Question: What type of IV fluid is Sodium Chloride?

Answer Choices:
Hypotonic
Buffered
Hypertonic
Isotonic

Answer: Isotonic

Question: A client with osteoarthritis has difficulty with mobility and cannot leave home. Which psychosocial impact requires further evaluation?

Answer Choices:
Insomnia
Cardiovascular disease
Depression
Cognitive impairment

Answer: Depression

Question: A nurse provides discharge education to a client with fluid volume excess (FVE) due to liver failure. Which meal option is recommended?

Answer Choices:
Baked chicken breast
Spaghetti with commercial red sauce
Bowl of ice cream
Canned soup

Answer: Baked chicken breast

Question: Teaching a client about primary syphilis— which statement should be included?

Answer Choices:
“Syphilis is treated with antiviral medications.”
“Syphilis can affect many areas of your body, including your brain and heart.”
“Transmission only occurs during vaginal or anal sex, not oral sex.”
“Chancres go away on their own, so you won’t have syphilis anymore.”

Answer: “Syphilis can affect many areas of your body, including your brain and heart.”

Question: An older adult with osteoporosis—what is the underlying pathophysiology?

Answer Choices:
Autoimmune disorder affecting the bones
Buildup of inflammation in the joints
Bone loss in the cortical and cancellous bones
Increase in calcium levels in the blood

Answer: Bone loss in the cortical and cancellous bones

Question: A client receiving peritoneal dialysis for kidney failure— which condition in the history increases risk of peritonitis?

Answer Choices:
Obesity
Hemochromatosis
Diabetes
Ulcerative colitis

Answer: Diabetes

Question: Which organ is the major regulator of fluid output in the body?

Answer Choices:
GI tract
Kidneys
Lungs
Skin

Answer: Kidneys

Question: Teaching a client with hyperkalemia about which foods to avoid (Select all that apply)?

Answer Choices:
Spinach, Tomatoes, Carrots, Cabbage, Bananas, Apples

Answer: Spinach, Tomatoes, and Bananas

Question: A nurse is administering 350 mL of RBCs over 3 hr. How many mL/hr should the pump be set to (nearest whole number)?

Answer Choices:
(Open-ended calculation)

Answer: 117 mL/hr

Question: Which laboratory value provides the best indicator of a patient’s renal function?

Answer Choices:
Sodium level
Serum creatinine
Platelet count
Hemoglobin level

Answer: Serum creatinine

Question: A client has a distended bladder and discomfort. Which tests should be done to determine urinary retention? (Select all that apply)

Answer Choices:
Bladder scan
Cystourethrogram
Creatinine
KUB x-ray
Postvoid residual measurement
BUN

Answer: Bladder scan and Postvoid residual measurement

Question: Which electrolyte is the most common extracellular electrolyte in the body?

Answer Choices:
Magnesium
Potassium
Sodium
Calcium

Answer: Sodium

Question: Which patient is most at risk for developing fluid volume deficit?

Answer Choices:
A 20-year-old with gastroenteritis and vomiting
A 60-year-old retiree
A 30-year-old construction worker
A 45-year-old office worker

Answer: A 20-year-old with gastroenteritis and vomiting

Question: Teaching a client who has Hepatitis A. Which information should the nurse include?

Answer Choices:
The incubation of the virus is 5 days
Manifestations are similar to flu-like symptoms
Hepatitis A infects the kidney
A family history increases risk for Hepatitis A

Answer: Manifestations are similar to flu-like symptoms

Question: Discharge teaching for a client with hypokalemia— which suggestion should be included?

Answer Choices:
Report new-onset muscle weakness
Increase consumption of apples and broccoli
Report falls, due to high risk of osteoporosis
Avoid salt substitutes

Answer: Avoid salt substitutes