Fluids And Electrolytes Quiz Questions And Answers

52 Questions | Total Attempts: 385

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Fluid And Electrolyte Quizzes & Trivia

These are questions from previous MedSurg tests.


Questions and Answers
  • 1. 
    The patient has scabies. In addition to standard precautions, which information is most important to communicate to visitors and health care providers?
    • A. 

      Do not allow children to visit

    • B. 

      Wear gloves when entering the room

    • C. 

      Wear a mask when within 3 feet of the patient

    • D. 

      Keep head covered when providing patient care

  • 2. 
    Which patient is at greatest risk for the development of hyperkalemia?
    • A. 

      60 year old man with heart failure using a salt substitute

    • B. 

      60 year old woman taking a thiazide diuretic for hypertension

    • C. 

      40 year old woman taking NSAIDs daily for rheumatoid arthritis

    • D. 

      40 year old man with type 2 diabetes taking an oral antidiabetic agent

  • 3. 
    Which characteristics are common to all types of hypersensitivity reactions?
    • A. 

      Decreased inflammatory responses

    • B. 

      Presence of tissue damaging reactions

    • C. 

      Enhances natural killer cell activity

    • D. 

      Inability to recognize extraneous cells

  • 4. 
    The patient's radiation implant has become dislodged overnight, and the nurse finds it in the patient's bed. What will the nurse do first?
    • A. 

      Asses the patient's mental status

    • B. 

      Use tongs to place the implant into the radiation container

    • C. 

      Notify the physician and move the patient to a different room

    • D. 

      Don gloves and attempt to reposition the implant and position-holding device

  • 5. 
    The nurse is instructing the patient about management of discoid lupus erythematosus (DLE). Which statement indicates that the patient needs additional teaching?
    • A. 

      I will be sure to apply sunscreen whenever I am outside

    • B. 

      I will apply small amounts of the steroid cream to my face twice a day

    • C. 

      I will take the Plaquenil (hydroxychloroquine sulfate) with breakfast each morning

    • D. 

      I will wash my hands often and get a flu shot because the steroids will weaken my immune system

  • 6. 
    The nurse notes that the handgrip of the patient with hypokalemia has dimished since the previous assessment 1 hour ago. What is the nurse's first best action?
    • A. 

      Assess the patient's rate, rhythm, and depth of respiration

    • B. 

      Measure the patient's pulse and blood pressure

    • C. 

      Document the findings as the only action

    • D. 

      Call the emergency team

  • 7. 
    Which community-dwelling healthy person has the greatest risk for dehydration when exposed to a hot, dry enviornment for several hours?
    • A. 

      50 year old man

    • B. 

      50 year old woman

    • C. 

      80 year old man

    • D. 

      80 year old woman

  • 8. 
    The patient is taking a medication for an endocrine problem that inhibits aldosterone secretion and release. For what complications of this therapy should the nurse be alert?
    • A. 

      Dehydration, hypokalemia

    • B. 

      Dehydration, hyperkalemia

    • C. 

      Overhydration, hyponatremia

    • D. 

      Overhydration, hypernatremia

  • 9. 
    A patient has angioedema of the lower face. what will the nurse assess next?
    • A. 

      Pulse oximetry

    • B. 

      Airway patency

    • C. 

      Breath sounds

    • D. 

      Chest wall symmetry

  • 10. 
    How do the white blood cells know to respond to the site of an injury?
    • A. 

      Antibodies from damaged tissues attract the white blood cells to the site of the injury

    • B. 

      Enzymes released from bacteria attract white blood cells to the site

    • C. 

      Histamine then filters white blood cells into the injured area

    • D. 

      Chemotaxins draw white blood cells to the area

  • 11. 
    An African-American woman had a breast biopsy 1 year ago. The incision site is elevated, dark, and protruding. Which is the nurse's interpretations for these findings?
    • A. 

      The patient has formed a keloid

    • B. 

      There is a high probability that skin cancer has developed

    • C. 

      The benign breast disease has undergone malignant transformation

    • D. 

      Chronic inflammatory of deep infection has occured

  • 12. 
    A patient presents with painful, inflamed fingers with small, hard, yellow nodules that have sandy yellow drainage. Which medication will the nurse prepare to administer?
    • A. 

      Lasix (Furosemide)

    • B. 

      Allopurinol (Zyloprim)

    • C. 

      Methotrexate (Rheumatrex)

    • D. 

      Aspirin (acetysalicylic acid)

  • 13. 
    Which intervention is mose important for the nurse to teach the patient who is recovering from an allergic reaction to a bee sting?
    • A. 

