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Hyperkalemia NCLEX Questions
1.1. A patient has a potassium level of 8.9 Which nursing intervention is priority?
A. Prepare the patient for dialysis and place the patient on a cardiac monitor
B. Administer Spironolactone
C. Place patient on a potassium restrictive diet
D. Administer a laxative
2. Which patient will be at risk for hyperkalemia?
A. Patient with Addison’s Disease
B. Patient with Parathyroid cancer
C. Patient with Cushing’s Syndrome
D. Patient with breast cancer
3. Which of the following is not a symptom of hyperkalemia?
A. Which of the following is not a symptom of hyperkalemia? A. Positive Chvostek’s sign
B. Decreased blood pressure
C. Weak and slow heart rate
D. Muscle twitches/cramps
4. Tall peaked T-waves, flat P-waves, prolonged PR intervals and widened QRS complexes can present in which of the following conditions?
A. Hyperkalemia
B. Hypocalemia
C. Hypokalemia
D. Hypercalemia
5. Which drug require the nurse to monitor the client for signs of hyperkalemia
A. Furosemide
B. Metolazone
C. Spironolactone
D. Hydrochlorothiazide
6. A client is receiving an intravenous magnesium infusion to correct a serum level of 1.4 mEq/L. Which of the following assessments would alert the nurse to immediately stop the infusione ?
A. Absent patellar reflex pressure
B. Diarrhea
C. Premature ventricular contractions
D. Increase in blood
7. The nurse is caring for a client who has been in good health up to the present and is admitted with cellulitis of the hand. The client's serum potassium level was 4.5 mEq/L yesterday. Today the level is 7 mEq/L. Which of the following is the next appropriate nursing action?
A. Call the physician and report the result
B. Question the results and redraw the specimen
C. Encourage the client to increase the intake of bananas
D.Initiate seizure precautions
8. A client with a potassium level of 5.5 mEq/L is to receive sodium polystyrene sulfonate (Kayexalate) orally. After administering the drug, the priority nursing action is to monitor?
A.Urine output.
B. Blood pressure.
C. Bowel movements.
D. ECG for tall, peaked T waves.
9. A client is admitted with diabetic ketoacidosis who, with treatment, has a normal blood glucose, pH, and serum osmolality. During assessment, the client complains of weakness in the legs. Which of the following is a priority nursing intervention?
A.Request a physical therapy consult from the physician
B. Ensure the client is safe from falls and check the most recent potassium level
C. Allow uninterrupted rest periods throughout the day
D. Encourage the client to increase intake of dairy products and green leafy vegetables
10. A client with hypoparathyroidism complains of numbness and tingling in his fingers and around the mouth. The nurse would assess for what electrolyte imbalance?
A. Hyponatremia
B. Hypocalcemia
C. Hyperkalemia
D. Hypermagnesemia
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