Topic Wise Quiz 1 : Electrolytes
- 1.
A Patient Had An Extensive And Prolonged Surgery. Which Electrolyte Should
Be Monitored Most Closely ?
v K
v Na
v Ca
v Cl
Answer : K+
2. Principal Electrolyte Of
Intracellular Fluid Compartment ?
v K
v Na
v Ca
v Cl
Answer : K+
3. Which Electrolyte Is
Extracellular Fluid Cation ?
v K
v Na
v Ca
v Cl
Answer : Na+
4. Retention Of Abnormal Amount Of Fluid In The Body Is Due To Retention Of ?
v K
v Na
v Ca
v Cl
Answer : Na+
5. A Nurse Was Called To See A Patient With Noisy Breathing. She Suspects
Laryngospasm With Stridor And It Commonly Occurs With ?
v Hyperkalemia
v Hypercalcemia
v Hypokalemia
v Hypocalcemia
Answer : Hypocalcemia
6. Increased Sweating Leads To ?
v Hyponatremia
v Hypernatremia
v Hypervolemia
v
Oedema
Answer : Hypernatremia
7.Important nursing intervention while caring for a client
with hyponatremia includes ?
v Fluid
restriction
v Provide
isotonic solution
v Administer
potassium
v Proviode
NG Feeding
Answer : Provide isotonic solution
8.When Serum Sodium Level Is Less Than 115 Meq/L. All Of The
Following Are Expected Symptoms Except ?
v Lethargy
v Seizures
v Confusion
v Sub
arachnoid haemorrhage
Answer : Sub arachnoid
haemorrhage
9.Which Problem Can Develop As A Result Of Too Rapid
Correction Of Hypernatremia ?
v Pulmonary
oedema
v Cerebral
oedema
v Arrhythmias
v Renal
failure
Answer : Cerebral oedema
10.Which Body System Most Commonly Is Affected In Patients
With Electrolyte Imbalances ?
v Cardiovascular
system
v Neuromuscular
system
v Renal
system
v Endocrine
system
Answer : Neuromuscular system
11.Which Of The Following Is Not A Cause Of Hypokalemia ?
v Vomiting
v Thiazide
Diuretic
v Aldosteronism
v Renal
Failure
Answer : Renal Failure
12. Cause Of Potassium Deficit ?
v Spironolactone
v Nasogastric
Suction
v History
of renal disease
v History
of addison's disease
Answer : Nasogastric Suction
13. Which Of The Following Is Used In The Management Of
Hyperkalemia ?
v Insulin
with glucose
v Sodium
bicarbonate
v Potassium
Chloride
v Magnesium
sulphate
Answer : Insulin with glucose
14. The
Nurse Reviews A Client’s Laboratory Report And Notes That The Client’s Serum
Phosphorus (Phosphate) Level Is 1.8 Mg/Dl (0.45 Mmol/L). Which Condition Most
Likely Caused This Serum Phosphorus Level?
v Malnutrition
v Renal Insufficiency
v Hypoparathyroidism
v Tumor
lysis syndrome
Answer : Malnutrition
15. The
Nurse Is Caring For A Client With Heart Failure Who Is Receiving High Doses Of
A Diuretic. On Assessment, The Nurse Notes That The Client Has Flat Neck Veins,
Generalized Muscle Weakness, And Diminished Deep Tendon Reflexes. The Nurse
Suspects Hyponatremia. What Additional Signs Would The Nurse Expect To Note In
A Client With Hyponatremia?
v Muscle
twitches
v Decreased
urinary output
v Hyperactive bowel sounds
v Increased specific gravity of the
urine
Answer : Hyperactive bowel sounds
16. Which
Client Is At Risk For The Development Of A Sodium Level At 130 Meq/L (130
Mmol/L)?
v The
client with hyperaldosteronism
v The client who is taking diuretics
v The client with Cushing’s syndrome
v The client who is taking
corticosteroids
Answer : The client who is taking diuretics
17. The
Nurse Is Assessing A Client With A Suspected Diagnosis Of Hypocalcemia. Which
Clinical Manifestation Would The Nurse Expect To Note In The Client?
v Twitching
v Hypoactive
bowel sounds
v Negative
Trousseau’s sign
v Hypoactive deep tendon
reflexes
Answer : Twitching
18. A Nurse
Is Caring For A Group Of Clients Reviewed The Electrolyte Lab Results And Notes
A Potassium Level Of 5.5 Meq/L, The Nurse Understands That Which Client Is At
Most Risk For The Development Of A Potassium Value At His Level ?
v Client
with colitis
v Client overusing laxatives
v Client
with cushing syndrome
v Client who sustained traumatic
injury
Answer : Client who sustained traumatic injury
19. Which
Organ Is Most At Risk For Dysfunction In A Patient With A Potassium Level Of
6.2 Meq/L ?
v Lungs
v Kidney
v Liver
v Heart
Answer : Heart
20. A
Patient Is Receiving Magnesium Sulphate For Symptoms Of Hypomagnesimia , An
Important Sign For The Nurse To Note First Is ?
v Cool skin temperature
v Rapid
pulse rate
v Tingling
in toes
v Decreased
deep tendon reflex
Answer : Decreased deep tendon
reflex
21. Which
Of The Following Clinical Finding Indicates The Patient Is Experiencing
Hypokalemia ?
v Edema
v Muscle
spasm
v Kussmaul
breathing
v Abdominal
distension
Answer : Abdominal distension
22. First
Symptom Of Hypokalemia Assessed By Nurse ?
v Muscle weakness in lower limbs
v Tingling
in fingers
v Fluid
overload
v All
of the above
Answer : Muscle weakness in lower
limbs