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NCLEX Practice Exam for Fluids, Electrolytes & Homeostasis 1
NCLEX Exam

NCLEX Practice Exam for Fluids, Electrolytes & Homeostasis 1

Practice Mode

Welcome to your NCLEX Practice Exam for Fluids, Electrolytes & Homeostasis 1! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

✔ Exam Details

  • Number of Questions: 60 items
  • Mode: Practice Mode

✔ Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

✔ Tips For Success

  • Read each question carefully. Take your time and don't rush.
  • Understand the rationale behind each answer. This will not only help you during this exam, but also assist in reinforcing your learning.
  • Don't be discouraged by incorrect answers. Use them as an opportunity to learn and improve.
  • Take breaks if you need them. It's not a race, and your understanding is what's most important.
  • Keep a positive attitude and believe in your ability to succeed.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

Consider the weight change that would indicate a significant fluid loss in a short period, often used to monitor fluid balance.

1 / 60

1. Nurse Sophie is keeping track of the daily weight of Mr. Anderson, a 60-year-old patient with fluid volume deficit (FVD). She knows to be vigilant for significant fluid loss when the weight loss surpasses what threshold?

💡 Hint

Focus on the intervention that directly targets the underlying inflammation to alleviate pain.

2 / 60

2. Emily, a 23-year-old patient, is showing facial grimaces during her treatment for burn trauma. Which nursing intervention should Nurse Sarah include to help reduce Emily's pain from cellular injury?

💡 Hint

Think about which intervention would counteract the goal of lowering high calcium levels.

3 / 60

3. Nurse Lisa is developing a care plan for Mr. Anderson, who has been diagnosed with hypercalcemia. Which of the following interventions is not appropriate for managing his condition?

💡 Hint

Think about the movement of water across a semipermeable membrane and how it relates to solute concentration differences.

4 / 60

4. Nurse Maria is explaining to her patient, Mrs. Johnson, the concept of osmotic pressure and how it affects fluid balance in the body. Through which process is osmotic pressure generated?

💡 Hint

Consider a medication that specifically helps to lower high potassium levels in the body.

5 / 60

5. Nurse Rivera is reviewing lab results for Mr. Johnson, who has a potassium level of 6.5 mEq/L. To address this hyperkalemia, which medication should Nurse Rivera anticipate administering?

💡 Hint

Consider the treatment that directly addresses the acidic condition of the blood.

6 / 60

6. Nurse Carter is caring for Mr. Jenkins, who has been diagnosed with metabolic acidosis. What treatment should Nurse Carter expect the healthcare provider to prescribe?

💡 Hint

Think about the intervention that directly addresses reducing high body temperature.

7 / 60

7. Thirteen-year-old Jack was admitted two days ago with hyperthermia. Nurse Dennis is developing a care plan for Jack and needs to determine the appropriate interventions. Which nursing action should be included in Jack's care plan?

💡 Hint

Think about the most abundant cation in the extracellular fluid that plays a crucial role in fluid balance.

8 / 60

8. Nurse Patel is reviewing electrolyte functions with her patient, Mr. Smith. To explain the role of various electrolytes, Nurse Patel identifies the key electrolyte that primarily determines the concentration of extracellular fluid. Which electrolyte should she mention?

💡 Hint

Think about which condition affects the body's ability to excrete potassium effectively.

9 / 60

9. Nurse Williams is preparing to provide dietary education to several teenage clients. In which situation should Nurse Williams emphasize the importance of avoiding foods high in potassium?

💡 Hint

Consider which type of solution is used to elevate sodium levels in the blood.

10 / 60

10. Nurse Parker is treating Mrs. Evans, who has severe hyponatremia due to syndrome of inappropriate antidiuretic hormone (SIADH). To correct this condition, which type of intravenous solution would be most suitable for Mrs. Evans?

💡 Hint

Think about the body's natural response to higher blood pressure and how it affects fluid elimination.

11 / 60

11. Nurse Laura is explaining to Mr. Garcia, a 65-year-old patient with hypertension, how his body responds to a rise in arterial pressure. When the baroreceptors and stretch receptors inhibit the sympathetic nervous system, what is the resulting effect?

💡 Hint

Consider the method that minimizes gastrointestinal irritation and enhances absorption.

