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NCLEX & CGFNS Practice Questions

Below are recent practice questions under UNIT 1 -Medical-Surgical Nursing for Fluid, Electrolyte, and Acid-Base Disorders. You can view your scores and the answers to all the questions by clicking on the SHOW RESULT red button at the end of the question.

1. Which solution will a client most likely receive for fluid replacement in the first 24 hours after a burn injury that covers a large area?


2. The client is admitted with a blood glucose level of 545 mg/dl. Which action by the nurse indicates that the nurse is aware of the client’s needs?


3. The receptors for the regulation of body water through detection of osmotic pressure are located in the?


4. A nurse enters a client’s room to administer an IV medication and finds that the IV site is swollen, cool, and pale. The client reports discomfort at the insertion site. The nurse recognizes that this may be:


5. Managing a sodium level of 120 in a client with diabetic ketoacidosis is correctly accomplished with:


6. A client develops volume overload from an IV that has infused too rapidly. What assessments would the nurse expect to find?


7. A client is in a state of uncompensated acidosis. The nurse would expect the arterial blood pH to be approximately?


8. The nurse prepares for the possibility of magnesium sulfate toxicity by having at the beside:


9. The nurse is caring for a client on digitalis. For which electrolyte abnormality should the nurse assess to minimize the risk of digitalis toxicity?


10. The health care provider prescribes an intravenous (IV) antibiotic to be administered in 50 mL 0.9% normal saline and to infuse in 30 minutes. The drop factor for the IV tubing is 15 gtt/mL. The nurse should set the flow rate of the infusion at how many drops per minute?


11. The laboratory values for an adult client who is NPO are: Na+ 128, K+ 3.5, and glucose 130. Which IV solution should a nurse expect will be ordered?


12. A client admitted with squamous cell carcinoma of the lung has a serum calcium level of 14 mg/dl. The nurse should instruct the client to avoid which of the following foods upon discharge? Select all that apply:


13. A nurse knows that a client with hypercalcemia may experience: Select all that apply.


14. Which IV fluid order is most appropriate for a client on dialysis?


15. The nurse administers serum albumin to a client to assist in?


16. The healthcare provider prescribes 15 mg/kg of Streptomycin for an infant weighing 4 pounds. The drug is diluted in 25 ml of D5W to run over 8 hours. How much Streptomycin will the infant receive?



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