Questions and Answers Already Passed

1

NCLEX - Fluid & Electrolyte Imbalances Questions and Answers Already Passed

Which condition is most likely to cause hyperkalemia?

• Diuretic therapy
• Renal failure
• Hypothyroidism
• Chronic diarrhea

✔✔ B. Renal failure

A patient with hypovolemia is receiving IV fluids. What is the best indicator of fluid volume restoration?

• Decreased heart rate
• Increased blood pressure
• Increased urine output
• Decreased body temperature

✔✔ C. Increased urine output

A nurse is caring for a patient with respiratory acidosis. What is the priority action? 1 / 3

2

• Administer sodium bicarbonate
• Increase fluid intake
• Monitor for signs of hyperkalemia
• Encourage deep breathing exercises

✔✔ D. Encourage deep breathing exercises

A patient with a serum calcium level of 7.5 mg/dL is at risk for which complication?

• Muscle cramps
• Seizures
• Cardiac arrhythmias
• Constipation

✔✔ B. Seizures

Which intervention should the nurse implement for a patient with hypercalcemia?

• Administer calcium supplements
• Increase dietary calcium intake
• Encourage fluid intake to prevent kidney stones
• Provide magnesium supplements 2 / 3

3

✔✔ C. Encourage fluid intake to prevent kidney stones

A patient is receiving potassium chloride for hypokalemia. Which of the following should the nurse monitor?

• Blood pressure
• Serum calcium levels
• Electrocardiogram (ECG)
• Respiratory rate

✔✔ C. Electrocardiogram (ECG)

A patient with heart failure has a low serum sodium level. What intervention should the nurse prioritize?

• Increase fluid intake
• Restrict fluid intake
• Administer sodium chloride
• Administer potassium chloride

✔✔ B. Restrict fluid intake

• / 3