NCLEX Fluid and Electrolytes Questions

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NCLEX Fluid and Electrolytes Questions and Answers 100% Pass

A patient with hyperkalemia should be monitored for which complication?Tachycardia Bradycardia ✔✔ Irregular heart rhythm Hypertension

A patient is experiencing respiratory alkalosis. What will the body do to compensate?✔✔ The kidneys will excrete bicarbonate The lungs will retain carbon dioxide The kidneys will retain hydrogen ions The body will not compensate

In a patient with hypovolemia, which of the following is expected?Confusion ✔✔ Increased heart rate Decreased blood pressure 1 / 4

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Normal urine output

A nurse is caring for a patient with hypernatremia. Which symptom would be most concerning?Dry mouth ✔✔ Confusion Muscle weakness Edema

Which of the following is the most common cause of hyponatremia in hospitalized patients?Heart failure Kidney disease ✔✔ Excessive water intake Use of diuretics

A patient with hypomagnesemia is likely to experience which of the following?Severe thirst ✔✔ Muscle twitching Nausea 2 / 4

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Tachycardia

A patient presents with dry skin, confusion, and increased thirst. The nurse suspects hypernatremia. Which of the following would be a priority intervention?Encouraging increased sodium intake ✔✔ Administering IV fluids with a lower sodium concentration Administering potassium supplements Increasing the patient's oral intake of water

In a patient with metabolic acidosis, what compensatory action is the body likely to take?✔✔ Increased respiratory rate to expel carbon dioxide Increased urine excretion of sodium Decreased respiratory rate to retain carbon dioxide Retention of sodium in the kidneys

Which electrolyte imbalance is most commonly associated with muscle weakness and fatigue?✔✔ Hypokalemia Hypercalcemia 3 / 4

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Hyperkalemia Hyponatremia

A nurse is caring for a patient with hypercalcemia. What clinical finding would the nurse most likely observe?✔✔ Decreased deep tendon reflexes Muscle twitching Increased heart rate Tetany

For a patient with hypokalemia, which of the following ECG changes is likely to be seen?Tall T waves ✔✔ Flattened T waves Widened QRS complex Increased P wave amplitude

In which of the following conditions would you most likely see a positive Chvostek's sign?Hyperkalemia

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