
    Assessing dietary intake is the appropriate nursing intervention for maintaining normal bowel function in a patient suffering from constipation. By assessing the patient's dietary intake, the nurse can identify any deficiencies or excesses in fiber, fluids, and other nutrients that may be contributing to the constipation. This information can then be used to develop a personalized plan to improve the patient's bowel function, such as increasing fiber intake or recommending specific dietary changes.

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  • 3. 

    Two days ago, a 12-13 years old boy was admitted due to hyperthermia. Which nursing interventions should be chosen in the client's care plan?

    • A.

      Increasing room temperature

    • B.

      Fluid restriction of 2,000 ml/day

    • C.

      Room temperature fluctuation

    • D.

      Room temperature reduction

    Correct Answer
    D. Room temperature reduction
    Explanation
    The correct answer is room temperature reduction. Hyperthermia is a condition characterized by an elevated body temperature. In order to help the client lower their body temperature, it is important to reduce the room temperature. This can be done by adjusting the thermostat or using fans or air conditioning. By reducing the room temperature, the client's body temperature can gradually decrease, helping to alleviate the symptoms of hyperthermia.

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  • 4. 

    Soon, a 36-year-old male client will be discharged from the hospital after five days due to surgery. Which of the following intervention should be included in home health care instructions of nurses regarding measures to prevent constipation?

    • A.

      The client has to fill a 2-L bottle with water each night and drink it the next day.

    • B.

      The client has to eat more than 3 times a day.

    • C.

      The client has to establish a bowel evacuation schedule, and it should be changed every day.

    • D.

      None of these

    Correct Answer
    A. The client has to fill a 2-L bottle with water each night and drink it the next day.
    Explanation
    To prevent constipation, it is important for the client to stay hydrated. Filling a 2-L bottle with water each night and drinking it the next day ensures that the client consumes an adequate amount of water throughout the day. This helps to soften the stool and promote regular bowel movements. Drinking enough water is a simple and effective intervention to prevent constipation in post-surgery patients.

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  • 5. 

    Which of these patients is at most risk for hypomagnesemia?

    • A.

      An old person with hyperthyroidism

    • B.

      An old chronic alcoholic

    • C.

      A young person suffering from hypoglycemia

    • D.

      None of these

    Correct Answer
    B. An old chronic alcoholic
    Explanation
    An old chronic alcoholic is at most risk for hypomagnesemia because alcoholism can lead to decreased magnesium intake and absorption, increased renal excretion of magnesium, and impaired magnesium utilization. Chronic alcohol consumption can also cause malnutrition, which further increases the risk of magnesium deficiency.

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  • 6. 

    Which of these patients is at most risk for fluid volume deficiency?

    • A.

      A patient who has diarrhea for 2 days.

    • B.

      A patient who has continuous nasogastric suction

    • C.

      Both A & B

    • D.

      None

    Correct Answer
    C. Both A & B
    Explanation
    Both patients A and B are at risk for fluid volume deficiency. Patient A, who has had diarrhea for 2 days, is at risk because diarrhea can lead to excessive fluid loss and dehydration. Patient B, who has continuous nasogastric suction, is at risk because suctioning can remove stomach contents, including gastric secretions and fluids, leading to a decrease in fluid volume. Therefore, both patients are at risk for fluid volume deficiency.

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  • 7. 

    Which patient would have a potassium level = 5.5?

    • A.

      An old person who reports taking Lasix four times a day.

    • B.

      A patient  who has liver failure.

    • C.

      A patient who has Addison's disease.

    • D.

      None of these

    Correct Answer
    C. A patient who has Addison's disease.
    Explanation
    Addison's disease is a condition characterized by a deficiency of cortisol and aldosterone hormones produced by the adrenal glands. One of the functions of aldosterone is to regulate potassium levels in the body. In Addison's disease, the lack of aldosterone can lead to an increase in potassium levels, resulting in hyperkalemia. A potassium level of 5.5 is considered high, and it is likely to be seen in a patient with Addison's disease due to the impaired regulation of potassium by aldosterone.

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  • 8. 

    Which patient is at the highest risk for an electrolyte imbalance?

    • A.

      An old person with diabetes.

    • B.

      An 8-month-old having a fever of 102.3 'F and having diarrhea.

    • C.

      A 5-year-old who has RSV

    • D.

      All of these

    Correct Answer
    B. An 8-month-old having a fever of 102.3 'F and having diarrhea.
    Explanation
    An 8-month-old having a fever of 102.3 'F and having diarrhea is at the highest risk for an electrolyte imbalance. Fever and diarrhea can lead to excessive fluid loss and dehydration, which can disrupt the balance of electrolytes in the body. Electrolytes such as sodium, potassium, and chloride are essential for maintaining proper cell function and fluid balance. In infants, who have a higher ratio of body surface area to body weight, fluid and electrolyte imbalances can occur more rapidly and have more severe consequences. Therefore, the combination of fever, diarrhea, and young age puts the 8-month-old at the highest risk for an electrolyte imbalance.

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  • 9. 

    Due to burn trauma, there is a 22 years old lady showing facial grimaces at the time of her treatment in the hospital. To reduce the pain caused by cellular injury, which nursing intervention is to be used?

    • A.

      To Administer anti-inflammatory agents as prescribed.

    • B.

      Keep the skin clean.

    • C.

      Applying warm packs to reduce edema.

    • D.

      Keep the skin dry.

    Correct Answer
    A. To Administer anti-inflammatory agents as prescribed.
    Explanation
    The correct answer is to administer anti-inflammatory agents as prescribed. Facial grimaces can be a sign of pain, which is commonly experienced by burn trauma patients. Anti-inflammatory agents can help reduce pain caused by cellular injury and inflammation. Keeping the skin clean and dry is important for preventing infection, but it does not directly address the pain caused by cellular injury. Applying warm packs can help reduce edema, but it does not specifically target the pain caused by cellular injury. Therefore, administering anti-inflammatory agents as prescribed is the most appropriate nursing intervention to reduce the pain in this scenario.

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  • 10. 

    Which intervention is right to add when making a plan of care for a patient experiencing urinary dribbling?

    • A.

      To make the client perform Kegel exercises.

    • B.

      Keep the skin of the client dry and clean.

    • C.

      Using pads or diapers on the client.

    • D.

      All of these

    Correct Answer
    A. To make the client perform Kegel exercises.
    Explanation
    Kegel exercises are a suitable intervention for a patient experiencing urinary dribbling because they help strengthen the pelvic floor muscles, which can improve bladder control and reduce urinary leakage. Keeping the skin dry and clean is important for maintaining hygiene, but it does not directly address the issue of urinary dribbling. Using pads or diapers can provide temporary containment, but it does not address the underlying problem or help improve bladder control. Therefore, the most appropriate intervention is to make the client perform Kegel exercises.

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