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Free Practice Quiz Question List

7 Fluid and Electrolyte Nursing Practice Questions Online Quiz Questions

Use this free practice quiz with 20 questions to review 7 Fluid and Electrolyte Nursing, test your knowledge, and prepare for your next test or exam.

20 questions
01
True or false
1 point

A hypotensive patient needs rapid intravascular volume resuscitation. A student suggests D5W for this purpose. Is this a suitable choice?

  1. A

    True

  2. B

    False

02
Written response
1 point

A patient with low potassium can take and tolerate medication by mouth. Which route is generally preferred for potassium replacement? Enter the route.

03
Fill in the blank
1 point

A patient with substantial diarrhea is receiving maintenance IV fluid. Maintenance fluid alone may not replace an existing or continuing abnormal losses.

04
Written response
1 point

A patient with gastrointestinal illness has ongoing fluid losses. What record should the nurse use to document intake and losses? Enter the name of the record.

05
True or false
1 point

A nurse must never administer potassium chloride by IV push.

  1. A

    True

  2. B

    False

06
Written response
1 point

When IV potassium replacement is prescribed, what device should be used to control the infusion? Enter the device name.

07
Fill in the blank
1 point

If IV potassium is prescribed, use the approved preparation, an infusion pump, and the monitoring required by local policy.

08
Choose one
1 point

A patient with low potassium is alert and has an order for replacement. Which nursing action best supports safe administration?

  1. A

    Review the patient’s temperature and pain score; no other checks are needed if the patient feels well.

  2. B

    Verify the order and route, and review renal function and the latest potassium and magnesium results.

  3. C

    Increase the prescribed dose if the latest potassium result remains low.

  4. D

    Add magnesium to the IV fluid bag without a separate order.

09
Choose all
1 point

A patient receiving prescribed maintenance IV fluid continues to have substantial diarrhea. Which nursing actions are appropriate? Select all that apply.

  1. A

    Measure and document intake and losses.

  2. B

    Assess fluid status and vital signs.

  3. C

    Increase the IV rate independently to replace the losses.

  4. D

    Report the ongoing losses so the plan can be reassessed.

  5. E

    Add electrolytes to the fluid bag without an order.

10
Choose one
1 point

A patient with repeated vomiting has a rapid pulse, low blood pressure, and cool extremities. A 500 mL isotonic crystalloid bolus is prescribed. What should the nurse do?

  1. A

    Wait to assess the patient until the bolus is complete.

  2. B

    Give a second bolus if the pulse remains rapid, even without an order or protocol.

  3. C

    Promptly assess and escalate the patient’s condition, administer the prescribed bolus, and monitor the response.

  4. D

    Withhold the prescribed bolus until laboratory results are available.

11
True or false
1 point

After a prescribed bolus, the nurse can assume the patient’s poor perfusion is resolved and does not need to reassess unless symptoms return.

  1. A

    True

  2. B

    False

12
Choose all
1 point

A patient with markedly low sodium becomes confused and has a seizure. Which actions are appropriate? Select all that apply.

  1. A

    Initiate the emergency response and seizure-safety measures.

  2. B

    Wait to notify the clinical team until the seizure has ended and the patient is fully alert.

  3. C

    Support airway and breathing and promptly notify the responsible clinical team.

  4. D

    Independently begin a hypertonic saline infusion before obtaining a prescription or following a protocol.

  5. E

    Ensure sodium is monitored closely during prescribed correction.

13
Choose one
1 point

A patient with kidney impairment has a high potassium result and peaked T waves on the ECG. What is the priority nursing response?

  1. A

    Wait for a repeat laboratory result before notifying anyone, even with the ECG changes.

  2. B

    Promptly escalate care, maintain cardiac monitoring as directed, and prepare for prescribed urgent treatment.

  3. C

    Ask the patient to avoid potassium-rich foods and recheck the result at the next routine visit.

  4. D

    Give a potassium-containing supplement to stabilize the ECG.

14
Open ended
1 point

During IV fluid therapy, a patient develops new shortness of breath, crackles, and increasing peripheral edema. Describe the nurse’s priorities.

15
Written response
1 point

When reviewing an adult patient's fluid status for possible complications, which patient measure should be reviewed along with fluid balance, renal function, and electrolytes?

16
Choose one
1 point

A student proposes D5W to rapidly restore circulating volume in a hypotensive patient. Which response is most appropriate?

  1. A

    Yes. D5W is a suitable fluid for rapid intravascular volume resuscitation.

  2. B

    No. D5W is not suitable for rapid intravascular volume resuscitation.

  3. C

    Yes, but only if the patient also has diarrhea.

  4. D

    No. Only hypotonic saline is suitable for rapid intravascular volume resuscitation.

17
Choose one
1 point

A patient has a prescription for IV potassium replacement. Which nursing action follows the safeguards described for administering it?

  1. A

    Give potassium chloride by IV push if the patient is monitored.

  2. B

    Prepare a concentrated potassium solution at the bedside and administer it without a pump.

  3. C

    Use the approved premixed preparation and infusion pump, with monitoring required by local policy.

  4. D

    Add potassium to the fluid bag and increase the rate without contacting the clinical team.

18
Choose one
1 point

A patient continues to have substantial diarrhea while receiving prescribed maintenance IV fluids. What is the best nursing priority?

  1. A

    Increase the maintenance-fluid rate until the diarrhea stops.

  2. B

    Measure and document intake and losses, assess fluid status and vital signs, and report the ongoing losses.

  3. C

    Add electrolytes to the fluid bag to compensate for the diarrhea.

  4. D

    Continue the current plan without documenting the losses unless the patient becomes symptomatic.

19
Choose one
1 point

During IV fluid therapy, a patient develops new shortness of breath, crackles, and increasing peripheral edema. What should the nurse do?

  1. A

    Continue the infusion unchanged because edema is expected during IV therapy.

  2. B

    Stop monitoring and wait for the next scheduled assessment.

  3. C

    Assess respiratory status and vital signs, escalate the change, and review the fluid prescription and recent intake and output with the clinical team.

  4. D

    Independently change the fluid prescription to a different solution.

20
Choose one
1 point

A patient with repeated vomiting has a rapid pulse, low blood pressure, and cool extremities. A 500 mL isotonic crystalloid bolus is prescribed. Which action is most appropriate?

  1. A

    Give the bolus and assume no further assessment is needed if the infusion finishes.

  2. B

    Promptly assess and escalate, administer the prescribed bolus, and reassess the patient's response.

  3. C

    Repeat the bolus immediately if the patient's pulse remains rapid, without seeking an order or checking a protocol.

  4. D

    Delay the bolus until all laboratory results are available, even if the patient appears poorly perfused.