Questions 34

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ATI Fundamentals Carugda Custom Exam Questions

Question 1 of 5

An LPN is reviewing the laboratory tests results for a client who has an elevated temperature. The nurse should identify which of the following findings is a manifestation of dehydration?

Correct Answer: D

Rationale: High urine specific gravity (D 1.035 normal 1.005-1.030) indicates dehydration due to concentrated urine. Increased glucose (
A) may occur but is less specific creatinine 0.6 mg/dL (
B) is normal and blood osmolarity 260 mOsm/kg (
C) is low (normal 275-295) suggesting overhydration.

Question 2 of 5

An LPN is reviewing the laboratory test results for a client who has an elevated temperature. The nurse should identify which of the following findings is a manifestation of dehydration?

Correct Answer: B

Rationale: Urine specific gravity of 1.035 (B normal 1.005-1.030) indicates dehydration due to concentrated urine. Bicarbonate is measured in mEq/L not mosm/kg (
A) and 60 is high not typical. Blood sodium 50 mEq/L (
C) is impossibly low (normal 135-145) and creatinine 0.6 mg/dL (D E) is normal.

Question 3 of 5

A nurse is collecting data from a patient who has dehydration. What findings should the nurse expect?

Correct Answer: A

Rationale: Dark-colored urine (
A) results from concentrated urine in dehydration. High blood pressure (
B) and distended veins (
C) suggest fluid overload and moist skin (D E) is opposite to dehydration’s dry skin.

Question 4 of 5

The nurse is caring for a client who has a bowel obstruction and a new prescription for the insertion of a nasogastric tube. Which of the following interventions should the nurse take when inserting the nasogastric tube?

Correct Answer: C

Rationale: Chin-to-chest and swallowing (
C) facilitate NG tube passage by opening the esophagus. Supine position (
A) risks aspiration withdrawing for gagging (
B) is unnecessary and measuring to the umbilicus (D E) is incorrect; use nose-earlobe-xiphoid.

Question 5 of 5

A nurse on a medical-surgical unit suspects that several patients have Clostridium difficile (C. difficile) when they all develop watery diarrhea. What actions should the nurse plan to take while waiting for the patients' lab results?

Correct Answer: D

Rationale: Contact precautions (
D) prevent C. difficile spread via fecal-oral route. Antibiotics (
A) may worsen infection alcohol rubs (
B) are ineffective against spores and universal stool cultures (
C) risk false positives.

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