ATI LPN
ATI LPN Med Surg Lv 3 Electrolytes Imbalance Questions
Question 1 of 5
A nurse in a community clinic is collecting data from a client who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Poor skin turgor, hypotension, and flat neck veins are expected findings in dehydration due to fluid loss from vomiting and diarrhea.
Question 2 of 5
A nurse is assisting with the care of a client who has hypocalcemia. For which of the following signs should the nurse monitor?
Correct Answer: B
Rationale: Chvostek's sign, facial muscle twitching when the facial nerve is tapped, is a classic indicator of hypocalcemia.
Question 3 of 5
While assessing an older adult patient with fluid excess, the nurse notes the following: T = 98.6°F, P = 92, R = 18, BP = 166/88 mm Hg, bilateral crackles, oxygen saturation = 95%. Which action should the nurse take first?
Correct Answer: C
Rationale: Placing the patient in a high Fowler position maximizes lung expansion and alleviates dyspnea caused by fluid overload.
Question 4 of 5
The nurse is caring for a group of patients. Which patient is at highest risk for hypovolemia?
Correct Answer: A
Rationale: Significant blood loss (2 liters) during surgery poses the highest risk for hypovolemia, requiring immediate fluid replacement.
Question 5 of 5
A nurse is monitoring a client who has dehydration and is receiving IV fluid replacement. Which of the following findings should the nurse identify as effectiveness of the treatment?
Correct Answer: B
Rationale: Urine output of 200 mL/4 hr (50 mL/hr) indicates improved kidney perfusion and hydration, suggesting effective treatment.