Hemostasis, Fluids and Electrolytes

Intravenous Fluids Practice Questions

20 free Intravenous Fluids practice questions for the NCLEX Exam, each with the correct answer and a detailed explanation. Open any question below, or take the full set as an interactive quiz.

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Questions

All Intravenous Fluids questions

20 questions
  1. Q1. Which fluid is most appropriate for a patient with hypotension due to intravascular volume depletion?
  2. Q2. Which is the main risk associated with administering hypertonic saline to a patient with hyponatremia and cerebral edema?
  3. Q3. Why is hypotonic IV fluid like 0.45% NaCl considered risky in patients with intravascular depletion?
  4. Q4. What is a common complication of rapid IV fluid infusion that can result in pulmonary edema?
  5. Q5. In which condition would lactated Ringer’s (LR) be less desirable as an IV fluid choice for a post-operative patient?
  6. Q6. What type of IV fluid is best suited for maintenance therapy in a patient without significant intravascular volume deficit?
  7. Q7. Which of the following IV fluids is classified as isotonic?
  8. Q8. As a patient with severe burn injuries receives large-volume IV fluids, what complication should be monitored as the burn shock phase resolves?
  9. Q9. Which IV fluid is most likely contraindicated in a patient with traumatic brain injury and increased intracranial pressure?
  10. Q10. What is the appropriate nursing intervention for a patient with IV fluid infiltration at a peripheral site?
  11. Q11. Upon a patient developing bradycardia, hypotension, and shortness of breath during IV therapy, what complication should be suspected?
  12. Q12. For a patient receiving hypertonic saline, what monitoring parameter is most crucial due to the risk of osmotic demyelination?
  13. Q13. What fluid type is most suitable for treating intracellular dehydration rather than solely intravascular depletion?
  14. Q14. Why might colloid solutions such as albumin be preferred over crystalloids in certain situations?
  15. Q15. When infusing D5W, what is a key concern with this fluid alone due to metabolic processes?
  16. Q16. What is a systemic complication associated with IV therapy that necessitates monitoring, indicating the involvement of the whole body?
  17. Q17. Which IV fluid is least suitable for routine maintenance in a patient with heart failure at risk of volume overload?
  18. Q18. For correcting mild metabolic acidosis following GI losses, which fluid is the most appropriate?
  19. Q19. Upon a patient developing phlebitis at a peripheral IV site, what should be the nurse's priority action?
  20. Q20. Why should lung sounds and daily weight be monitored in a patient receiving large-volume crystalloids during IV therapy?