ATI RN
ATI Fundamentals Carugda Custom Exam Questions
Question 1 of 5
A nurse is gathering data from a client who is experiencing hypokalemia due to nausea,vomiting,and diarrhea. Which of the following symptoms should the nurse anticipate?
Correct Answer: C
Rationale:
Correct
Answer: C - Weak, irregular pulse
Rationale:
1. Hypokalemia leads to potassium deficiency, affecting the heart muscle.
2. Low potassium levels can cause an irregular heartbeat and weaken the pulse.
3. Nausea, vomiting, and diarrhea can cause potassium loss.
4. Hyperactive reflexes (
Choice
A) and hyperactive bowel sounds (
Choice
D) are not typical symptoms of hypokalemia.
Summary:
Choice A and D are incorrect as they do not align with the expected symptoms of hypokalemia.
Choice B, extreme thirst, is not a direct symptom of hypokalemia. The correct choice, C, directly relates to the cardiovascular effects of potassium deficiency.
Question 2 of 5
A nurse is examining the laboratory results for a client who had a urinalysis. Which finding should the nurse communicate to the provider?
Correct Answer: A
Rationale: The correct answer is A: White blood cells (WB
C) 10. Elevated WBC count in the urine indicates a possible infection or inflammation in the urinary tract, which warrants immediate attention from the provider. Occasional casts and pH 5.0 are within normal limits and do not require immediate communication. Dark amber color could indicate dehydration but is not as urgent as elevated WBCs. The duplicate option "Dark amber color" is incorrect.
Question 3 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, C, D
Rationale: The correct answer is B, C, and D. Hypotension (
B) is a common sign of dehydration due to decreased blood volume. Urine specific gravity of 1.035 (
C) indicates concentrated urine, which is a sign of dehydration. Elevated blood sodium (
D) is also seen in dehydration as the body tries to conserve water. Blood osmolarity (
A) may be elevated in dehydration, but it is not as specific a finding as the other choices. Other choices are not directly related to dehydration.
Question 4 of 5
A nurse is caring for a client who has acute dehydration and is receiving IV fluids. Which of the following laboratory values indicates to the nurse that the current treatment regimen is effective?
Correct Answer: C
Rationale: The correct answer is C: Urine specific gravity 1.020. This value indicates the concentration of solutes in the urine, with a higher value indicating more concentrated urine, which is expected in dehydration. If the urine specific gravity is closer to normal range (1.005-1.030), it suggests that the kidneys are conserving water properly and the IV fluids are effective.
Incorrect choices:
A: Sodium 165 mEq/L - High sodium levels indicate hypernatremia, not necessarily dehydration.
B: Hematocrit 62.5 - High hematocrit levels indicate hemoconcentration, which can occur in dehydration, but it's not as specific as urine specific gravity.
D: Potassium 3.2 mEq/L - Low potassium levels can be seen in dehydration, but it's not the most specific indicator of treatment effectiveness.
E: Potassium 3.2 mEq/L - Repeated choice.
In summary, urine specific gravity is the
Question 5 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: The correct answer is D: Urine Specific gravity 1.035. An elevated urine specific gravity indicates concentrated urine, which is a common finding in dehydration due to the body trying to conserve water. Increased glucose (choice
A) is more indicative of diabetes. Blood creatinine level of 0.6 mg/dL (choice
B) within normal range indicates kidney function. Blood osmolarity of 260 mOsm/kg (choice
C) may be normal or slightly elevated and not specific to dehydration.