FLUIDS & ELECTROLYTES QUIZ

1. An obese patient who had a right

mastectomy has better veins in her right hand
but is left handed. Where should the nurse place
the intravenous (IV) catheter?
a. In her right hand
b. In her left lower arm
c. Wherever the patient wants
d. In her right antecubital site
2. A physician prescribes 1000 mL of normal
saline to infuse at 100 mL/hour. The drop factor
is 10 drops/mL. The nurse sets the flow rate at
how many drops per minute? (Round your
answer to the nearest whole number.)
a. 16.6 gtts/min c. 16 gtts/min
b. 17 gtts/min d. 18 gtts/min
3. A patient with hemophilia comes to the clinic
for treatment. What should the nurse anticipate
that he or she will need to administer?
a. Whole blood
b. Cryoprecipitate
c. Thromboplastin
d. Platelets
4. A nurse is caring for two patients, one with a
diagnosis of fluid volume excess and one with
fluid volume deficit. Which nursing intervention
is unique to fluid volume excess, which is
unrelated to fluid volume deficit?
a. Obtain a daily weight.
b. Record intake and output.
c. Place the patient in the mid-Fowler position.
d. Monitor laboratory values for renal function
and electrolytes.
5. A nurse is caring for a patient who has orders
for an fluid restriction of 1400 mL in 24 hours.
The patient is receiving medication in a 50 mL
IVPB four times a day. How much fluid should
the nurse allocate for oral intake during the day?
a. 400 mL
b. 800 mL
c. 1,000 mL
d. 1,300 mL
6. A nurse is assessing the IV dressing of a client
with a peripheral intravenous infusion running.
The date on the dressing is 7/25 (July 25). The
nurse documents on the client’s record that the
dressing should be changed on which of the
following dates?
a. 7/26 c. 7/30
b. 7/28 d. 8/1
7. During the administration of blood the health
care provider orders intravenous (IV) antibiotics
to be infused. The most appropriate
intervention is to:
a. Stop the transfusion.
b. Piggyback into the transfusion.
c. Question the order.
d. Start a new IV site.
8. Catherine is to receive blood that had been
stored for quite a long time. What recent
laboratory value should the nurse check before
administering the blood?
a. Hemoglobin c. Sodium
b. Hematocrit d. Potassium
9. Which of these patients do you expect will
need teaching regarding dietary sodium
restriction?
a. An 88-year-old with a fractured femur
scheduled for surgery
b. A 65-year-old recently diagnosed with heart
failure
c. A 50-year-old recently diagnosed with
asthma and diabetes
d. A 20-year-old with vomiting and diarrhea
from gastroenteritis
• 10. A patient is receiving an intravenous infusion
of 0.9 percent sodium chloride (NaCl) at 75
mL/hour. At 10 a.m. the patient received an
antibiotic diluted in 100 mL of NaCl; this solution
was infused over 1 hour. At 2 p.m. the patient
received an antiemetic diluted in 50 mL of sterile
water; this solution was infused over 30 minutes.
Both medications were hung as IVPB infusions
through a secondary line that interrupted the
primary infusion of NaCl. In whole numbers, how
much intravenous solution did the patient receive
between 8 a.m. and 3 p.m.?
a. 600 mL c. 560 mL
b. 563 mL d. 525 mL