NURS 2539 FLUID AND ELECTOLYTES REAL EXAM 2023/2024
QUESTIONS WITH CORRECT ANSWERS|A+ GRADE|
Question 1 See full question 1m 36s
The physician orders dextrose 5% in water, 1,000 ml to be infused over 8 hours. The
I.V. tubing delivers 15 drops/ml. The nurse should run the I.V. infusion at a rate of:
You Selected:
• 32 drops/minute.
Correct response:
• 32 drops/minute.
Explanation:
Remediation:
Question 2 See full question 45s
A physician orders a loop diuretic for a client. When administering this drug, the
nurse anticipates that the client may develop which electrolyte imbalance?
You Selected:
• Hyperkalemia
Correct response:
• Hypokalemia
Explanation:
Remediation:
Question 3 See full question 16s
A nurse must deliver 1,000 ml of normal saline solution over 8 hours. The I.V. tubing
has a drop factor of 10 gtt/ml. The nurse should set the flow rate as:
You Selected:
• 21 gtt/minute
Correct response:
, 2
• 21 gtt/minute
Explanation:
Remediation:
Question 4 See full question 18s
Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea
that has lasted for 2 days. On assessment, the nurse detects dry mucous
membranes and lethargy. What other finding suggests a fluid volume deficit?
You Selected:
• A sunken fontanel
Correct response:
• A sunken fontanel
Explanation:
Remediation:
Question 5 See full question 45s
For a client with anorexia nervosa, which goal takes the highest priority?
You Selected:
• The client will identify self-perceptions about body size as unrealistic.
Correct response:
• The client will establish adequate daily nutritional intake.
Explanation:
Remediation:
Question 6 See full question 20s
A client in the 13th week of pregnancy develops hyperemesis gravidarum. Which
laboratory finding indicates the need for intervention?
You Selected:
, 3
• Ketones in urine.
Correct response:
• Ketones in urine.
Explanation:
Remediation:
Question 7 See full question 12s
Parents who bring a 3-week-old neonate to the hospital report that he's been
"throwing up after every feeding." A nurse notes projectile vomiting while assessing
the neonate. X-rays confirm:
You Selected:
• pyloric stenosis.
Correct response:
• pyloric stenosis.
Explanation:
Remediation:
Question 8 See full question 56s
Which assessment finding would lead a nurse to suspect dehydration in a preterm
neonate?
You Selected:
• Urine output below 1 ml/hour
Correct response:
• Urine output below 1 ml/hour
Explanation:
Remediation:
Question 9 See full question 2m 44s
, 4
A nurse is planning to administer a sodium polystyrene sulfonate enema to a client
with a potassium level of 6.2 mEq/L. Correct administration and the effects of this
enema should include having the client:
You Selected:
• retain the enema for 30 minutes to allow for sodium exchange; afterward,
the client should have diarrhea.
Correct response:
• retain the enema for 30 minutes to allow for sodium exchange; afterward,
the client should have diarrhea.
Explanation:
Remediation:
Question 10 See full question 2m 4s
After completing discharge instructions for a primiparous client who is bottle-
feeding her term neonate, the nurse determines that the mother understands the
instructions when the mother says that she should contact the pediatrician if the
neonate exhibits which sign or symptom?
You Selected:
• spitting up of a tablespoon of formula after feeding
Correct response:
• passage of a liquid stool with a watery ring
Explanation:
Remediation:
Question 11 See full question 5m 21s
A 31-year-old multigravid client at 39 weeks' gestation admitted to the hospital in
active labor is receiving intravenous lactated Ringer's solution and a continuous
epidural anesthetic. During the first hour after administration of the anesthetic, the
nurse should monitor the client for:
You Selected:
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