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Free Practice Quiz Question List

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.

20 questions
01
True or false
1 point

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.

  1. A

    True

  2. B

    False

02
Written response
1 point

A patient’s weight changes by approximately 1 kg. What volume of water does that change correspond to?

03
Fill in the blank
1 point

Calculate intake and output balance for the specified and look for trends.

04
Choose one
1 point

When recording a patient’s fluid intake, how should the nurse handle fluid used to administer medications?

  1. A

    Count medication-administration fluid as intake in every situation, regardless of policy.

  2. B

    Include fluid used to administer medications when required by policy.

  3. C

    Record medication-administration fluid only if it is given orally.

  4. D

    Do not include medication-administration fluid in intake.

05
Choose all
1 point

A patient receiving fluid therapy is being assessed for possible fluid overload. Select all findings that can indicate overload.

  1. A

    New crackles

  2. B

    Dizziness

  3. C

    Falling oxygen saturation

  4. D

    Increasing edema

  5. E

    Thirst

06
True or false
1 point

True or false: A positive recorded fluid balance, by itself, diagnoses fluid overload.

  1. A

    True

  2. B

    False

07
Written response
1 point

Below what approximate urine-output rate in adults is output often treated as a concern when sustained?

08
Fill in the blank
1 point

Document a after an intervention.

09
Choose one
1 point

A patient reports burning at a peripheral IV site, and swelling is visible. What is the best immediate response?

  1. A

    Increase the infusion rate to clear the discomfort.

  2. B

    Document the complaint and wait until the next routine assessment.

  3. C

    Assess the site and infusion, stop the infusion, and follow facility policy.

  4. D

    Apply a warm compress and continue the infusion as prescribed.

10
Choose one
1 point

An adult receiving IV fluids has ongoing losses and new abnormal laboratory results. What should the nurse consider about the reassessment schedule?

  1. A

    Use the same fixed schedule for every patient receiving IV fluids.

  2. B

    Increase monitoring only when a scheduled weight is due.

  3. C

    Wait for the next routine interval unless the patient requests an assessment.

  4. D

    Increase monitoring when ongoing losses, abnormal results, a changing condition, or higher risk warrants it.

11
Choose all
1 point

When interpreting an abnormal electrolyte result, which context should the nurse review? Select all that apply.

  1. A

    The result’s trend

  2. B

    The patient’s symptoms

  3. C

    The color of the IV bag alone

  4. D

    Kidney function

  5. E

    Relevant medications and the fluid prescription

12
Open ended
1 point

During IV fluid replacement, a patient develops new crackles, shortness of breath, and decreasing oxygen saturation. Describe the nurse’s immediate response.

13
Choose one
1 point

A nurse audits intake records and finds that fluid used to administer medications was not counted. Which action is appropriate?

  1. A

    Exclude it because medication fluids are not part of intake.

  2. B

    Include it when required by policy.

  3. C

    Include it only if the fluid is given with an enteral feed.

  4. D

    Record it as output because it is used during medication administration.

14
True or false
1 point

True or false: After an intervention, the nurse should document a follow-up assessment of the patient’s response.

  1. A

    True

  2. B

    False

15
Choose one
1 point

A patient’s weight has changed during fluid therapy. Which approach best supports interpreting whether the change reflects a meaningful fluid trend?

  1. A

    Use whichever scale is available and compare the result with the previous reading.

  2. B

    Use the same scale at a consistent time with similar clothing, then interpret the trend with other findings.

  3. C

    Treat each 1 kg change as a direct measurement of a 1 L change in every body-fluid compartment.

  4. D

    Compare weights only when the patient reports thirst.

16
Written response
1 point

A patient receiving fluid therapy develops hypotension, tachycardia, and dizziness. What fluid-status concern can these findings accompany?

17
Choose one
1 point

An adult receiving IV fluids has ongoing losses and abnormal results. Which monitoring approach is most appropriate?

  1. A

    Use one fixed reassessment interval for every adult receiving IV fluids.

  2. B

    Wait for the next routine assessment unless the patient reports a symptom.

  3. C

    Increase reassessment as indicated by ongoing losses and abnormal results, following the prescribed plan and local policy.

  4. D

    Stop monitoring once the infusion rate has been verified.

18
Written response
1 point

What urine-output threshold, when sustained, is often treated as a concern in adults? Give the value in mL/kg/hour.

19
Choose one
1 point

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?

  1. A

    +200 mL; treat this result alone as proof of fluid overload.

  2. B

    +600 mL; verify the entries and interval, then compare the result with the patient’s condition and trends.

  3. C

    +1,200 mL; do not include emesis in measured output.

  4. D

    −600 mL; compare it only with the shift total.

20
Choose one
1 point

While checking an IV infusion, which action best verifies that the therapy is being administered as prescribed?

  1. A

    Verify the solution, additives, rate, and remaining volume against the current order and care plan.

  2. B

    Confirm only that the IV pump is running, then leave the patient’s response for the next scheduled check.

  3. C

    Increase the rate if the prescribed amount appears unlikely to meet the patient’s needs.

  4. D

    Replace the ordered solution with one that better matches the latest laboratory result.