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3 Nursing Management of Fluid Imbalances Online Quiz Questions

Use this free practice quiz with 20 questions to review 3 Nursing Management of Fluid Imbalances, test your knowledge, and prepare for your next test or exam.

20 questions
01
True or false
1 point

True or false: Daily weights are most useful for tracking fluid-balance trends when measured with the same scale, similar clothing, and at about the same time each day.

  1. A

    True

  2. B

    False

02
Written response
1 point

What name does NICE give its five-part framework for IV-fluid decision-making?

03
Fill in the blank
1 point

Intake and output documentation should include oral and IV intake and .

04
Choose one
1 point

A patient has a fluid volume deficit but can safely drink and absorb fluids. Which approach best follows the nursing guidance for fluid replacement?

  1. A

    Start IV fluids because they are the preferred route for any fluid deficit.

  2. B

    Offer oral or enteral fluids when safe and adequate for the patient's needs.

  3. C

    Withhold fluids until laboratory results confirm a deficit.

  4. D

    Give IV fluids and independently adjust the rate to match urine output.

05
Choose one
1 point

A patient receiving IV fluids develops new shortness of breath and crackles. Which nursing response is the priority?

  1. A

    Wait until the next routine assessment to see whether symptoms resolve.

  2. B

    Independently change the IV solution and rate, then document the change.

  3. C

    Promptly assess the patient and infusion, follow the escalation procedure, and notify the appropriate clinician.

  4. D

    Encourage the patient to drink additional fluids to replace the IV fluid.

06
Choose all
1 point

A patient is at risk for fluid volume excess. Which assessments should the nurse include? Select all that apply.

  1. A

    Assess respiratory status and oxygenation.

  2. B

    Assess skin turgor as the sole indicator of fluid excess.

  3. C

    Listen to lung sounds and assess for edema or jugular venous distention.

  4. D

    Review intake and output, daily weight, blood pressure, and relevant laboratory results.

  5. E

    Use one laboratory result alone to establish fluid status.

07
True or false
1 point

When setting up prescribed IV fluids, the nurse should confirm the fluid, rate, volume, and indication and use the prescribed pump settings without independently changing the solution or rate. True or false?

  1. A

    True

  2. B

    False

08
Choose all
1 point

A patient with ongoing diarrhea has dizziness and reduced urine output. Which assessments would help the nurse evaluate possible fluid volume deficit? Select all that apply.

  1. A

    Review recent intake and losses, including vomiting, diarrhea, or bleeding.

  2. B

    Use a single laboratory result as the only basis for determining fluid status.

  3. C

    Assess vital signs, perfusion, and mental status.

  4. D

    Ignore urine output if the patient reports thirst.

  5. E

    Review urine output and appearance, weight trend, and relevant laboratory results.

09
Open ended
1 point

A patient with repeated vomiting is dizzy when standing, has weak pulses, and has reduced urine output. Describe the nursing assessment and management priorities, including how to evaluate the response to treatment.

10
Choose one
1 point

A patient with kidney impairment needs fluid replacement, and oral intake is insufficient. Which nursing approach is safest?

  1. A

    Increase the prescribed rate to correct the deficit as quickly as possible.

  2. B

    Follow the prescribed plan, monitor closely, and promptly report concerning changes.

  3. C

    Switch to a different IV solution based on the patient's symptoms.

  4. D

    Stop all fluid replacement without notifying the clinician.

11
Choose one
1 point

A patient receiving treatment for fluid volume deficit has persistently low urine output. What should the nurse do?

  1. A

    Promptly report the persistently low urine output and reassess the patient and prescribed plan.

  2. B

    Independently increase the IV fluid rate until urine output improves.

  3. C

    Wait until the next daily weight before reporting the finding.

  4. D

    Restrict fluids without consulting the prescribed plan.

12
True or false
1 point

True or false: An elevated BUN result by itself establishes that a patient has fluid volume deficit.

  1. A

    True

  2. B

    False

13
Choose one
1 point

During treatment for fluid volume deficit, which finding should the nurse promptly report?

  1. A

    Wait for the next scheduled assessment unless the patient reports thirst.

  2. B

    Promptly report worsening hypotension, altered mental status, poor perfusion, or persistently low urine output.

  3. C

    Increase the prescribed fluid rate independently and report only if symptoms continue.

  4. D

    Document the findings and wait for laboratory results before notifying anyone.

14
Choose one
1 point

Before administering prescribed IV fluids for a deficit, which information should the nurse confirm?

  1. A

    Confirm only the fluid type; choose a rate based on the patient's symptoms.

  2. B

    Confirm the fluid and rate, then independently adjust the volume and indication as needed.

  3. C

    Confirm the prescribed fluid, rate, volume, and indication and use the prescribed pump settings.

  4. D

    Select a different solution if it appears more appropriate, then notify the clinician afterward.

15
Choose one
1 point

A patient with fluid volume excess has a prescribed daily fluid restriction. What should the nurse do when planning how to carry it out?

  1. A

    Confirm the prescribed allowance and count fluids from all sources according to facility practice.

  2. B

    Count only water and other drinks the patient requests.

  3. C

    Set a lower allowance independently if edema is present.

  4. D

    Avoid explaining the restriction so the patient does not focus on thirst.

16
Written response
1 point

According to the IV-fluid guidance, when should IV fluids be stopped? Enter the stopping condition.

17
Choose one
1 point

A patient with fluid volume excess is receiving a prescribed diuretic. Which monitoring plan is appropriate?

  1. A

    Monitor respiratory status only; diuretics do not affect renal function or electrolytes.

  2. B

    Monitor urine output, blood pressure, weight, symptoms, renal function, and electrolytes.

  3. C

    Restrict monitoring to daily weight and stop assessing once edema improves.

  4. D

    Increase the diuretic dose independently if urine output does not rise.

18
Written response
1 point

A patient is receiving a diuretic for fluid volume excess. What category of abnormality can diuresis cause and should be monitored?

19
Written response
1 point

A patient being treated for fluid excess tells the nurse that breathing has become more difficult since the last assessment. Which symptom should the patient be taught to report promptly? Enter the symptom phrase.

20
Fill in the blank
1 point

A patient with a fluid deficit also has an electrolyte deficit. The nurse should not assume that fluid replacement alone corrects the .