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 Question 11 A patient’s temperature has been elevated for the past 24 hours. The nurse should monitor which electrolyte? 1. Phosphorous 2. Sodium 3. Potassium 4. Magnesium Question 12 Which findings would the nurse evaluate as indication that a pregnant female is hypovolemic? 1. Flat neck veins 2. Bilateral adventitious lung sounds 3. Flat hand veins when dependent 4. Sunken eyes 5. Tenting of the skin Question 13 When assessing the patient’s edema of the lower extremities, the nurse notes that it takes 3 minutes before the indentation created by applying pressure above the ankles disappears. This information should be documented as being which type of pitting edema? 1. +2 2. +1 3. +4 4. +3 Question 14 1. The patient is hypervolemic. 2. Renal tubule dysfunction may be present. 3. The patient is normovolemic. 4. The patient’s glomerular filtration rate is decreased. Question 15 After reviewing a patient’s laboratory values, the nurse determines the patient is experiencing fluid volume deficit. Which laboratory value would the nurse cite as supporting this determination? 1. Serum sodium 140 mEq/L 2. Urine specific gravity of 1.003 3. Urine osmolality 1500 mOsm/L 4. Serum potassium 4.3 mEq/L Question 16 A patient’s laboratory report indicates critically low serum calcium levels. The nurse would conduct further assessment for which conditions? 1. Disruption of the parathyroid glands 2. Decreased supply of vitamin D 3. Low levels of calcitonin 4. Insufficient levels of calcitriol 5. Insufficient levels of calcidiol Question 17 The nurse is assessing for the presence of Trousseau sign. Which findings would the nurse evaluate as indicating this sign is present? 1. The fingers hyperflex. 2. The thumb flexes toward the palm. 3. The fingers hyperextend. 4. The thumb hyperextends. 5. The hand makes a fist. Question 18 A urine electrolyte test is ordered to evaluate aldosterone disorder in a patient just admitted to the intensive care unit. How would the nurse collect this specimen? 1. Collect the first specimen voided in the morning. 2. Prepare a 24-hour urine collection system. 3. Collect the specimen from the indwelling urinary catheter inserted in the emergency department. 4. Use a temporary straight catheter to collect the specimen. Question 19 Which patient would the nurse expect to have the least amount of body fluid? 1. A 75-year-old woman with a BMI in the obese range 2. A 23-year-old female with history of type 1 diabetes 3. A 72-year-old male who had a myocardial infarction at age 50 4. A 16-year-old male who plays football on his high school team Question 20 Laboratory testing reveals a patient’s serum osmolality to be 240 mOsm/kg. The nurse would assess for which conditions? 1. Excessive infusion of D5W 2. Dehydration 3. Hyperglycemia 4. Syndrome of inappropriate ADH (SIADH) 5. Acute kidney injury