12 / 60

12. Nurse Lopez is preparing to administer oral potassium supplements to Mr. Harris for his condition. How should Nurse Lopez correctly administer these supplements?

💡 Hint

Think about which fluid loss occurs through processes that are not easily quantifiable or noticeable.

13 / 60

13. Nurse Kelly is explaining to a group of nursing students about different types of fluid losses in patients. She wants to emphasize those that are not easily measurable. Which of the following is classified as an insensible fluid loss?

💡 Hint

This medication's toxicity is often linked to electrolyte imbalances, including low magnesium.

14 / 60

14. Nurse Harper is monitoring Mr. Jensen, who has been diagnosed with hypomagnesemia. She knows that certain medications can become toxic in patients with low magnesium levels. Which medication should Nurse Harper be most concerned about in this scenario?

💡 Hint

Focus on the intervention that supports adequate hydration to promote bowel health.

15 / 60

15. Mr. Lewis, a 35-year-old patient, is being discharged after a 5-day hospital stay post-surgery. Nurse Betty is providing instructions to help prevent constipation at home. Which advice should she include?

💡 Hint

Think about the intervention that directly helps prevent pressure sores and skin irritation.

16 / 60

16. Mrs. Green is in her first trimester of pregnancy and has been prescribed complete bed rest by her OB-GYN. Which nursing intervention is appropriate to help maintain her skin integrity?

💡 Hint

Consider which symptom is directly related to muscle function and neurological response often affected by low potassium levels.

17 / 60

17. Nurse Martinez is assessing Mr. Hernandez, who is suspected of having hypokalemia. Which of the following findings would she most likely observe?

💡 Hint

Consider the dietary change that helps correct a lower concentration of sodium in the body.

18 / 60

18. Nurse Carla is advising Mr. Lewis, a 52-year-old patient diagnosed with hypotonic fluid excess, on dietary changes. What dietary recommendation should she make?

💡 Hint

Think about the gas exchanged in the lungs that directly affects blood pH.

19 / 60

19. Nurse Kim is monitoring Mr. Reyes, a 68-year-old patient with COPD. To manage his condition effectively, she needs to understand the respiratory regulation of acids and bases. Which component is primarily involved in this regulatory process?

💡 Hint

Consider symptoms that are typical of significant hypernatremia.

20 / 60

20. Nurse Thompson is reviewing lab results for Mr. Adams, whose sodium level is reported to be 170 mEq/L. To accurately assess Mr. Adams, Nurse Thompson needs to identify the clinical manifestations associated with this sodium imbalance. What signs and symptoms should she anticipate?

💡 Hint

Consider which intervention is most appropriate for preventing further dilution of sodium levels in the blood.

21 / 60

21. Nurse Jordan is caring for Mr. Lewis, a 52-year-old patient diagnosed with hyponatremia. To manage his condition effectively, Nurse Jordan must implement appropriate nursing interventions. Which of the following should be part of her care plan?

💡 Hint

Consider the severity of the pain and the most effective and immediate intervention for managing it.

22 / 60

22. Mr. Carter is displaying facial grimaces and has rated his pain as 8 out of 10. Which intervention should Nurse Jane perform?

💡 Hint

Remember to convert all liquid measurements to milliliters and sum them up accurately.

23 / 60

23. Nurse Taylor is calculating the intake and output for a patient diagnosed with septicemia who is on a clear liquid diet. During the shift, the patient consumed 8 oz of apple juice, 850 ml of water, 2 cups of beef broth, and received 900 ml of half-normal saline solution, while outputting 1,500 ml of urine. How many milliliters should Nurse Taylor document as the patient's intake?

💡 Hint

Think about the specific clinical sign associated with a carpopedal spasm when a blood pressure cuff is used.

24 / 60

24. Nurse Jessica notes that a patient's lab test shows a serum calcium level of 2.5 mEq/L. When the patient, diagnosed with hypocalcemia, develops a carpopedal spasm after a blood pressure cuff is inflated, which assessment data should Nurse Jessica document?

💡 Hint

Think about which foods are well-known for their high potassium content.

25 / 60

25. Nurse Anderson is caring for a patient admitted with hypokalemia, who has a history of vomiting and diarrhea prior to hospitalization. What foods should Nurse Anderson recommend the patient to increase in their diet?

