True or false: To judge whether fluid or electrolyte therapy is working, interpret findings together and compare them with the patient’s baseline and prescribed goals.
5 Monitoring Fluid and Electrolyte Therapy Online Quiz Questions
Use this free practice quiz with 20 questions to review 5 Monitoring Fluid and Electrolyte Therapy, test your knowledge, and prepare for your next test or exam.
A patient’s weight changes by approximately 1 kg. What volume of water does that change correspond to?
Calculate intake and output balance for the specified and look for trends.
When recording a patient’s fluid intake, how should the nurse handle fluid used to administer medications?
- A
Count medication-administration fluid as intake in every situation, regardless of policy.
- B
Include fluid used to administer medications when required by policy.
- C
Record medication-administration fluid only if it is given orally.
- D
Do not include medication-administration fluid in intake.
A patient receiving fluid therapy is being assessed for possible fluid overload. Select all findings that can indicate overload.
- A
New crackles
- B
Dizziness
- C
Falling oxygen saturation
- D
Increasing edema
- E
Thirst
True or false: A positive recorded fluid balance, by itself, diagnoses fluid overload.
- A
True
- B
False
Below what approximate urine-output rate in adults is output often treated as a concern when sustained?
Document a after an intervention.
A patient reports burning at a peripheral IV site, and swelling is visible. What is the best immediate response?
- A
Increase the infusion rate to clear the discomfort.
- B
Document the complaint and wait until the next routine assessment.
- C
Assess the site and infusion, stop the infusion, and follow facility policy.
- D
Apply a warm compress and continue the infusion as prescribed.
An adult receiving IV fluids has ongoing losses and new abnormal laboratory results. What should the nurse consider about the reassessment schedule?
- A
Use the same fixed schedule for every patient receiving IV fluids.
- B
Increase monitoring only when a scheduled weight is due.
- C
Wait for the next routine interval unless the patient requests an assessment.
- D
Increase monitoring when ongoing losses, abnormal results, a changing condition, or higher risk warrants it.
When interpreting an abnormal electrolyte result, which context should the nurse review? Select all that apply.
- A
The result’s trend
- B
The patient’s symptoms
- C
The color of the IV bag alone
- D
Kidney function
- E
Relevant medications and the fluid prescription
During IV fluid replacement, a patient develops new crackles, shortness of breath, and decreasing oxygen saturation. Describe the nurse’s immediate response.
A nurse audits intake records and finds that fluid used to administer medications was not counted. Which action is appropriate?
- A
Exclude it because medication fluids are not part of intake.
- B
Include it when required by policy.
- C
Include it only if the fluid is given with an enteral feed.
- D
Record it as output because it is used during medication administration.
True or false: After an intervention, the nurse should document a follow-up assessment of the patient’s response.
- A
True
- B
False
A patient’s weight has changed during fluid therapy. Which approach best supports interpreting whether the change reflects a meaningful fluid trend?
- A
Use whichever scale is available and compare the result with the previous reading.
- B
Use the same scale at a consistent time with similar clothing, then interpret the trend with other findings.
- C
Treat each 1 kg change as a direct measurement of a 1 L change in every body-fluid compartment.
- D
Compare weights only when the patient reports thirst.
A patient receiving fluid therapy develops hypotension, tachycardia, and dizziness. What fluid-status concern can these findings accompany?
An adult receiving IV fluids has ongoing losses and abnormal results. Which monitoring approach is most appropriate?
- A
Use one fixed reassessment interval for every adult receiving IV fluids.
- B
Wait for the next routine assessment unless the patient reports a symptom.
- C
Increase reassessment as indicated by ongoing losses and abnormal results, following the prescribed plan and local policy.
- D
Stop monitoring once the infusion rate has been verified.
What urine-output threshold, when sustained, is often treated as a concern in adults? Give the value in mL/kg/hour.
During one shift, a patient has 900 mL of oral intake, 300 mL of IV intake, 500 mL of urine, and 100 mL of emesis. What is the recorded net balance, and what should the nurse do next?
- A
+200 mL; treat this result alone as proof of fluid overload.
- B
+600 mL; verify the entries and interval, then compare the result with the patient’s condition and trends.
- C
+1,200 mL; do not include emesis in measured output.
- D
−600 mL; compare it only with the shift total.
While checking an IV infusion, which action best verifies that the therapy is being administered as prescribed?
- A
Verify the solution, additives, rate, and remaining volume against the current order and care plan.
- B
Confirm only that the IV pump is running, then leave the patient’s response for the next scheduled check.
- C
Increase the rate if the prescribed amount appears unlikely to meet the patient’s needs.
- D
Replace the ordered solution with one that better matches the latest laboratory result.
Related study packs and tools
- Quiz
1 Principles of Fundamental Care
A medium-difficulty quiz on applying person-centred principles of fundamental care, including dignity, choice, safety, independence, infection prevention, and observation.
- Study guide
1 Scene Assessment and Emergency Priorities
Learn how to make an emergency scene safer, rapidly identify and address immediate threats to life, prioritize patients, and reassess as conditions change.
- Study guide
2 Immediate Stabilization Decisions
A practical guide to recognizing immediate threats, providing appropriate first aid while EMS is coming, and prioritizing emergency transport decisions.
- Quiz
3 Prioritizing Hypotheses
A medium-difficulty quiz on generating plausible hypotheses, comparing urgency and risk, explaining priorities, and revising them as patient cues change.
NCLEX-RN Clinical JudgmentUpdated - Quiz
4 Destination Decisions and Transport Planning
A medium-difficulty quiz on selecting and communicating an appropriate patient destination using patient needs, facility capabilities, travel conditions, and local protocols.
- Study guide
4 Destination Decisions and Transport Planning
Learn how to select and communicate a patient destination by matching clinical risk and likely care needs to facility capability, travel conditions, and local EMS protocols.
- Study guide
4 Patient Identification
Learn how to verify a patient’s identity safely before care, what to do when information does not match, and how to proceed when a patient cannot confirm their identity.
- Study guide
4 Prioritize Hypotheses
Learn how to compare plausible explanations for a client’s findings and prioritize the concern that poses the greatest immediate risk.
- Quiz
5 Generate Solutions
A medium-difficulty quiz on setting measurable patient goals and selecting, implementing, and evaluating interventions that address the priority problem.
- Study guide
5 Urinary and Bowel Elimination
Learn how to support safe, comfortable, and independent toileting, provide elimination and skin care, and recognize changes that require reporting or urgent attention.
- Study guide
6 Take Action
Learn how to implement safe, prioritized nursing interventions, respond to deterioration, communicate concerns, and reassess patient outcomes.
- Quiz
8 Integrated NGN Case Studies
Practice applying the NGN clinical judgment steps, using common item formats, and interpreting client changes.