This quiz for hyponatremia and hypernatremia will test your ability to differentiate the causes, signs & symptoms, and nursing intervention between these two conditions.
The NCLEX exam and your nursing lecture exams will ask you questions about how to provide care to patients with low or high calcium levels.
The questions on this quiz are some of the most common exam questions students are asked about hyponatremia and hypernatremia.
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Teaching Tutorials on Hyponatremia & Hypernatremia
Quiz on Hyponatremia & Hypernatremia Electrolytes
A patient has a sodium level of 130. What is this condition called?
c) Normal Sodium Level
A patient has a sodium level of 123 and presents with confusion. The doctor diagnoses the patient with Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH). Which type of hyponatremia is this?
Which of the patients below is at risk for experiencing Hypovolemic Hyponatremia?
a) Patient with congestive heart failure
b) Patient with cirrhosis of the liver
c) Patient on IV saline at 250 cc/hr
d) Patient with nasogastric tube suction experiencing diarrhea
A patient has a sodium level of 119. Which of the following is not a cause of this finding?
a) Impaired thirst
b) Low salt diet
c) Over secretion of ADH (antidiuretic hormone)
d) Hypotonic fluid infusion (overload)
A patient with hypovolemic hyponatremia is started on IV fluids. Which of the following fluids do you expect the patient to be started on?
a) 3% Saline
b) 0.45% Saline
d) 0.33% Saline
A patient with a sodium level of 115 is ordered to start Declomycin. Which statement is not true about this medication?
a) “Declomycin is an antidiuretic hormone antagonist that treats SIADH.”
b) “Declomycin is part of the tetracycline family.”
c) “Declomycin is to be taken with food, preferably, milk.”
d) “Declomycin is contraindicated in children and pregnant/nursing women.”
Which of the patients below is considered hypernatremic?
a) A patient with a sodium level of 155
b) A patient with a sodium level of 145
c) A patient with a sodium level of 120
d) A patient with a sodium level of 136
A patient with Cushing’s Syndrome has been experiencing an infection and has a fever of 102’F. On assessment, you find the patient to be confused, restless, has dry mucous membranes, and flushed skin. Which of the findings below correlates with the presentation of this patient?
a) Sodium level of 170
b) Sodium level of 144
c) Sodium level of 135
d) Sodium level of 115
You have completed diet teaching with a patient who has hypernatremia. Which statement by the patient causes concern?
a) “I will buy fresh vegetables and fruits.”
b) “I will avoid eating canned foods.”
c) “I’m glad I can still eat sandwiches with bologna.”
d) “I will avoid cooking with butter.”
A patient with a sodium level of 178 is ordered to be started on 0.45% saline. What is the most IMPORTANT nursing intervention for this patient?
a) Give slowly and watch for signs and symptoms of cerebral edema
b) Give rapidly to ensure fluids levels are shifted properly
c) Clarify doctor’s order because 0.45% saline is contraindicated in hypernatremia
d) Maintain patent IV
A patient with a sodium level of 112 is taking Lithium. Which of the following is a nursing priority?*
a) Monitor Lithium drug level due to risk of toxicity
b) Hold further doses of Lithium
c) Monitor potassium level due to increased risk of toxicity
d) No priority is need. 112 is a normal sodium level
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