Nursing 3500 Exam Questions with 100 Verified

Nursing 3500 Exam Questions with 100% Verified Correct Answers Graded A+ 2024/2025 Which of the following is a clinical manifestation of hypokalemia?

a) Oliguria

• irritability
• soft flabby muscles

d) Abdominal cramping - Correct Answer c) Soft flabby muscles

Following bowel surgery, a patient has been receiving normal saline intravenous (IV) fluids at 100 mL per hour; has a nasogastric tube attached to low, intermittent suction; and is on nothing by mouth (NPO) status. Which of the following assessment findings would alert the nurse to a major fluid and electrolyte problem?

• Flushed, moist skin
• A decreasing level of consciousness (LOC)
• A serum sodium level of 138 mmol/L
• Weight gain - Correct Answer b) decreasing level of conciousness

What is the most reliable index of volume status when caring for a patient with a fluid imbalance?

• Skin turgor
• Daily weight patterns
• Hourly urinary output
• Presence of edema - Correct Answer b) daily weight patterns

When monitoring the fluid and electrolyte status of the older adult, what does the nurse recognize that impairment of the thirst mechanism may lead to?

• Decreased production of ADH
• Cellular edema
• Hyperosmolality 1 / 2

• Isotonic fluid deficit - Correct Answer

A patient is taking hydrochlorothiazide, a potassium-wasting diuretic, for treatment of hypertension.What symptoms should the nurse teach the patient to report?

• Fatigue and muscle weakness
• Anxiety and muscle twitching
• Abdominal cramping and diarrhea
• Confusion and personality changes - Correct Answer a) fatigue and muscle weakness

What is the best area to assess for skin turgor in the older adult?

• Sternum
• Forearm
• Thigh
• Upper arm - Correct Answer a) sternum

IV potassium chloride is ordered for treatment of a patient with hypokalemia. What should the nurse be aware of when administering the potassium solution?

Selected Answer:

a) To prevent cardiac dysrhythmias and arrest, the maximum amount of KCl to be administered in 1

hour is 20 mEq.

• To prevent hyperkalemia, the amount of KCl added to IV fluids should never exceed 80 mmol/L.
• KCl should be administered as rapidly as necessary to correct hypokalemia.
• KCl should be given only through central lines to prevent venospasm and inflammation at the site

of entry. - Correct Answer a) to prevent cardiac dysrhythmias and arrest, the maximum amount of KCL to be administered is 20 mEq To prevent laryngeal spasms and respiratory arrest in a patient who is at risk for hypocalcemia, the nurse should assess the patient for which early sign of hypocalcemia?

Selected Answer:

• Tetany
• Numbness and tingling around the lips or in the fingers
• / 2