True or false: Sodium imbalances have a characteristic ECG pattern that reliably identifies them.
1 Electrolyte Assessment and Nursing Priorities Online Quiz Questions
Use this free practice quiz with 20 questions to review 1 Electrolyte Assessment and Nursing Priorities, test your knowledge, and prepare for your next test or exam.
Complete the safety rule: Never administer potassium by push.
A patient recently started nutritional support and develops marked weakness and shallow breathing. Which electrolyte imbalance should the nurse consider and report promptly?
- A
Hypophosphatemia
- B
Hypercalcemia
- C
Hypernatremia
- D
Hypermagnesemia
A patient’s potassium remains low despite replacement. Which electrolyte should be checked because a deficiency can make hypokalemia difficult to correct? Enter the electrolyte name.
True or false: A normal ECG rules out hyperkalemia.
- A
True
- B
False
A patient has low total calcium and low albumin but no tingling, cramps, or spasms. What is the best next consideration?
- A
Assume the patient has severe symptomatic hypocalcemia and administer IV calcium immediately.
- B
Assess albumin and consider ionized calcium before concluding that active calcium is low.
- C
Ignore the result because the patient has no symptoms.
- D
Treat the total calcium value as a direct measure of ionized calcium.
A patient with impaired kidney function has high phosphate and reports tingling and cramps. These symptoms may reflect associated .
Which ECG change may occur with hypercalcemia?
- A
Prolonged QT interval
- B
Shortened QT interval
- C
Prominent U waves
- D
No possible ECG changes
A patient with kidney impairment who has been taking a magnesium-containing laxative is drowsy, hypotensive, has diminished reflexes, and is breathing shallowly. Which actions are appropriate? Select all that apply.
- A
Urgently assess respiratory effort, blood pressure, reflexes, and cardiac rhythm.
- B
Review magnesium sources and stop or report them as directed.
- C
Wait for the next routine magnesium result before assessing the patient.
- D
Give another dose of the magnesium-containing product.
When assessing a patient with an electrolyte abnormality, which priorities and follow-up assessments are appropriate? Select all that apply.
- A
Prioritize airway, breathing, circulation, mental status, and cardiac rhythm.
- B
Assess volume status, intake and output, recent weight, medications, and kidney function.
- C
Base decisions only on one isolated laboratory result.
- D
Delay escalation whenever a result might need confirmation.
A confused patient with hypernatremia has had poor access to fluids. Alongside neurologic status, what two-word assessment category should the nurse evaluate? Enter the category.
A patient with marked hyperkalemia and ECG changes is prescribed IV calcium as part of emergency treatment. What is the purpose of this medication?
- A
It stabilizes cardiac membranes but does not lower potassium.
- B
It removes potassium from the body immediately.
- C
It replaces potassium lost through the kidneys.
- D
It makes cardiac monitoring unnecessary.
A patient with severe hyponatremia has a seizure. Explain the immediate nursing priorities and why correction of the sodium level requires careful monitoring.
A stable patient has an unexpected potassium result that does not fit the clinical picture. What sample problem should the nurse consider when checking whether the result is reliable?
True or false: A nurse may administer IV potassium by IV push if the patient is on cardiac monitoring.
- A
True
- B
False
A patient with hypercalcemia has an ECG change associated with the imbalance. What QT interval finding may occur?
A patient's potassium remains low despite prescribed replacement. Which additional result is especially important to review because a deficiency can make hypokalemia difficult to correct?
- A
Review the magnesium result.
- B
Review the platelet count.
- C
Review the hemoglobin only.
- D
Stop monitoring potassium once replacement has been given.
A patient with hypernatremia is thirsty and confused after several days of poor access to fluids. Which nursing focus is most appropriate?
- A
Assess neurologic and volume status, identify ongoing water losses, and monitor controlled water replacement as prescribed.
- B
Correct the sodium as quickly as possible without repeat testing.
- C
Restrict all fluids.
- D
Focus only on the ECG.
A patient with advanced kidney disease has high phosphate and reports perioral tingling and hand cramps. Which interpretation is most appropriate?
- A
The symptoms may reflect associated hypocalcemia; assess calcium and escalate based on severity.
- B
The symptoms rule out a phosphate-related problem.
- C
Hyperphosphatemia always causes a characteristic ECG pattern.
- D
Give phosphate supplementation without checking other results.
A malnourished patient recently started nutritional support and develops marked weakness and shallow breathing. Which imbalance should the nurse consider and report promptly?
- A
Hypophosphatemia
- B
Hypercalcemia
- C
Hypernatremia only
- D
Hypermagnesemia only
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