True or false: Although 5% dextrose in water is approximately isotonic in the bag, it remains an effective intravascular resuscitation fluid after infusion.
2 IV Fluids and Fluid Replacement Online Quiz Questions
Use this free practice quiz with 20 questions to review 2 IV Fluids and Fluid Replacement, test your knowledge, and prepare for your next test or exam.
An adult inpatient needs rapid intravascular volume resuscitation. Which fluid category is generally considered for this purpose?
- A
0.45% sodium chloride
- B
An isotonic crystalloid, such as 0.9% sodium chloride or a balanced crystalloid
- C
5% dextrose in water as the sole resuscitation fluid
- D
Sterile water
A prescription specifies 0.45% sodium chloride. What fluid category does this solution belong to?
A clinically stable adult cannot take fluids orally or enterally for a short period. Which IV fluid-therapy purpose is most likely being considered?
- A
Routine maintenance
- B
Resuscitation
- C
Blood replacement
- D
Redistribution treatment
True or false: Low urine output by itself proves that an adult inpatient needs an IV fluid bolus.
- A
True
- B
False
During an infusion, a patient's IV site becomes swollen, cool, and uncomfortable. The nurse's first action is to .
A patient is receiving IV fluids. Which findings may signal fluid overload? Select all that apply.
- A
New or worsening breathlessness
- B
Crackles on examination
- C
Peripheral or dependent edema
- D
A rapid increase in weight
- E
Improved oral intake
In addition to hand hygiene, what technique should a nurse use when handling an IV catheter or infusion system to reduce infection risk?
When estimating a patient's overall fluid plan, include oral or enteral intake, IV fluids, medication carriers, and .
An adult remains on IV fluids. Which measures are commonly part of reassessing the patient's status and fluid plan? Select all that apply.
- A
Clinical examination
- B
Intake and output
- C
Weight
- D
Renal function and electrolyte results
- E
The color of the infusion bag alone
An adult has substantial ongoing gastrointestinal losses. Which general replacement approach is most appropriate?
- A
Use the same standard fluid rate for every patient with gastrointestinal losses.
- B
Estimate the type and amount of loss and account for maintenance needs and other intake.
- C
Replace losses only if serum sodium is abnormal.
- D
Stop oral or enteral fluids whenever IV fluids are prescribed.
A clinician is considering a colloid solution for a specific indication. Which description best characterizes colloids?
- A
They are hypotonic solutions that provide only free water.
- B
They are sterile water preparations used for routine resuscitation.
- C
They contain larger molecules, such as albumin.
- D
They are dextrose solutions that remain intravascular after infusion.
A patient is being considered for a hypertonic IV solution. Which safety principle should guide its use?
- A
They are routine first-line fluids for all initial resuscitation.
- B
They can shift water between body compartments and require a specific indication and close monitoring.
- C
They are interchangeable with isotonic crystalloids in every clinical situation.
- D
They require no monitoring once an infusion has started.
Why should a patient's IV fluid plan be reassessed regularly and discontinued when it is no longer needed? Include the risks of both excessive fluid and inadequate replacement.
A stable adult inpatient cannot take fluids orally or enterally for a short period and has no identified circulation problem or abnormal fluid loss. Which IV-fluid purpose most closely fits this situation?
- A
Resuscitation
- B
Routine maintenance
- C
Replacement of an abnormal loss
- D
Redistribution treatment
An adult patient needs rapid intravascular volume resuscitation. Which fluid category is generally considered when resuscitation is clinically indicated?
- A
0.45% sodium chloride
- B
5% dextrose in water as the sole resuscitation fluid
- C
An isotonic crystalloid
- D
Sterile water
A fluid provides proportionally more free water than an isotonic solution and is not a routine choice for initial resuscitation. What fluid category is it?
True or false: Low urine output by itself proves that an adult patient needs an IV fluid bolus.
- A
True
- B
False
When estimating an adult patient's overall fluid plan, which approach gives the most complete account of intake and losses?
- A
Include oral or enteral intake, IV fluids, medication carriers, and measured losses.
- B
Count only IV fluids because other sources do not affect fluid balance.
- C
Exclude medication carriers unless they contain electrolytes.
- D
Count measured losses but disregard oral or enteral intake.
During a peripheral IV infusion, the site becomes swollen, cool, and uncomfortable. What catheter complication do these findings suggest?
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