💡 Hint

Think about how aldosterone affects sodium and potassium balance in the body.

26 / 60

26. Nurse Taylor is caring for Mr. Lewis, who has experienced significant fluid loss. She knows that aldosterone secretion in response to this fluid loss can lead to specific electrolyte imbalances. Which of the following electrolyte imbalances is likely to occur?

💡 Hint

Think about the charge of chloride and its role in maintaining electrical neutrality in the extracellular fluid.

27 / 60

27. Nurse Karen is explaining to her patient, Mr. Lee, about the composition of extracellular fluid. To help him understand, she mentions that chloride plays a significant role. In the extracellular fluid, chloride is primarily classified as which of the following?

💡 Hint

Pay attention to the response that emphasizes monitoring for signs of infection or complications.

28 / 60

28. Mr. Thompson is preparing for discharge after a 5-day stay in the medical-surgical unit. Nurse Linda is reviewing discharge instructions with him, focusing on understanding cellular injury care. Which statement by Mr. Thompson indicates he has grasped the essential information?

💡 Hint

Consider the intervention that helps to counteract the rapid breathing causing respiratory alkalosis.

29 / 60

29. A first-year nursing student, experiencing hyperventilation, is brought to the clinic. The student begins to develop signs of respiratory alkalosis. Which nursing intervention is most appropriate for this situation?

💡 Hint

Consider which condition might instead be linked to elevated calcium levels due to bone breakdown.

30 / 60

30. Nurse Sam is evaluating Mr. Carter, who has been diagnosed with hypocalcemia. To determine potential causes, Nurse Sam reviews various etiologies linked to low calcium levels. Which of the following is not typically associated with hypocalcemia?

💡 Hint

Focus on the commonly accepted range for serum sodium that indicates a normal electrolyte balance.

31 / 60

31. Nurse Elena is reviewing lab results for Mrs. Patel, a 50-year-old patient. She needs to verify if Mrs. Patel's serum sodium concentration falls within the normal range. What is the typical range for normal serum sodium concentration?

💡 Hint

Think about the multiple factors that can contribute to low sodium levels in the blood.

32 / 60

32. Nurse Jasmine is assessing Mr. Roberts, a 70-year-old patient, for electrolyte imbalances. She knows that hyponatremia can be caused by various factors. What are the possible etiologies for hyponatremia?

💡 Hint

Consider an intervention that directly measures fluid balance and helps guide fluid replacement therapy.

33 / 60

33. Nurse Green is caring for Mrs. Walker, who presents with a very dry mouth, skin, and mucous membranes, and has been diagnosed with dehydration. To effectively manage Mrs. Walker's fluid volume deficit, which nursing intervention should Nurse Green prioritize?

💡 Hint

Remember that a normal arterial pH is around 7.35 to 7.45. Think about whether a pH of 7.46 falls above or below this range.

34 / 60

34. Nurse Patel is reviewing the lab results of Mr. Thompson, a 67-year-old patient who was admitted with respiratory distress. She notes that his arterial pH is 7.46. How should Nurse Patel interpret this finding?

💡 Hint

Consider the role of dietary habits in promoting normal bowel function.

35 / 60

35. Nurse Alex is caring for Mr. Johnson, a 45-year-old patient diagnosed with constipation. To help Mr. Johnson maintain regular bowel function, which nursing intervention should Nurse Alex prioritize?

💡 Hint

Think about conditions that may cause imbalances in electrolytes and fluids.

36 / 60

36. Nurse Carla is assessing Mr. Brown's lab results and notes an elevated serum chloride level. To identify potential underlying conditions, Nurse Carla reviews the patient's history. Which condition is commonly linked to increased serum chloride levels?

💡 Hint

Elevated magnesium levels often affect neuromuscular function. Consider symptoms related to decreased muscle activity.

37 / 60

37. Nurse Miller is assessing Mrs. Thompson, who has been diagnosed with elevated magnesium levels. Which clinical manifestation should prompt Nurse Miller to suspect hypermagnesemia?

💡 Hint

Focus on the parameter that provides a direct measure of gases in the blood, indicating respiratory efficiency.

38 / 60

38. Nurse Alex is evaluating Mr. Green, a 72-year-old patient who recently underwent surgery. To assess the effectiveness of Mr. Green's respiratory system, which parameter should Nurse Alex check?

