Quiz Fluid & Electrolytes Hypokalemia & Hyperkalemia for NCLEX Exam

Below is a quiz that will test your knowledge on the differences between hypokalemia and hyperkalemia.

This fluid and electrolyte quiz will help prepare you for your lecture exams in nursing school and the NCLEX exam. It is very important you know what a normal potassium level is, the signs and symptoms of hyperkalemia & hypokalemia, the causes, and nursing interventions. This quiz will highlight the important areas you should study when preparing for your nursing exams.

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Teaching Tutorials on Hypokalemia & Hyperkalemia

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Quiz on Hyperkalemia & Hypokalemia

A patient has a potassium level of 9.0. Which of the following interventions 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

Which of the following is not a symptom of hyperkalemia?

A.      Positive Chvostek’s sign

B.      Decreased blood pressure

C.      Muscle twitches/cramps

D.      Weak and slow heart rate

Tall peaked T waves, flat P waves, prolonged PR intervals and widened QRS complexes can present in which of the following conditions?

A.      Hypocalemia

B.      Hypokalemia

C.      Hypercalemia

D.      Hyperkalemia

Which of the following patients is at risk for hyperkalemia?

A.      Patient with Addison’s Disease

B.      Patient with Cushing’s Syndrome

C.      Patient with Parathyroid cancer

D.      Patient with breast cancer

A patient’s potassium level is 3.0. Which foods would you encourage the patient to consume?

A.      Avocados, Strawberries, and potatoes

B.      Cheese, collard greens, and fish

C.      Tofu, oatmeal, and peas

D.      Peanuts, bread, and corn

A patient with nasogastric suctioning is experiencing diarrhea. The patient is ordered a morning dose of Lasix 20mg IV. Patient’s potassium level is 3.0. Which of the following options is correct?

A.      No intervention is need the potassium level is within normal range

B.      Administered the Lasix and notify the doctor for further orders

C.      Hold the dose of Lasix and notify the doctor for further orders

D.      Turn off the nasogastric suctioning and administered a laxative

A patient is presenting with an orthostatic blood pressure of 80/40 when she stands up, thready and weak pulse of 58, and shallow respirations. In addition, the patient has been having frequent episodes of vomiting and nausea and is taking hydrochlorothiazide. Which of the following findings would explain the patient’s condition?

A.      Potassium level of 7.0

B.      Potassium level of 3.5

C.      Potassium level of 2.4

D.      None of the options are correct

Which patient is at a potential risk for Digoxin toxicity?

A.      Patient with a calcium level of 8.9

B.      Patient with Cushing’s syndrome taking Laxis 20 mg IV twice a day

C.      Patient with a potassium level of 3.8

D.      Patient presenting with painful muscle spasms and positive Trousseau’s sign

Which of the following is indicative of an EKG change in a case of hypokalemia?

A.      Tall T waves and depressed ST segment

B.      Prolonged ST interval and Widened T wave

C.      ST depression and inverted T wave

D.      Widened QRS complex and prolonged PR interval

A patient has a potassium level of 2.0. Which of the following would you expect to be order for this patient?

A.      An oral supplement of potassium

B.      Potassium 30 meq IV push

C.      Infusion of Potassium intravenously

D.      Intramuscular injection of Potassium

A patient with a potassium level of 2.1 has been taking Lasix daily. Which medication will the patient most likely be switched to?

A.      Spironolactone

B.      None the patient will likely stay on the Lasix

C.      Hydrochlorothiazide

D.      Demadex

Answer Key:

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