MCQ Questions Fluid & Electrolyte

Choose only one correct answer. Example: 1. How many Soon Huat in Group 3/10? A. 2 B. 10 C. 1 D. 0

1. What is the sign & symptoms of metabolic acidosis? A. B. C. D. Excessive GI loss Kussmaul s respiration Lethargic Confusion

2. What is the normal range for phosphorus? A. B. C. D. 2.6-4.6 mg/dl 2.5-4.5 mg/dl 3.5-4.5 mg/dl 2.5-3.5 mg/dl

3. If normal range of phosphorus in blood increased, it is called as A. Hypochloremia B. Hypernatremia C. Hyperphosphatemia D. Hypermagnesimia

4. What is the indication to start IVF? I) Diarrhea II) Fever III) Dehydration IV) Headache A. B. C. D. I,II II,III II,IV I,II,III

5. What is the normal range for pH in the blood? A. 6.35-6.45 B. 7.35-7.45 C. 7.25-7.35 D. 8.35-8.45

6. What is the volume mil/unit for platelets? A. 200ml B. 250ml C. 100ml D. 50ml

7. What is the factor affecting CVP A. Pneumothorax B. Haemorrhage C. Infection D. Thrombosis

8. What is the clinical manifestation for metabolic alkalosis? A. Loss of reflexes B. Kussmaul s breathing C. Warm and dry skin D. Dull headache

9. What is the causes of metabolic acidosis? A. Thiazides & loop diuretics B. Loss of bicarbonate (HCO3) C. Diuretic therapy D. Cushing s disease

10. What is the treatment for metabolic alkalosis? A. IV administration of ammonium chloride B. Correction of acidosis C. Rapid acting insulin for diabetes mellitus D. Respiratory compensation mechanical ventilation if needed

11. What is the normal range for carbon dioxide in arterial blood gases? A. 80-100 mmHg B. 35-45 mmHg C. 80-100 mEq/L D. 60-80 mEq/L

12. Guillain Barr Syndrome is A. An auto immune neuromuscular disease B. Caused by body immune system attacking the peripheral nerves C. Caused by polio virus that affect nerves D. Injury resulting in diaphragmatic paralysis

13. Acid base imbalance is regulated by the following except A. Chemical acid base buffer B. Diaphoresis C. Respiratory centre D. Kidney

14. The following are health education for patient with metabolic acidosis, except A. Strict adherence of antibiotic therapy B. Avoid toxic substance C. Assess blood glucose level D. Explain warning signs and report to doctor

15. Which of the following is the condition for respiratory acidosis? A. Decreased pH, increased partial pressure of carbon dioxide, normal bicarbonate level B. Increased pH, decreased partial pressure of carbon dioxide, decreased bicarbonate level C. Increased pH, normal partial pressure of carbon dioxide, increased bicarbonate level D. Decrease pH, decrease partial pressure of carbon dioxide, decrease bicarbonate level

16. Which drug is not associated with respiratory alkalosis? A. Nicotine B. Sallicylate C. Xanthine D. Metronidozole

17. Which of the following is not the causes of respiratory alkalosis? A. Hypotension B. Migraine C. Pulmonary embolus D. Liver failure

18. When the magnesium level increases in blood, it is know as A. Hyperkalemia B. Hypernatremia C. Hypermagnesemia D. Hypokalemia

19. Choose the following for the causes of hypermagnesemia I) untreated diabetes ketoacidosis II) Adreno corticol insufficiency III) Addison s disease IV) Total parental nutrition with excess magnesium A. I and II B. I, II and III C. Only IV D. All of the above

20. What is level of chloride? A. 96-106 mEq/L B. 86-106 mEq/L C. 96-116 mEq/L D. 99-104 mEq/L

21. What is the normal magnesium level? A. 2.8-3.5 mEq/L B. 1.8-2.5 mEq/L C. 2.8-3.5 mg/dL D. 1.8-2.5 mg/dL

22. The following choices are the causes of hypophosphatemia except A. Respiratory alkalosis B. Diarrhea C. Excessive sodium intake D. Malabsorption syndrome

23. A 45 years old male patient is admitted fort severe diarrhea and blood vomiting. Doctor has ordered to transfuse 500ml of blood for 4 hours and 2 pints 0.9% sodium chloride for 20 hours. Calculate the fluid drops for a minute. A. 42 drops/hour for blood and 17 drops/hour for 0.9% sodium chloride B. 41 drops/hour for blood and 17 drops/hour for 0.9% sodium chloride C. 42 drops/min for blood and 17 drops/min for 0.9% sodium chloride D. 41 drops/min for blood and 17 drops/min for 0.9% sodium chloride

24. Increased pulmonary ventilation will cause A. Respiratory acidosis B. Metabolic acidosis C. Respiratory alkalosis D. Metabolic alkalosis

25. Which solution below is known as hypotonic solution? A. 3% sodium chloride B. 0.9% sodium chloride C. 5% sodium chloride D. 0.45% sodium chloride

26. A patient is admitted to your ward diagnosed with severe hemorrhage. As a nurse, the following nursing interventions you must carry out except: A. Check the blood pack for leakage and abnormal colour B. Complete all blood transfusion documentation C. Check the medical orders and patient s identity D. Teach patient how to do deep breathing exercise

27. What is the best nursing management to be carried out for patient with respiratory acidosis? A. Maintain I/O chart B. Perform ABG analysis C. Serve medication D. Maintain patency of patient s airway

28. Which is the following is a correct IV solution? A. Plasma B. Rehydration salt fluid C. Protein D. Dextrose

29. Metabolic alkalosis is caused by A. Increased partial pressure of carbon dioxide B. Increased partial pressure of oxygen C. Decreased bicarbonate level D. Increased bicarbonate level

30. Which vein is best suitable for central venous line? A. Hemoral vein B. Intra jugular vein C. Subclavian vein D. Metacarpal vein

31. What is meant by respiratory acidosis? A. A medical condition in which increased respiration(hyperventilation) elevated the blood pH B. A medical condition in which decreased respiration(hypoventilation) causes increased blood carbon dioxide and decreased pH C. The condition in which the pH of the tissue is elevated and decreased hydrogen ion concentration leading to increased bicarbonate D. The condition in which the pH of the tissue is decreased and increased hydrogen ion concentration leading to decreased bicarbonate

32. The following is the types of crystalloid fluid except A. Blood product B. Isotonic solution C. Hypotonic solution D. Hypertonic solution

33. What is the constituents of the cryoprecipitate? A. Plasma B. Plasma protein C. Fibrinogen D. Platelets

34. The following is the isotonic solution except A. 0.9% sodium chloride B. Lactated Ringer s solution C. 5% dextrose solution D. 5% sodium chloride

35. 5% dextrose saline is normally used in what treatment? A. Dehydration B. Head injury C. Diabetic patients D. Fluid resuscitation

36. The following condition is the purpose to start the intake and output chart except A. When the patient is ordered nil by mouth B. Excessive vomiting C. Excessive surgical loss D. To ensure the patient take balance diet

37. The following is the complication of central venous line except A. Infection B. Pneumothorax C. Pulmonary edema D. Thrombosis

38. Which of the following is the normal value of central venous pressure A. 4-7 B. 5-8 C. 2-6 D. 3-9

39. Which of the following is the non tunneled catheter A. Hickman catheter B. Quinton catheter C. Foley catheter D. Jacques catheter

40. What size of gauge is being used for adult during intravenous infusion? A. 18 B. 24 C. 19 D. 22