💡 Hint

Think about the adaptation in chronic COPD patients that affects their drive to breathe.

39 / 60

39. Nurse Johnson is managing the care of Mr. Lee, a patient with a history of chronic obstructive pulmonary disease (COPD). Mr. Lee’s arterial blood gas results show a partial pressure of oxygen (PO2) at 55 mm Hg and a partial pressure of carbon dioxide (PCO2) at 60 mm Hg. As Nurse Johnson aims to enhance Mr. Lee’s ventilation and oxygen therapy, she needs to understand his primary breathing stimulus. What should she identify as the main trigger for Mr. Lee's respiration?

💡 Hint

Consider which condition impairs the body's ability to excrete magnesium.

40 / 60

40. Nurse Patel is assessing Mr. Thompson, who has a history of various health issues. Nurse Patel is aware that certain conditions can lead to an elevated magnesium level in the blood. Which of the following disorders should she recognize as placing Mr. Thompson at high risk for developing hypermagnesemia?

💡 Hint

Consider the slight acidity of venous blood compared to arterial blood and its typical pH range.

41 / 60

41. Nurse Lila is reviewing the lab results of Mr. Thompson, a 55-year-old patient admitted with respiratory issues. She needs to confirm if his venous blood pH falls within the normal range. What is the typical range for normal venous blood pH?

💡 Hint

Focus on the basic but most effective method for reducing the transmission of pathogens.

42 / 60

42. Nurse Emma is teaching her students about bacterial control. Which intervention is the most crucial for preventing the spread of microorganisms?

💡 Hint

Consider the symptoms and complications that can arise from low magnesium levels.

43 / 60

43. Nurse Lewis is providing care for Mr. Parker, who has been diagnosed with hypomagnesemia. Which nursing intervention should Nurse Lewis implement to address this condition?

💡 Hint

Consider which sign is indicative of increased blood volume and pressure in the vascular system.

44 / 60

44. Nurse Carter is evaluating Mr. Roberts for potential signs of fluid overload. As she conducts her assessment, which of the following findings would she most likely observe?

💡 Hint

Focus on interventions directly related to maintaining and improving musculoskeletal function.

45 / 60

45. Nurse Kate is caring for Adam, a 22-year-old resident in a long-term care facility. To promote mobility and prevent contractures, which nursing interventions should she include in her care plan? (Select all that apply.)

💡 Hint

Think about the immediate action to prevent further skin damage and alleviate pressure.

46 / 60

46. Ms. Thompson, who is admitted to the hospital, is scheduled for a general checkup and physical assessment. Nurse Lucy notices a reddened area over Ms. Thompson's left hip. What should Nurse Lucy do first?

💡 Hint

Potassium must be given slowly and diluted to prevent serious complications.

47 / 60

47. Nurse Green is preparing to administer IV potassium to Mr. Anderson, who has severe hypokalemia. How should Nurse Green correctly administer this potassium replacement?

💡 Hint

Think about the role of calcium gluconate in managing the cardiovascular symptoms related to high magnesium levels.

48 / 60

48. Nurse Lopez is caring for Mrs. Daniels, who has been diagnosed with hypermagnesemia. As part of the treatment plan, Nurse Lopez prepares to administer calcium gluconate. What is the primary purpose of giving this medication to a patient with hypermagnesemia?

💡 Hint

Consider the intervention that ensures the patient's safety and support outside the hospital setting.

49 / 60

49. Ms. Reynolds, a 33-year-old patient, is preparing for discharge from the acute care unit. Which nursing intervention should be prioritized in her care plan?

💡 Hint

Think about the standard reference range for chloride levels in the blood.

50 / 60

50. Nurse Ava is reviewing lab results for Mrs. Thompson, whose recent tests indicate a chloride level of 96 mEq/L. Nurse Ava needs to determine how to interpret this value to ensure proper patient care. How should she classify this serum chloride level?

💡 Hint

Focus on the goal that addresses the immediate need to support the patient's respiratory function.

51 / 60

51. Mr. Anderson is admitted to the hospital with bacterial pneumonia. He presents with fever, sweating, shortness of breath, and a history of asthma. Which goal is most critical for his care?

💡 Hint

Consider the complications that result from high levels of calcium in the blood.

