Which does not cause a high osmolar gap, increased anion gap metabolic acidosis?

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Chapter 14 Nutrition and Fluid Balance Workbook Answers Questions

Question 1 of 5

Which does not cause a high osmolar gap, increased anion gap metabolic acidosis?

Correct Answer: D

Rationale: Chloral hydrate causes increased anion gap acidosis but not a significant osmolar gap.

Question 2 of 5

Which blood type can be given to a patient who is blood group O?

Correct Answer: D

Rationale: Blood group O patients can only receive O blood due to universal antibodies.

Question 3 of 5

A 70-year-old man admitted to the intensive care unit (ICU) for sepsis was recently given a diagnosis of syndrome of inappropriate antidiuresis. His serum sodium acutely fell from 130 mEq to 115 mEq/L during the past 3 days, and he recently seized secondarily to this problem. Which would be the most appropriate treatment option?

Correct Answer: C

Rationale: Severe symptomatic hyponatremia (e.g., seizures) due to SIADH requires rapid correction with hypertonic saline (3% sodium chloride) to increase serum sodium safely and prevent further neurological complications.

Question 4 of 5

The primary route for water loss from the body is the system.

Correct Answer: B

Rationale: The urinary system is the primary route for water loss as it excretes water through urine, regulated by the kidneys to maintain fluid balance.

Question 5 of 5

Shrinkage of hepatocytes in the liver causes them to cause which of the following?

Correct Answer: D

Rationale: Shrinking hepatocytes due to high osmolarity trigger glycogen and protein breakdown to release solutes and maintain cell volume.

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