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Hypervolemia (Fluid Volume Excess/Overload) Nursing Quiz

Hypervolemia quiz for nursing students that will test your knowledge on fluid volume excess (overload).

As a nurse you want to be familiar with the types of fluid volume excess (hypertonic overload, hypotonic overload, and isotonic overload). In addition, to the signs and symptoms and nursing interventions.

Don’t forget to watch the lecture on fluid volume excess and to access the notes.

Nurse Sarah’s Notes and Merch

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Just released is “Fluid and Electrolytes Notes, Mnemonics, and Quizzes by Nurse Sarah“. These notes contain 84 pages of Nurse Sarah’s illustrated, fun notes with mnemonics, worksheets, and 130 test questions with rationales.

You can get an eBook version here or a physical copy of the book here.

Fluid Volume Overload (Excess) Hypervolemia Quiz NCLEX

1. Which fluid compartment accounts for 2/3 of our body water and is found inside the cell?(Required)
2. True or False: The extracellular compartment includes the intravascular, interstitial, and transcellular compartments.(Required)
3. What type of fluid volume overload occurs because water moves from the intracellular to the extracellular compartment due to an increase in osmolarity of extracellular fluid which increases body water?(Required)
4. The patient is experiencing a severe case of SIADH (Syndrome of Inappropriate Antidiuretic Hormone). What type of overload is the patient most likely to experience?(Required)
5. A patient is experiencing hypertonic overload. What could cause this type of overload?(Required)
6. What type of fluid volume overload presents with no drastic shifting of water from the compartments because osmolarity is equal but overloads the extracellular compartment?(Required)
7. Select all the signs and symptoms below that could present with fluid overload:(Required)
8. Your patient has a diagnosis of fluid volume overload (isotonic). Select all the interventions you plan to implement for this patient:(Required)
9. Your patient who is receiving treatment for fluid volume overload has lost 2 lbs. since receiving treatment. Based on the patient’s weight loss, about how much fluid has the patient lost?(Required)
10. You assess the lab report for your patient who has isotonic fluid volume overload. Which lab results below are expected with this condition? Select all that apply:(Required)

Hypervolemia (Fluid Volume Excess or Overload) Quiz

  1. Which fluid compartment accounts for 2/3 of our body water and is found inside the cell?
    A. Transcellular
    B. Interstitial
    C. Intravascular
    D. Intracellular
    The answer is D: intracellular. The intracellular compartment accounts for 2/3 of our body water and is found inside the cell.
  2. True or False: The extracellular compartment includes the intravascular, interstitial, and transcellular compartments.
    The answer is True.
  3. What type of fluid volume overload occurs because water moves from the intracellular to the extracellular compartment due to an increase in osmolarity of extracellular fluid which increases body water?
    A. Hypertonic overload
    B. Hypotonic overload
    C. Isotonic overload
    The answer is A: hypertonic overload. Hypertonic overload occurs because water has moved from the intracellular to the extracellular compartment. This is due to an increase in osmolarity of the extracellular fluid.
  4. The patient is experiencing a severe case of SIADH (Syndrome of Inappropriate Antidiuretic Hormone). What type of overload is the patient most likely to experience?
    A. Hypertonic overload
    B. Hypotonic overload
    C. Isotonic overload
    The answer is B: hypotonic overload. In SIADH, there is too much ADH being released and water is retained. This will increase body water and dilute the extracellular fluid (hence lowering its osmolarity). This will cause water to move from the extracellular to the intracellular compartment and overload both compartments.
  5. A patient is experiencing hypertonic overload. What could cause this type of overload?
    A. Corticosteroids over usage
    B. Primary polydipsia
    C. SIADH
    D. Excessive sodium intake
    The answer is D: excessive sodium intake. This will cause an increase of sodium concentration in the blood (plasma), which will increase osmolarity and cause hypertonic overload.
  6. What type of fluid volume overload presents with no drastic shifting of water from the compartments because osmolarity is equal but overloads the extracellular compartment?
    A. Hypertonic overload
    B. Hypotonic overload
    C. Isotonic overload
    The answer is C. Isotonic overload presents with no drastic shifting of water from the compartments because osmolarity is equal but overloads the extracellular compartment. This can happen from heart or kidney failure, too much isotonic IV fluids, and over usage of Corticosteroids (which cause the body to retain sodium and water).
  7. Select all the signs and symptoms below that could present with fluid overload:
    A. Weight gain
    B. >3 seconds capillary refill
    C. Orthostatic hypotension
    D. Frothy, bloody tinged cough
    E. Ascites
    F. Jugular venous distention
    G. Weak pulse
    H. Rales
    The answers are A, D, E, F, and H. All of these are possible signs and symptoms of fluid volume overload. Option B, C, and G are signs found in fluid volume deficit.
  8. Your patient has a diagnosis of fluid volume overload (isotonic). Select all the interventions you plan to implement for this patient:
    A. Encourage patient to limit fluid intake to 4 Liters per day
    B. Strict monitoring of intake and output
    C. Weigh patient daily at the same time with the same scale
    D. Administer diuretics per physician’s order
    E. Ensure urinary output is at least 10 mL/hr or greater
    F. Restrict foods high in sodium
    The answers are B, C, D, and F. Option A is not correct because 4 L/day is a high amount of fluid, and the patient should be on a fluid restriction of about 1-2 L/day. Option E is not correct because the nurse should ensure the urinary output is at least 30 mL/hr (0.5mL/kg/day). A urinary output of >10 mL/hr is too low and not an appropriate goal for the patient.
  9. Your patient who is receiving treatment for fluid volume overload has lost 2 lbs. since receiving treatment. Based on the patient’s weight loss, about how much fluid has the patient lost?
    A. 2 liters
    B. 6 liters
    C. 4 liters
    D. 1 liter
    The answer is D: 1 liter. A general rule to remember is that 1 kg (2.2 lbs) is equal to about 1 liter of fluid. Therefore, if the patient has lost 2 lbs., the patient has lost around 1 liter of fluid.
  10. You assess the lab report for your patient who has isotonic fluid volume overload. Which lab results below are expected with this condition? Select all that apply:
    A. Decreased hemoglobin
    B. Increased sodium level
    C. Decreased urine specific gravity
    D. Increased BUN
    E. Decreased serum osmolality
    The answers are A, C, and E. Remember when fluid volume overload is presenting there is going to be a lot of fluid in the blood and urine. This will make the blood and urine less concentrated (diluted). Therefore, concentration of certain substances in the blood will be decreased. The patient can have: decrease in hemoglobin, hematocrit, decrease in sodium, decreased urine specific gravity and osmolality, and decreased serum osmolality.

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