52 / 60

52. Nurse Emily is assessing Ms. Davis, a patient with suspected hypercalcemia. As she conducts her assessment, which of the following findings is she most likely to observe?

💡 Hint

Think about which vital sign would most directly indicate changes in the body's fluid volume and electrolyte status.

53 / 60

53. Nurse Alvarez is evaluating Mr. Simmons, who is at risk for fluid and electrolyte imbalances. She knows that certain physical assessment parameters are crucial in this evaluation. Which of the following should Nurse Alvarez consider the most important when assessing fluid and electrolyte imbalance?

💡 Hint

Consider the intervention that directly addresses the symptoms of dehydration.

54 / 60

54. Nurse Mark is attending to a patient who presents with tented skin turgor, dry mucous membranes, and reduced urinary output. Which nursing intervention should Mark prioritize in the care plan for this patient?

💡 Hint

Consider the electrolyte that significantly affects the efficacy and safety of Digoxin, especially in combination with a diuretic like furosemide.

55 / 60

55. Nurse Daniels is planning the care for Mr. Reynolds, who is currently receiving furosemide and Digoxin. Which laboratory value is most crucial for Nurse Daniels to assess?

💡 Hint

Think about what factors could negatively impact the healing process of injuries.

56 / 60

56. Mr. Ryan, who sustained abrasions and lacerations in a vehicular accident, has been hospitalized and treated for two weeks. Nurse Kelly is planning his care for cellular injury. Which scientific rationale should she consider?

💡 Hint

Consider which option can help to bind phosphate and lower serum phosphorus levels.

57 / 60

57. Nurse Alex is creating a care plan for Mr. Jenkins, who has been diagnosed with hyperphosphatemia. To help manage this condition, Nurse Alex needs to recommend an appropriate intervention. Which of the following should be encouraged?

💡 Hint

Consider the intervention that helps improve ventilation and reduce CO2 levels.

58 / 60

58. Nurse Roberts is reviewing Mr. Anderson's arterial blood gas (ABG) values: pH of 7.34, partial pressure of arterial oxygen of 80 mm Hg, partial pressure of arterial carbon dioxide of 49 mm Hg, and bicarbonate level of 24 mEq/L. Based on these results, what intervention should Nurse Roberts implement?

💡 Hint

Consider the type of fluid volume deficit where both solute and water are lost proportionally.

59 / 60

59. Nurse Angela is assessing Ms. Brown, a 45-year-old patient experiencing dehydration. She needs to identify the condition characterized by an equal decrease in extracellular fluid solute and water volume. Which condition fits this description?

💡 Hint

Consider the intervention that strengthens pelvic floor muscles to help manage urinary dribbling.

60 / 60

60. Mr. Harris, who is experiencing urinary dribbling, is under the care of Nurse Angela. Which intervention should Nurse Angela include in his plan of care?

Exam Mode

Welcome to your NCLEX Practice Exam for Fluids, Electrolytes & Homeostasis 1! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

✔ Exam Details

  • Number of Questions: 60 items
  • Mode: Exam Mode

✔ Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 90 minutes.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

✔ Tips For Success

  • Read each question carefully. You have 90 seconds per question, so make sure you understand the question before selecting your answer.
  • Pace yourself. Remember, you have 90 minutes in total, so try to maintain a steady rhythm.
  • Focus on one question at a time. Try not to worry about the questions to come.
  • Stay calm under pressure. Use your knowledge and trust your instincts.
  • Remember, it's not just about the score, but about the learning process.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career. Click 'Start Exam' when you're ready to begin. Good luck!

1 / 60

1. Ms. Reynolds, a 33-year-old patient, is preparing for discharge from the acute care unit. Which nursing intervention should be prioritized in her care plan?

2 / 60

2. Nurse Alex is evaluating Mr. Green, a 72-year-old patient who recently underwent surgery. To assess the effectiveness of Mr. Green's respiratory system, which parameter should Nurse Alex check?

3 / 60

3. Nurse Rivera is reviewing lab results for Mr. Johnson, who has a potassium level of 6.5 mEq/L. To address this hyperkalemia, which medication should Nurse Rivera anticipate administering?

