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Free Practice Quiz Question List

5 Phosphate Imbalances Online Quiz Questions

Use this free practice quiz with 20 questions to review 5 Phosphate Imbalances, test your knowledge, and prepare for your next test or exam.

20 questions
01
Choose one
1 point

A patient develops new weakness soon after nutrition is restarted following prolonged poor intake. Which phosphate imbalance should the nurse consider?

  1. A

    Hyperphosphatemia from reduced kidney excretion

  2. B

    Hypophosphatemia from phosphate shifting into cells

  3. C

    Hyperphosphatemia from calcium-phosphate deposits

  4. D

    Hypophosphatemia caused only by low calcium

02
Fill in the blank
1 point

Severe or prolonged phosphate depletion can cause bone pain or .

03
Written response
1 point

What is the lower boundary of the commonly used adult serum phosphate reference range? Enter the value in mg/dL.

04
Choose one
1 point

A patient with advanced kidney disease has elevated phosphate and tingling around the mouth. Which interpretation is most appropriate?

  1. A

    Treat the tingling as a phosphate-specific symptom and disregard calcium

  2. B

    Consider associated hypocalcemia and assess calcium results

  3. C

    Assume the tingling confirms hypercalcemia

  4. D

    Conclude that the patient has no clinically relevant symptoms

05
True or false
1 point

Mild hypophosphatemia always causes noticeable symptoms.

  1. A

    True

  2. B

    False

06
Choose all
1 point

Which situations can lower blood phosphate by shifting phosphate into cells? Select all that apply.

  1. A

    Refeeding after prolonged undernutrition

  2. B

    Malabsorption of phosphate in the intestine

  3. C

    Recovery from diabetic ketoacidosis

  4. D

    Increased phosphate loss due to hyperparathyroidism

  5. E

    Respiratory alkalosis

07
Fill in the blank
1 point

Administer prescribed phosphate binders with , as directed.

08
Written response
1 point

Which additional electrolyte does a potassium-phosphate replacement product deliver? Enter the electrolyte name.

09
Choose all
1 point

Which factors can contribute to hyperphosphatemia? Select all that apply.

  1. A

    Reduced kidney excretion

  2. B

    Hypoparathyroidism

  3. C

    Increased phosphate excretion by healthy kidneys

  4. D

    Excessive phosphate intake or phosphate-containing products

  5. E

    Phosphate release from damaged cells

10
True or false
1 point

A prolonged QTc in a patient with hyperphosphatemia is a phosphate-specific ECG pattern that is independent of calcium.

  1. A

    True

  2. B

    False

11
Choose one
1 point

A patient has severe symptomatic hypophosphatemia and cannot take oral replacement. Which plan best reflects safe nursing care?

  1. A

    Give IV phosphate immediately without checking renal function or other electrolytes

  2. B

    Avoid all replacement because phosphate depletion cannot be treated

  3. C

    Use prescribed IV replacement with close monitoring of phosphate, calcium, potassium, and kidney function

  4. D

    Use an unprescribed phosphate product and monitor only for muscle pain

12
Open ended
1 point

A patient at risk of refeeding syndrome is beginning nutrition after prolonged poor intake. Describe the nursing assessment and monitoring priorities, including how nutrition should be coordinated.

13
Choose one
1 point

A patient with chronic kidney disease asks whether to use an unprescribed phosphate-containing enema. What is the safest response?

  1. A

    Use a phosphate-containing enema freely because it is not absorbed

  2. B

    Avoid the unprescribed phosphate-containing enema and consult the care team

  3. C

    Start a phosphate binder without checking the prescribed plan

  4. D

    Stop all dietary intake without consulting a dietitian

14
True or false
1 point

Long-term hyperphosphatemia, particularly in kidney disease, can contribute to calcium-phosphate deposits in soft tissues and blood vessels.

  1. A

    True

  2. B

    False

15
Written response
1 point

Using the commonly used adult definition, what serum phosphorus cutoff separates hypophosphatemia from the usual range? Give the cutoff in mg/dL.

16
Written response
1 point

Which bone disorder can result from severe or prolonged phosphate depletion?

17
Choose one
1 point

A patient with hyperphosphatemia has a prescribed phosphate binder. Which administration plan is appropriate?

  1. A

    Give the binder on an empty stomach before breakfast.

  2. B

    Give the binder with meals, as prescribed.

  3. C

    Give the binder only when the patient reports tingling.

  4. D

    Stop the binder whenever the patient has a reduced appetite.

18
Choose one
1 point

A patient develops new weakness after nutrition is restarted following prolonged poor intake. Which phosphate imbalance and mechanism are a concern?

  1. A

    Hyperphosphatemia from reduced intestinal absorption

  2. B

    Hyperphosphatemia from increased renal retention

  3. C

    Hypophosphatemia from phosphate moving into cells

  4. D

    Hypophosphatemia from phosphate being released by bone

19
Choose one
1 point

A patient with advanced kidney disease has elevated phosphate and tingling around the mouth. Which interpretation should the nurse consider?

  1. A

    The tingling may reflect associated hypocalcemia.

  2. B

    The tingling confirms a phosphate-specific nerve injury.

  3. C

    The tingling indicates that serum calcium must be elevated.

  4. D

    The tingling is a specific sign of respiratory alkalosis.

20
Choose one
1 point

Which chronic complication can result from long-term hyperphosphatemia, particularly in kidney disease?

  1. A

    Increased bone flexibility from phosphate loss

  2. B

    Acute respiratory alkalosis in blood vessels

  3. C

    Reduced calcium-phosphate deposition in soft tissues

  4. D

    Calcium-phosphate deposits in soft tissues and blood vessels