COLLEGE OF NURSING

NCM 103 Quiz (Fluids and Electrolytes balance / imbalance)

Set A

Name: _______________________________________ Score: __________
Course/Year: __________________________________ Date: ___________

GENERAL INSTRUCTIONS: 1. Choose the BEST ANSWER.
2. Write your answer on the space provided before the number.
3. STRICTLY NO ERASURES!
TEST I: MULTIPLE CHOICE

_____1. Nurse Janice can expect to administer Normal Saline Solution (NSS) to a client with:
a. Hypervolemia c. Water intoxication
b. Hypovolemia d. Pulmonary edema
_____2. Whats the major risk of dehydration?
a. Excessive circulating blood volume b. HCT c. Cellular shrinkage d. Pulmonary edema
_____3. Rapid administration of hypotonic solutions to severely dehydrated clients should be avoided to prevent
which complications?
a. Cerebral edema b. Heart failure c. Hypotension d. Shock
_____4. Nurse Zandra is administering I.V. fluids to a client with hyponatremia. During rotine assessment, Nurse
Zandra auscultates bilaterally over the lungs, and the client complains of dyspnea. Which is the most appropriate
response by the nurse?
a. Obtain a blood sample to check serum sodium level
b. Respiratory alkalosis c. Metabolic acidosis d. Metabolic alkalosis
_____5. In a client in the health care clinic, arterial blood has analysis given the following result: pH 7. 48, PCO2
32 mmHg, PO2 94 mmHg, HCO3 24 mEq/L. The nurse concludes that which acid-base imbalance?
a. Respiratory acidosis b. Respiratory alkalosis c. Metabolic acidosis d. Metabolic alkalosis
_____6. Client Jennifer has an order for ABG analysis on radial artery specimens. The nurse ensures that which of
the following has been performed or tested before the ABG specimens are drawn?
a. Guthrie test b. Allens test c. Rombergs test d. Webers test
_____7. You review the arterial blood gas value of a client in the medical ward and notes that the pH is 7.31,
PCO2 is 50 mmHg, the HCO3 is 27 mEq/L. Base on the results given, which acid-base imbalance is present in this
client?
a. Respiratory acidosis b. Respiratory alkalosis c. Metabolic acidosis d. Metabolic alkalosis
_____8. You are directed to administer a hypotonic intravenous solution. Looking at the following labeled
solutions, as a proficient nurse, you should choose:
a. 0.45% NaCl b. 0.9% NaCl c. D5W d. D5NSS
_____9. In the evaluation of clients response to fluid replacement therapy, the observation that indicates
adequate tissue perfusion to vital organs is:
a. Urinary output is 30 ml in an hour c. Pulse rates of 120 & 110 in a 15-minute period
b. CVP reading of 2cm H20 d. BP reading change of 50/30 and 70/40 within 30 minutes
_____10. A patient is hemorrhaging from multiple trauma sites. The nurse expects that compensatory
mechanisms associated with hypovolemia would cause all of the following symptoms, EXCEPT:
a. Oliguria b. Tachypnea c. Hypertension d. Tachycardia