10 Hypotonic Solutions (IV solutions) NCLEX Style Questions

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Question 1 of 10

The nurse notes an order to give 0.45% Normal saline to a client. The nurse correctly understands that this fluid concentration is which of the following?


Question 2 of 10

The nurse is caring for a client who has been experiencing vomiting and diarrhea for the past 6 days and is now dehydrated. The client needs a hypotonic solution. Which of the following solutions are hypotonic? Select all that apply.


Question 3 of 10

A nursing student studying fluid balance is correct in identifying which of the following indications for administration of a hypotonic solution? Select all that apply.


Question 4 of 10

A client with hypernatremia has an order for 1/4 Normal saline IV at 175 cc/hr. The nurse understands that this solution will affect the body therapeutically in which of the following ways?


Question 5 of 10

The nurse is preparing to give a hypotonic solution to a client and knows that this type of IV solution will have which of the following effects on the body?


Question 6 of 10

The preceptor is discussing tonicity with a nursing student. The student correctly states that 1/2 NS is hypotonic compared to which solution?


Question 7 of 10

The provider has ordered a hypotonic IV solution to manage the client’s condition. Based on the nurse’s knowledge of fluid and electrolytes, hypotonic IV solutions are given in what type of situation?


Question 8 of 10

The nurse recognizes that a hypotonic IV solution is contraindicated in which of the following conditions? Select all that apply.


Question 9 of 10

A client has an order for D5W IV to be given at 125 mL/hr. The nurse knows that this solution has which of the following effects in the bloodstream?


Question 10 of 10

A client presents to the emergency department following trauma with a hemoglobin of 5 and a hematocrit of 25. Which of the following IV fluid orders would the nurse question?