4 / 60

4. Nurse Alex is caring for Mr. Johnson, a 45-year-old patient diagnosed with constipation. To help Mr. Johnson maintain regular bowel function, which nursing intervention should Nurse Alex prioritize?

5 / 60

5. Nurse Elena is reviewing lab results for Mrs. Patel, a 50-year-old patient. She needs to verify if Mrs. Patel's serum sodium concentration falls within the normal range. What is the typical range for normal serum sodium concentration?

6 / 60

6. Nurse Emily is assessing Ms. Davis, a patient with suspected hypercalcemia. As she conducts her assessment, which of the following findings is she most likely to observe?

7 / 60

7. Nurse Angela is assessing Ms. Brown, a 45-year-old patient experiencing dehydration. She needs to identify the condition characterized by an equal decrease in extracellular fluid solute and water volume. Which condition fits this description?

8 / 60

8. Mr. Ryan, who sustained abrasions and lacerations in a vehicular accident, has been hospitalized and treated for two weeks. Nurse Kelly is planning his care for cellular injury. Which scientific rationale should she consider?

9 / 60

9. Nurse Green is caring for Mrs. Walker, who presents with a very dry mouth, skin, and mucous membranes, and has been diagnosed with dehydration. To effectively manage Mrs. Walker's fluid volume deficit, which nursing intervention should Nurse Green prioritize?

10 / 60

10. Nurse Lila is reviewing the lab results of Mr. Thompson, a 55-year-old patient admitted with respiratory issues. She needs to confirm if his venous blood pH falls within the normal range. What is the typical range for normal venous blood pH?

11 / 60

11. Nurse Carter is evaluating Mr. Roberts for potential signs of fluid overload. As she conducts her assessment, which of the following findings would she most likely observe?

12 / 60

12. Nurse Lopez is caring for Mrs. Daniels, who has been diagnosed with hypermagnesemia. As part of the treatment plan, Nurse Lopez prepares to administer calcium gluconate. What is the primary purpose of giving this medication to a patient with hypermagnesemia?

13 / 60

13. Nurse Emma is teaching her students about bacterial control. Which intervention is the most crucial for preventing the spread of microorganisms?

14 / 60

14. Nurse Martinez is assessing Mr. Hernandez, who is suspected of having hypokalemia. Which of the following findings would she most likely observe?

15 / 60

15. Nurse Taylor is caring for Mr. Lewis, who has experienced significant fluid loss. She knows that aldosterone secretion in response to this fluid loss can lead to specific electrolyte imbalances. Which of the following electrolyte imbalances is likely to occur?

16 / 60

16. Nurse Jasmine is assessing Mr. Roberts, a 70-year-old patient, for electrolyte imbalances. She knows that hyponatremia can be caused by various factors. What are the possible etiologies for hyponatremia?

17 / 60

17. Nurse Alex is creating a care plan for Mr. Jenkins, who has been diagnosed with hyperphosphatemia. To help manage this condition, Nurse Alex needs to recommend an appropriate intervention. Which of the following should be encouraged?

18 / 60

18. Nurse Parker is treating Mrs. Evans, who has severe hyponatremia due to syndrome of inappropriate antidiuretic hormone (SIADH). To correct this condition, which type of intravenous solution would be most suitable for Mrs. Evans?

19 / 60

19. Nurse Roberts is reviewing Mr. Anderson's arterial blood gas (ABG) values: pH of 7.34, partial pressure of arterial oxygen of 80 mm Hg, partial pressure of arterial carbon dioxide of 49 mm Hg, and bicarbonate level of 24 mEq/L. Based on these results, what intervention should Nurse Roberts implement?

20 / 60

20. Nurse Williams is preparing to provide dietary education to several teenage clients. In which situation should Nurse Williams emphasize the importance of avoiding foods high in potassium?

21 / 60

21. Nurse Patel is assessing Mr. Thompson, who has a history of various health issues. Nurse Patel is aware that certain conditions can lead to an elevated magnesium level in the blood. Which of the following disorders should she recognize as placing Mr. Thompson at high risk for developing hypermagnesemia?

22 / 60

22. Thirteen-year-old Jack was admitted two days ago with hyperthermia. Nurse Dennis is developing a care plan for Jack and needs to determine the appropriate interventions. Which nursing action should be included in Jack's care plan?

