NCLEX Review - Week 06_Fluid & Electrolyte

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Test your knowledge on fluid and electrolyte balance in nursing with these NCLEX-style questions!

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Mrs. Ramos

United States

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NCLEX Review - Week 06_Fluid & Electrolyte


Froggy Jumps NCLEX Review - Week 06_Fluid & ElectrolyteOnline version Test your knowledge on fluid and electrolyte balance in nursing with these NCLEX-style questions! by Mrs. Ramos 1 . Which clinical manifestation is most concerning in a client with a sodium level of 120 mEq/L? a Headache and confusion b Increased thirst c Muscle cramps 2 A nurse reviews the ECG of a client with hyperkalemia. Which abnormality is most concerning? a Flattened T waves b Peaked T waves c Prolonged QT interval 3 A client is receiving IV furosemide. Which electrolyte value should be reported immediately? a Potassium 2.9 mEq/L b Sodium 140 mEq/L c Bicarbonate 24 mEq/L 4 Which intervention is appropriate for a client with a potassium level of 6.5 mEq/L? a Start potassium infusion b Apply cardiac telemetry only c Administer sodium polystyrene sulfonate 5 Which symptom is most concerning in a client with severe hypokalemia? a Muscle cramps b Nausea c Irregular heartbeat 6 Which physical assessment finding is associated with hypocalcemia? a Tingling and positive Trousseau’s sign b C. Bradycardia and hypotension c Increased urinary output 7 Which lab value confirms hypocalcemia? a Calcium 10.2 mg/dL b Potassium 4.5 mEq/L c Calcium 8.0 mg/dL 8 Which electrolyte imbalance can result from chronic use of antacids containing magnesium? a Hypernatremia b Hypermagnesemia c Hyperkalemia 9 What is the most concerning finding in a client with hypermagnesemia? a Decreased deep tendon reflexes b Increased reflexes c Hypotension and tachycardia 10 Which intervention is appropriate for a client with hypomagnesemia? a Administer calcium gluconate IV b Restrict fluid intake c Start magnesium sulfate IV as ordered 11 Which assessment finding is most consistent with fluid volume overload? a Weight gain and crackles in lungs b Increased urine output and tachycardia c Decreased blood pressure 12 What is the best indicator of fluid volume status in a client receiving IV fluids? a Skin turgor b Daily weight c Heart rate 13 Which clinical sign suggests fluid volume deficit? a Bounding pulse b Tachycardia and hypotension c Tachycardia and hypotension 14 A client has third-spacing of fluids. What is the priority nursing assessment? a Monitor blood pressure and urine output b Check for facial swelling c Assess pupillary response 15 A client with burns has been NPO for 24 hours. What IV fluid is most appropriate initially? a D5W b 0.45% sodium chloride c 0.9% normal saline 16 Which IV fluid is hypertonic? a 0.45% sodium chloride b 3% sodium chloride c 0.9% sodium chloride 17 What is the nurse’s priority before initiating potassium chloride IV therapy? a Check for edema b Ensure the client has voided c Administer diuretics 18 Which client would benefit from hypotonic fluid therapy? a Client with cerebral edema b Client with hypernatremia and cellular dehydration c Client with low blood pressure and confusion 19 What is a key safety measure when administering IV magnesium sulfate? a Monitor platelet count daily b Restrict oral fluids c Keep calcium gluconate at the bedside 20 Which lab value must be monitored in a client receiving large volumes of isotonic saline? a Chloride and sodium b Serum calcium c Hematocrit

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NCLEX Review - Week 06_Fluid & Electrolyte

Froggy Jumps

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NCLEX Review - Week 06_Fluid & ElectrolyteOnline version

by Mrs. Ramos

. Which clinical manifestation is most concerning in a client with a sodium level of 120 mEq/L?

A nurse reviews the ECG of a client with hyperkalemia. Which abnormality is most concerning?

A client is receiving IV furosemide. Which electrolyte value should be reported immediately?

Which intervention is appropriate for a client with a potassium level of 6.5 mEq/L?

Which symptom is most concerning in a client with severe hypokalemia?

Which physical assessment finding is associated with hypocalcemia?

Which lab value confirms hypocalcemia?

Which electrolyte imbalance can result from chronic use of antacids containing magnesium?

What is the most concerning finding in a client with hypermagnesemia?

Which intervention is appropriate for a client with hypomagnesemia?

Which assessment finding is most consistent with fluid volume overload?

What is the best indicator of fluid volume status in a client receiving IV fluids?

Which clinical sign suggests fluid volume deficit?

A client has third-spacing of fluids. What is the priority nursing assessment?

A client with burns has been NPO for 24 hours. What IV fluid is most appropriate initially?

Which IV fluid is hypertonic?

What is the nurse’s priority before initiating potassium chloride IV therapy?

Which client would benefit from hypotonic fluid therapy?

What is a key safety measure when administering IV magnesium sulfate?

Which lab value must be monitored in a client receiving large volumes of isotonic saline?