Pediatric Fluid and Electrolyte Imbalances Practice Questions
23 free Pediatric Fluid and Electrolyte Imbalances 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.
Questions
23 questions
All Pediatric Fluid and Electrolyte Imbalances questions
- Q1. A 4-year-old child receiving maintenance IV fluids is ordered 0.45% sodium chloride at full maintenance rate. The nurse recognises a risk when the child’s seru…
- Q2. Which key nursing assessment is especially important in young children because of their higher insensible fluid losses through skin and lungs?
- Q3. In managing a child with hypernatremic dehydration, the nurse knows that the serum sodium must be corrected:
- Q4. A toddler presents with weight loss equal to 5% of body weight, delayed capillary refill, and urine output less than normal. According to pediatric dehydration…
- Q5. During fluid therapy for a dehydrated child, monitoring which of the following is most useful to assess ongoing fluid balance?
- Q6. A child with hyperkalemia is most at risk for which major complication?
- Q7. Which finding is most consistent with severe dehydration in children?
- Q8. Why is the isotonic solution preferred over a hypotonic one for a child with vomiting and diarrhea?
- Q9. Which characteristic of infants makes them more vulnerable to fluid and electrolyte disturbances than older children?
- Q10. Using the Holliday-Segar formula, what is the approximate maintenance fluid requirement per day for a 10-kg child who has had vomiting and poor intake for two…
- Q11. Why is potassium replacement critical even before insulin therapy in a child with diabetic ketoacidosis (DKA)?
- Q12. Which statement is correct regarding fluid correction for a 2-year-old child with hypernatremia (serum sodium 156 mEq/L)?
- Q13. In a child with prolonged diarrhea, which electrolyte losses are most important to replace in this pediatric scenario?
- Q14. What is correct for moderate dehydration in a child in terms of percent weight loss?
- Q15. Which factor in infants may contribute to a falsely elevated potassium reading when suspecting pseudohyperkalemia?
- Q16. Why are insensible and wound fluid losses included when calculating fluid replacement for a child with severe burns?
- Q17. In a child with pyloric stenosis and resultant metabolic alkalosis, which electrolyte disturbance is most likely to be seen?
- Q18. When assessing a child for dehydration, which physical sign needs cautious interpretation compared to adults?
- Q19. Which electrolyte does the nurse particularly monitor in a child with congestive heart failure when loop diuretics are used?
- Q20. Why is potassium replacement still likely needed even if a child with DKA has an initial potassium level of 5.8 mEq/L?
- Q21. Why is potassium replacement critical even before insulin therapy in a child with diabetic ketoacidosis (DKA)?
- Q22. Which complication is a 6-month‐old infant at risk for if found to have hyponatremia after receiving excessive hypotonic IV fluids?
- Q23. What should be the rates of ORT for a child with moderate dehydration after gastroenteritis?