Homeostasis: Fluids And Electrolytes | NCLEX Quiz 127

10 Questions | Total Attempts: 2852

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NCLEX Quizzes & Trivia

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.


Questions and Answers
  • 1. 
    Mang Teban has a history of chronic obstructive pulmonary disease and has the following arterial blood gas results: partial pressure of oxygen (PO2). 55 mm Hg. and partial pressure of carbon dioxide (PCO2). 60 mm Hg. When attempting to improve the client’s blood gas values through improved ventilation and oxygen therapy. which is the client’s primary stimulus for breathing?
    • A. 

      High PCO2

    • B. 

      Low PO2

    • C. 

      Normal pH

    • D. 

      Normal bicarbonate (HCO3)

  • 2. 
    A client with very dry mouth. skin and mucous membranes is diagnosed of having dehydration. Which intervention should the nurse perform when caring for a client diagnosed with fluid volume deficit?
    • A. 

      Assessing urinary intake and output

    • B. 

      Obtaining the client’s weight weekly at different times of the day

    • C. 

      Monitoring arterial blood gas (ABG) results

    • D. 

      Maintaining I.V. therapy at the keep-vein-open rate

  • 3. 
    Which client situation requires the nurse to discuss the importance of avoiding foods high in potassium?
    • A. 

      14-year-old Elena who is taking diuretics

    • B. 

      16-year-old John Joseph with ileostomy

    • C. 

      16-year-old Gabriel with metabolic acidosis

    • D. 

      18-year-old Albert who has renal disease

  • 4. 
    Genevieve is diagnosed with hypomagnesemia. which nursing intervention would be appropriate?
    • A. 

      Instituting seizure precaution to prevent injury

    • B. 

      Instructing the client on the importance of preventing infection

    • C. 

      Avoiding the use of tight tourniquet when drawing blood

    • D. 

      Teaching the client the importance of early ambulation

  • 5. 
    Which electrolyte would the nurse identify as the major electrolyte responsible for determining the concentration of the extracellular fluid?
    • A. 

      Potassium

    • B. 

      Phosphate

    • C. 

      Chloride

    • D. 

      Sodium

  • 6. 
    Jon has a potassium level of 6.5 mEq/L. which medication would nurse Wilma anticipate?
    • A. 

      Potassium supplements

    • B. 

      Kayexalate

    • C. 

      Calcium gluconate

    • D. 

      Sodium tablets

  • 7. 
    Which clinical manifestation would lead the nurse to suspect that a client is experiencing hypermagnesemia?
    • A. 

      Muscle pain and acute rhabdomyolysis

    • B. 

      Hot. flushed skin and diaphoresis

    • C. 

      Soft-tissue calcification and hyperreflexia

    • D. 

      Increased respiratory rate and depth

  • 8. 
    Lisa. a client with altered urinary function. is under the care of nurse Tine. Which intervention is appropriate to include when developing a plan of care for Lisa who is experiencing urinary dribbling?
    • A. 

      Inserting an indwelling Foley catheter

    • B. 

      Having the client perform Kegel exercises

    • C. 

      Keeping the skin clean and dry

    • D. 

      Using pads or diapers on the client

  • 9. 
    Mr. Salcedo has the following arterial blood gas (ABG) values: pH of 7.34. partial pressure of arterial oxygen of 80 mm Hg. partial pressure of arterial carbon dioxide of 49 mm Hg. and a bicarbonate level of 24 mEq/L. Based on these results. which intervention should the nurse implement?
    • A. 

      Instructing the client to breathe slowly into a paper bag

    • B. 

      Administering low-flow oxygen

    • C. 

      Encouraging the client to cough and deep breathe

    • D. 

      Nothing. because these ABG values are within normal limits.

  • 10. 
    A client is diagnosed with metabolic acidosis. which would the nurse expect the health care provider to order?
    • A. 

      Potassium

    • B. 

      Sodium bicarbonate

    • C. 

      Serum sodium level

    • D. 

      Bronchodilator

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