23 / 60

23. Nurse Miller is assessing Mrs. Thompson, who has been diagnosed with elevated magnesium levels. Which clinical manifestation should prompt Nurse Miller to suspect hypermagnesemia?

24 / 60

24. Nurse Kate is caring for Adam, a 22-year-old resident in a long-term care facility. To promote mobility and prevent contractures, which nursing interventions should she include in her care plan? (Select all that apply.)

25 / 60

25. A first-year nursing student, experiencing hyperventilation, is brought to the clinic. The student begins to develop signs of respiratory alkalosis. Which nursing intervention is most appropriate for this situation?

26 / 60

26. Nurse Karen is explaining to her patient, Mr. Lee, about the composition of extracellular fluid. To help him understand, she mentions that chloride plays a significant role. In the extracellular fluid, chloride is primarily classified as which of the following?

27 / 60

27. Mr. Lewis, a 35-year-old patient, is being discharged after a 5-day hospital stay post-surgery. Nurse Betty is providing instructions to help prevent constipation at home. Which advice should she include?

28 / 60

28. Nurse Patel is reviewing electrolyte functions with her patient, Mr. Smith. To explain the role of various electrolytes, Nurse Patel identifies the key electrolyte that primarily determines the concentration of extracellular fluid. Which electrolyte should she mention?

29 / 60

29. Nurse Lewis is providing care for Mr. Parker, who has been diagnosed with hypomagnesemia. Which nursing intervention should Nurse Lewis implement to address this condition?

30 / 60

30. Mr. Carter is displaying facial grimaces and has rated his pain as 8 out of 10. Which intervention should Nurse Jane perform?

31 / 60

31. Nurse Lisa is developing a care plan for Mr. Anderson, who has been diagnosed with hypercalcemia. Which of the following interventions is not appropriate for managing his condition?

32 / 60

32. Nurse Sam is evaluating Mr. Carter, who has been diagnosed with hypocalcemia. To determine potential causes, Nurse Sam reviews various etiologies linked to low calcium levels. Which of the following is not typically associated with hypocalcemia?

33 / 60

33. Nurse Kelly is explaining to a group of nursing students about different types of fluid losses in patients. She wants to emphasize those that are not easily measurable. Which of the following is classified as an insensible fluid loss?

34 / 60

34. Nurse Laura is explaining to Mr. Garcia, a 65-year-old patient with hypertension, how his body responds to a rise in arterial pressure. When the baroreceptors and stretch receptors inhibit the sympathetic nervous system, what is the resulting effect?

35 / 60

35. Nurse Kim is monitoring Mr. Reyes, a 68-year-old patient with COPD. To manage his condition effectively, she needs to understand the respiratory regulation of acids and bases. Which component is primarily involved in this regulatory process?

36 / 60

36. Nurse Mark is attending to a patient who presents with tented skin turgor, dry mucous membranes, and reduced urinary output. Which nursing intervention should Mark prioritize in the care plan for this patient?

37 / 60

37. Nurse Anderson is caring for a patient admitted with hypokalemia, who has a history of vomiting and diarrhea prior to hospitalization. What foods should Nurse Anderson recommend the patient to increase in their diet?

38 / 60

38. Nurse Patel is reviewing the lab results of Mr. Thompson, a 67-year-old patient who was admitted with respiratory distress. She notes that his arterial pH is 7.46. How should Nurse Patel interpret this finding?

39 / 60

39. Nurse Lopez is preparing to administer oral potassium supplements to Mr. Harris for his condition. How should Nurse Lopez correctly administer these supplements?

40 / 60

40. Nurse Jessica notes that a patient's lab test shows a serum calcium level of 2.5 mEq/L. When the patient, diagnosed with hypocalcemia, develops a carpopedal spasm after a blood pressure cuff is inflated, which assessment data should Nurse Jessica document?

41 / 60

41. Nurse Carla is advising Mr. Lewis, a 52-year-old patient diagnosed with hypotonic fluid excess, on dietary changes. What dietary recommendation should she make?

42 / 60

42. Nurse Harper is monitoring Mr. Jensen, who has been diagnosed with hypomagnesemia. She knows that certain medications can become toxic in patients with low magnesium levels. Which medication should Nurse Harper be most concerned about in this scenario?

