IV Fluids & Electrolytes Quiz
Test your knowledge of intravenous fluids, their classifications, and clinical applications in nursing care.
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Quiz Questions & Answers
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Question 1: A client with severe dehydration is prescribed an intravenous infusion of 0.45% Sodium Chloride. The nurse understands that this type of solution is classified as:
Isotonic
Hypotonic
Hypertonic
Colloid
Question 2: The nurse is preparing to administer Lactated Ringer's (LR) solution to a client. For which client condition would this fluid be contraindicated?
Hypovolemic shock
Acute blood loss
Acute kidney injury with hyperkalemia
Metabolic acidosis
Question 3: Which IV fluid should the nurse anticipate administering to a client experiencing an acute increase in intracranial pressure (ICP)?
0.45% Sodium Chloride
5% Dextrose in Water (D5W)
3% Sodium Chloride
0.225% Sodium Chloride
Question 4: A nurse is monitoring a client receiving a rapid infusion of 0.9% Sodium Chloride. Which assessment finding most likely indicates a complication of this therapy?
Hypotension
Crackles upon lung auscultation
Flat neck veins
Increased urine output
Question 5: A client is prescribed 5% Dextrose in 0.9% Sodium Chloride (D5NS). The nurse correctly identifies this solution as being initially in which category?
Hypotonic
Isotonic
Hypertonic
Buffer
Question 6: The nurse understands that 5% Dextrose in Water (D5W) is unique because:
It is hypertonic in the bag and remains hypertonic in the body
It is isotonic in the bag but becomes hypotonic once metabolized
It is the preferred fluid for resuscitation in hypovolemic shock
It contains essential electrolytes like potassium and calcium
Question 7: Which of the following IV solutions should the nurse use when priming the tubing for a blood transfusion?
Lactated Ringer's
0.45% Sodium Chloride
0.9% Sodium Chloride
5% Dextrose in Water
Question 8: A nurse is caring for a client with hypernatremia (Sodium = 158 mEq/L). Which IV fluid order should the nurse expect?
3% Sodium Chloride
0.45% Sodium Chloride
0.9% Sodium Chloride
10% Dextrose in Water
Question 9: A client is receiving an IV infusion of 10% Dextrose in Water (D10W). The nurse knows that this solution is primarily used for:
Fluid resuscitation in trauma
Correcting severe dehydration in infants
Providing calories and treating hypoglycemia
Expanding the intravascular volume
Question 10: The nurse is caring for a client with a history of heart failure. Which IV fluid requires the most frequent assessment for signs of circulatory overload?
0.45% Sodium Chloride
5% Dextrose in 0.45% Sodium Chloride
3% Sodium Chloride
0.225% Sodium Chloride