      How to use an Epi Pen

    • B. 

      Obtaining and wearing a medical alert bracelet

    • C. 

      Avoiding direct contact with the offending allergen

    • D. 

      Keeping diphendydramine available

  • 14. 
    Which patient is at greatest risk for pressure ulcer development?
    • A. 

      Patient who has pneumonia

    • B. 

      Patient who requires assistance with ambulation

    • C. 

      Older patient with hypertension

    • D. 

      Incontinent patient with limited mobility

  • 15. 
    The patient has dry skin and a history of cardiovascular disease. Which is the best intervention for the nurse to teach the patient?
    • A. 

      Wear pajamas to cover your legs at night

    • B. 

      Avoid wearing stockings

    • C. 

      Increase your fluid intake to 3 L per day

    • D. 

      Bathe in warm water and then apply lotion immediately.

  • 16. 
    The nurse is instructing the patient about the management of systemic sclerosis. Which statement indicates that the patient needs additional teaching?
    • A. 

      I will let my doctor know right away if I develop a fever

    • B. 

      I will use ice packs to help relieve the aching pain in my hips and knees

    • C. 

      I will put mittens on when I am in the freezer section of the grocery store

    • D. 

      I will apply a rich moisturizer to my skin every morning after my shower

  • 17. 
    Which laboratory result indicates hyperkalemia?
    • A. 

      Serum potassium level of 3.8 mEq/L

    • B. 

      Serum potassium level of 7.8 mEq/L

    • C. 

      Serum sodium level of 138 mEq/L

    • D. 

      Serum sodium level of 148 mEq/L

  • 18. 
    The patient with hypermagnesemia has a blood pressure of 90/40, compared with the 108/80 reading obtained 1 hour earlier. What is the nurse's best first action?
    • A. 

      Assess bowel sounds and measure abdominal girth

    • B. 

      Increase the intravenous infusion rate

    • C. 

      Document the finding as the only action

    • D. 

      Notify the emergency team

  • 19. 
    What is the priority nursing diagnosis for the patient experiencing chemotherapy-induced anemia?
    • A. 

      Risk for Injury related to poor blood clotting

    • B. 

      Fatigue related to decreased cellular oxygenation

    • C. 

      Disturbed Body Image related to skin color changes

    • D. 

      Imbalanced Nutrition, Less than Body Requirements related to anorexia

  • 20. 
    What intervention will the nurse implement to provide for patient safety during intradermal allergy testing?
    • A. 

      Ensure that emergency equipment is in the room

    • B. 

      Pretreat the skin area to be tested with a cortisone-based cream

    • C. 

      Apply oxygen by mask or nasal cannula before injecting the test again

    • D. 

      Cover the examination table and pillow with plastic or an ultrafine mesh

  • 21. 
    When taking the blood pressure of a very ill patient, the nurse observes that the patient's hand undergoes flexion contractions. what is the nurse's best first action?
    • A. 

      Place the patient in the high-Fowlers position and increase the IV flow rate

    • B. 

      Deflate the blood pressure cuff and give the patient oxygen

    • C. 

      Document the finding as the only action

    • D. 

      Notify the emergency team

  • 22. 
    The nurse is told that a patient has been admitted whi is infected with measles (rubeola). How will the nurse begin to plan for the patient's care?
    • A. 

      Implementation of contact precautions

    • B. 

      Implementation of airborne precautions

    • C. 

      Implementation of droplet precautions

    • D. 

      Implementation of reverse isolation

  • 23. 
    A patient has numerous skin lesions. Which one will the nurse evaluate first?
    • A. 

      Beige freckles on the backs of both hands

    • B. 

      Irregular blue mole with white specks on the lower leg

    • C. 

      Large cluster of pustules in the right axilla

    • D. 

      Raised, tubular, white, snake-like areas on the inner aspects of the wrists

  • 24. 
    Prior to discharge, the nurse confirms that the patient understands antibiotic therapy for a wound infection by which statement?
    • A. 

      I should take the antibiotic until my temperature is normal

    • B. 

      If my temperature elevates, I should increase my dose of antibiotic

    • C. 

      In my drainage is clear, I do not need the antibiotic

    • D. 

      I need to take the medication until the prescription is finished

  • 25. 
    When evaluating the hydration status, the nurse observes tenting of the skin on the back of the 87-year old patients hand when testing skin turgor. What is the nurse's best action?
    • A. 

      Notify the physician

    • B. 

      Examine dependent body areas

    • C. 

      Assess turgor on the patient's forehead

    • D. 

      Document the finding as the only action

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