CRNA Fluids Electrolytes Basics Quiz Review

39 Questions | Total Attempts: 217

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CRNA Quizzes & Trivia

CRNA nurses are regarded as advanced practice nurses and therefore held highly in the medical profession. This quiz helps you as a nurse to test your knowledge on basic fluids electrolytes and related information. All the best.


Questions and Answers
  • 1. 
    A change in the tonicity of _____ regulates ADH secretion. 
    • A. 

      ECF

    • B. 

      ICF

  • 2. 
    Adults typically require _____ mL/day of fluid.
  • 3. 
    General anesthesia increases the release of ADH, predisposing patients to hyponatremia due to increased water retention.
    • A. 

      True

    • B. 

      False

  • 4. 
    Third spacing is usually mobilized and returned to the intravascular space by post op day:
    • A. 

      0

    • B. 

      1

    • C. 

      3

    • D. 

      8

  • 5. 
    Hypovolemia can occur via polyuria, diaphoresis, and NPO status but also can be attributed to redistribution of water within the body leading to a reduced circulating volume such as with burns and third spacing.
    • A. 

      True

    • B. 

      False

  • 6. 
    PEEP is generally used for management of:
    • A. 

      Hypervolemia

    • B. 

      Hypovolemia

  • 7. 
    With hypovolemia, the dicrotic notch on the a-line tracing will ______ along the dicrotic limb.
    • A. 

      Descend

    • B. 

      Ascend

  • 8. 
    When treating hypernatremia associated with a water deficit, you should correct the Na+ level over 48 hours with a ______ solution.
    • A. 

      Hypotonic

    • B. 

      Hypertonic

    • C. 

      Isotonic

  • 9. 
    Hypernatremia increases MAC, decreases Vd (decreased dose of IV agents needed) , and decreases CO (faster onset of inhalation agents).
    • A. 

      True

    • B. 

      False

  • 10. 
    Na+ < _____ mEq/L is associated with seizures.
  • 11. 
    When treating hyponatremia, it is important to replace Na+ slowly, at a rate of 0.5-1.5 mEq/L/hr.
    • A. 

      True

    • B. 

      False

  • 12. 
    Hypokalemia is associated with which EKG changes:
    • A. 

      Flattened T waves, decreased ST segment, widened QRS

    • B. 

      Peaked T waves, increased ST segment, narrow QRS

    • C. 

      Asystole

    • D. 

      Torsades

  • 13. 
    The potential for digitalis toxicity increases with hyperkalemia.
    • A. 

      True

    • B. 

      False

  • 14. 
    Hyperventilation decreases K+.
    • A. 

      True

    • B. 

      False

  • 15. 
    An infusion of calcium, dextrose, and insulin is used for treatment of:
    • A. 

      Hyperkalemia

    • B. 

      Hypernatremia

    • C. 

      Hypokalemia

    • D. 

      TECHNICALLY....

  • 16. 
    Trousseau's and Chvostek's signs are symptoms of hypercalcemia.
    • A. 

      True

    • B. 

      False

  • 17. 
    Blood products contain _______ to inhibit clotting in storage.  This substance binds with calcium, rendering it ineffective.
  • 18. 
    Due to coagluation issues, ___ mL/kg is the maximum allowed volume of hetastarch.
  • 19. 
    What would be the total maintenance fluid rate for a 14 kg child?
  • 20. 
    What would be the total maintenance fluid rate for a 240 kg man?
  • 21. 
    Your 55 kg patient has been NPO for 6 hours - what is their NPO deficit?
  • 22. 
    1st hour½ NPO deficit (mL) + 3rd space loss (mL) + maintenance rate (mL)2nd Hour1/4th NPO deficit (mL) + 3rd space loss (mL) + Maintenance rate3rd Hour1/4th NPO deficit (mL) + 3rd space loss (mL) + Maintenance rate 4th hour and beyond3rd space loss (mL) + Maintenance rate  ( =mL/fluid/hour)
    • A. 

      True

    • B. 

      False

  • 23. 
    An 79 kg male with colon cancer presents  for an open colon resection at Grant Medical Center. He states that he has been NPO for 8 hours prior to surgery. How much fluid would you anticipate administering during the 1st hour of surgery?
  • 24. 
    Serial Hct levels will reflect acute blood loss.
    • A. 

      True

    • B. 

      False

  • 25. 
    An 45kg women with preoperative Hct of 35%.  How much loss  will decrease her to a Hct of 30%?
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