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Fluids and Electrolytes NCLEX Questions and Answers Graded A+

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Fluids and Electrolytes NCLEX Questions and Answers Graded A+ If your patient is suffering from hypokalemia, what’s the first thing you’ll probably notice? A) Their muscles are feeling weak and crampy, like a rubber band stretched too far B) They’re overly energetic and bouncing off the...

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  • November 26, 2024
  • 31
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Fluids and Electrolytes NCLEX
  • Fluids and Electrolytes NCLEX
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Fluids and Electrolytes NCLEX
Questions and Answers Graded A+
If your patient is suffering from hypokalemia, what’s the first thing you’ll probably notice?

A) Their muscles are feeling weak and crampy, like a rubber band stretched too far

B) They’re overly energetic and bouncing off the walls

C) Their skin turns bright orange from too much vitamin A

D) They start forgetting things, like where they put their shoes


✔✔ A) Their muscles are feeling weak and crampy, like a rubber band stretched too far




When dealing with fluid overload, what would the nurse most likely notice on physical exam?

A) The patient looks like they just came from the spa, completely relaxed

B) The patient’s legs are puffy, like they just returned from a hot air balloon ride

C) The patient’s heart rate is racing, and they’re looking for the nearest marathon

D) The patient’s skin turns blue from lack of oxygen


✔✔ B) The patient’s legs are puffy, like they just returned from a hot air balloon ride




If someone is experiencing hypermagnesemia, what’s one of the most concerning signs?

A) They start singing opera for no reason

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,B) Their reflexes are slowed, like a phone on low battery

C) They develop an uncontrollable need to eat chocolate

D) They become so hyperactive they can’t sit still


✔✔ B) Their reflexes are slowed, like a phone on low battery




When managing a patient with hypocalcemia, what’s the priority action?

A) Offer them a dairy snack and hope for the best

B) Check for signs of tetany, like twitchy muscles and spasms

C) Let them sleep it off and see if things improve

D) Have them drink as much orange juice as possible


✔✔ B) Check for signs of tetany, like twitchy muscles and spasms




If a patient is in metabolic alkalosis, how might they appear on examination?

A) They might be breathing slowly, as though they’ve just finished a yoga session

B) They’re breathing fast, trying to blow off excess CO2

C) They’re incredibly energetic, ready to run a marathon

D) Their skin might be pale, with a bluish tint


✔✔ A) They might be breathing slowly, as though they’ve just finished a yoga session


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,What’s the most likely cause of hypernatremia?

A) Too much sodium intake, like a lifetime supply of potato chips

B) Too much water intake, like they’ve been swimming in a pool for hours

C) They suddenly gained an extreme fear of water

D) The body’s inability to regulate sodium properly


✔✔ A) Too much sodium intake, like a lifetime supply of potato chips




In hyponatremia, what might the nurse find on exam?

A) The patient is alert, but looking for the nearest ice cream shop

B) The patient appears confused, disoriented, and possibly nauseous

C) The patient is incredibly thirsty, asking for a soda

D) The patient suddenly develops the ability to speak fluent French


✔✔ B) The patient appears confused, disoriented, and possibly nauseous




If a person is suffering from hypovolemia, what are you most likely to see?

A) Increased blood pressure and extreme sweating

B) The patient is sluggish and barely awake


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, C) The heart rate is elevated, and the blood pressure is low

D) The patient’s skin becomes unusually moist and cool


✔✔ C) The heart rate is elevated, and the blood pressure is low




What’s the main goal when treating hypercalcemia?

A) Try to hydrate the patient and help the calcium get back to normal

B) Limit calcium intake and encourage long naps

C) Make sure they have a high-protein diet to balance things out

D) Encourage more sunlight exposure to naturally lower calcium levels


✔✔ A) Try to hydrate the patient and help the calcium get back to normal




A patient presents with respiratory acidosis. What’s likely going on in their body?

A) They are holding on to CO2 like a collector’s item

B) They’re breathing extra fast to expel CO2

C) Their kidneys are overwhelmed by acid and can’t filter it out

D) Their oxygen levels are too high, causing an overload


✔✔ A) They are holding on to CO2 like a collector’s item




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