NURS470 Exam Actual Exam Questions with Correct

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NURS470 Exam/ Actual Exam Questions with Correct Answers/ Latest -

Where are third-spaced fluids most commonly located?

• joints
• a serous cavity
• the cranial vault
• interstitial fluid - ANSWER - B. a serous cavity

Which statement is correct regarding extracellular fluid volume deficit?

• it can lead to transcellular expansion
• it can lead to intracellular expansion
• it is associated with low serum osmolality
• it is associated with high serum osmolality - ANSWER - D. it is associated with high serum osmolality

Which IV solution is commonly used for clients who have intravascular dehydration?

• lactated ringers
• 0.45% normal saline
• 2.5% dextrose
• 3% normal saline - ANSWER - A. lactated ringers

Which IV solution can cause cells to expand and burst, resulting in cellular destruction?

• 0.9% normal saline

B. D10W

• 0.45% normal saline 1 / 4

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• lactated ringers - ANSWER - C. 0.45% normal saline

Which assessments are consistent with fluid volume excess? Select all that apply:

• weight loss
• elevated central venous pressure
• elevated BP
• sinus bradycardia
• decreased hematocrit - ANSWER - B. elevated central venous pressure
• elevated BP
• decreased hematocrit

Treatment for fluid volume excess may include restricting which intake? Select all that apply:

• fluids
• protein
• carbs
• sodium
• fats - ANSWER - A. fluids
• sodium

Which drug inhibits resorption of sodium and chloride in the loop of Henle?

• furosemide
• spironolactone
• hydrochlorothiazide
• no drugs work in this area - ANSWER - A. furosemide

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pg. 3 Which client outcome would be appropriate for a client who is experiencing fluid volume excess? Select

all that apply:

• CVP within normal range for client
• weight gain of 2-3%
• balanced intake and output
• BUN within acceptable limits
• pulse rate below 60 bpm - ANSWER - A. CVP within normal range for client
• balanced intake and output
• BUN within acceptable limits

Hyponatremia is associated with which symptom?

• edema
• hyperreflexia
• lethargy
• restlessness - ANSWER - C. lethargy

Clients with severe hyponatremia may require IV fluids. Which type of IV fluid would the nurse expect to be ordered to treat severe hyponatremia?

• isotonic
• hypotonic
• hypertonic
• lactated ringers - ANSWER - C. hypertonic

Hypernatremia can be caused by which conditions? Select all that apply:

• hyperthyroidism
• profuse diuresis
• cushing syndrome
• diabetes insipidus
• fever - ANSWER - B. profuse diuresis 3 / 4

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• cushing syndrome
• diabetes insipidus
• fever

What is a sign of hypernatremia?

• diarrhea
• muscle twitching
• stomach cramps
• decreased muscle tone - ANSWER - B. muscle twitching

What are common causes of hypocalcemia in high-acuity clients? Select all that apply:

• administration of large amounts of stored blood
• hypoparathyroidism
• acute pancreatitis
• malignancy
• sepsis - ANSWER - A. administration of large amounts of stored blood
• hypoparathyroidism
• sepsis

Rapid infusion of IV calcium can result in which manifestations? Select all that apply:

• tachycardia
• hypertension
• cardiac arrest
• hypotension
• fever - ANSWER - C. cardiac arrest
• hypotension

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