Fluid & Electrolyte NCLEX Quiz

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Patient-centered care & labs

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Shane T

United States

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Fluid & Electrolyte NCLEX Quiz


Froggy Jumps Fluid & Electrolyte NCLEX QuizOnline version Patient-centered care & labs by Shane T 1 A 78-year-old patient with CKD presents with edema and a high BP. Which lab pattern most supports fluid volume excess (hypervolemia)? a Elevated BUN with normal or low hematocrit alongside edema b High hematocrit with dehydration signs c Low BUN with dehydration symptoms 2 A patient shows confusion and dry mucous membranes with Na+ 152 mEq/L. Which intervention best addresses this hypernatremia while centering patient needs? a Restrict all fluids without assessment b Give hypertonic saline immediately c Administer isotonic IV fluids and provide fluids education 3 During shift report, a patient on diuretics has K+ 2.8 mEq/L. What is the priority nursing action? a Administer oral potassium without order b Notify provider and prepare potassium replacement with ECG monitoring c Delay care until next shift 4 A patient’s pH is 7.32 with HCO3- 18 mEq/L. Which acid-base disturbance is most likely, and what’s a key patient-centered management? a Metabolic acidosis; hydrate and treat underlying cause b Metabolic alkalosis; administer bicarbonate without assessment c Respiratory alkalosis; slow breathing exercises 5 Calcium is 6.8 mg/dL with perioral numbness. Which intervention aligns with patient safety and education? a Discontinue all IV fluids immediately b Encourage more dietary calcium only, no monitor c Prepare calcium replacement and monitor signs of tetany 6 A patient with SIADH has low serum Na+ and high urine osmolality. What is a patient-centered nursing priority? a Fluid restriction and daily weight monitoring b Give hypotonic saline to correct Na+ quickly c Encourage unlimited fluids to relieve thirst 7 Which finding best indicates a balanced acid-base compensation in a patient with metabolic acidosis? a Partial respiratory compensation with increased breathing rate b No respiratory change c Complete metabolic compensation without ventilatory changes 8 A postop patient has hypomagnesemia (Mg2+). What is a key safety consideration? a Only check Mg once per shift b Ignore Mg status if asymptomatic c Monitor BP, HR, respiratory status due to risk of dysrhythmias 9 Which teaching point best supports patient-centered care for dehydration management? a Advise complete fluid restriction until stable b Provide IV fluids without involving patient in plan c Explain oral rehydration options and monitor weight changes 10 Potassium replacement is ordered. What critical safety step must you take? a Dilute IV K+ and never push; monitor ECG closely b Push K+ slowly to speed correction c Give K+ as the first option before fluids

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Fluid & Electrolyte NCLEX Quiz

Froggy Jumps

About this activity

Created by

Download the paper version to play

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Fluid & Electrolyte NCLEX QuizOnline version

by Shane T

A 78-year-old patient with CKD presents with edema and a high BP. Which lab pattern most supports fluid volume excess (hypervolemia)?

A patient shows confusion and dry mucous membranes with Na+ 152 mEq/L. Which intervention best addresses this hypernatremia while centering patient needs?

During shift report, a patient on diuretics has K+ 2.8 mEq/L. What is the priority nursing action?

A patient’s pH is 7.32 with HCO3- 18 mEq/L. Which acid-base disturbance is most likely, and what’s a key patient-centered management?

Calcium is 6.8 mg/dL with perioral numbness. Which intervention aligns with patient safety and education?

A patient with SIADH has low serum Na+ and high urine osmolality. What is a patient-centered nursing priority?

Which finding best indicates a balanced acid-base compensation in a patient with metabolic acidosis?

A postop patient has hypomagnesemia (Mg2+). What is a key safety consideration?

Which teaching point best supports patient-centered care for dehydration management?

Potassium replacement is ordered. What critical safety step must you take?