43 / 60

43. Nurse Taylor is calculating the intake and output for a patient diagnosed with septicemia who is on a clear liquid diet. During the shift, the patient consumed 8 oz of apple juice, 850 ml of water, 2 cups of beef broth, and received 900 ml of half-normal saline solution, while outputting 1,500 ml of urine. How many milliliters should Nurse Taylor document as the patient's intake?

44 / 60

44. Nurse Thompson is reviewing lab results for Mr. Adams, whose sodium level is reported to be 170 mEq/L. To accurately assess Mr. Adams, Nurse Thompson needs to identify the clinical manifestations associated with this sodium imbalance. What signs and symptoms should she anticipate?

45 / 60

45. Nurse Ava is reviewing lab results for Mrs. Thompson, whose recent tests indicate a chloride level of 96 mEq/L. Nurse Ava needs to determine how to interpret this value to ensure proper patient care. How should she classify this serum chloride level?

46 / 60

46. Nurse Daniels is planning the care for Mr. Reynolds, who is currently receiving furosemide and Digoxin. Which laboratory value is most crucial for Nurse Daniels to assess?

47 / 60

47. Nurse Alvarez is evaluating Mr. Simmons, who is at risk for fluid and electrolyte imbalances. She knows that certain physical assessment parameters are crucial in this evaluation. Which of the following should Nurse Alvarez consider the most important when assessing fluid and electrolyte imbalance?

48 / 60

48. Nurse Johnson is managing the care of Mr. Lee, a patient with a history of chronic obstructive pulmonary disease (COPD). Mr. Lee’s arterial blood gas results show a partial pressure of oxygen (PO2) at 55 mm Hg and a partial pressure of carbon dioxide (PCO2) at 60 mm Hg. As Nurse Johnson aims to enhance Mr. Lee’s ventilation and oxygen therapy, she needs to understand his primary breathing stimulus. What should she identify as the main trigger for Mr. Lee's respiration?

49 / 60

49. Ms. Thompson, who is admitted to the hospital, is scheduled for a general checkup and physical assessment. Nurse Lucy notices a reddened area over Ms. Thompson's left hip. What should Nurse Lucy do first?

50 / 60

50. Nurse Carter is caring for Mr. Jenkins, who has been diagnosed with metabolic acidosis. What treatment should Nurse Carter expect the healthcare provider to prescribe?

51 / 60

51. Nurse Green is preparing to administer IV potassium to Mr. Anderson, who has severe hypokalemia. How should Nurse Green correctly administer this potassium replacement?

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52. Nurse Carla is assessing Mr. Brown's lab results and notes an elevated serum chloride level. To identify potential underlying conditions, Nurse Carla reviews the patient's history. Which condition is commonly linked to increased serum chloride levels?

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53. Mr. Harris, who is experiencing urinary dribbling, is under the care of Nurse Angela. Which intervention should Nurse Angela include in his plan of care?

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54. Emily, a 23-year-old patient, is showing facial grimaces during her treatment for burn trauma. Which nursing intervention should Nurse Sarah include to help reduce Emily's pain from cellular injury?

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55. Mrs. Green is in her first trimester of pregnancy and has been prescribed complete bed rest by her OB-GYN. Which nursing intervention is appropriate to help maintain her skin integrity?

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56. Mr. Thompson is preparing for discharge after a 5-day stay in the medical-surgical unit. Nurse Linda is reviewing discharge instructions with him, focusing on understanding cellular injury care. Which statement by Mr. Thompson indicates he has grasped the essential information?

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57. Nurse Sophie is keeping track of the daily weight of Mr. Anderson, a 60-year-old patient with fluid volume deficit (FVD). She knows to be vigilant for significant fluid loss when the weight loss surpasses what threshold?

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58. Nurse Jordan is caring for Mr. Lewis, a 52-year-old patient diagnosed with hyponatremia. To manage his condition effectively, Nurse Jordan must implement appropriate nursing interventions. Which of the following should be part of her care plan?

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59. Mr. Anderson is admitted to the hospital with bacterial pneumonia. He presents with fever, sweating, shortness of breath, and a history of asthma. Which goal is most critical for his care?

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60. Nurse Maria is explaining to her patient, Mrs. Johnson, the concept of osmotic pressure and how it affects fluid balance in the body. Through which process is osmotic pressure generated?