ATI LPN
ATI LPN Med Surg Lv 3 Electrolytes Imbalance Questions
Extract:
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
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 3 of 5
The nurse is preparing to start an IV on a newly admitted patient. Which action by the nurse places the patient at risk for infection?
Correct Answer: C
Rationale: Blowing on the cleansed area introduces bacteria from the nurse's breath, increasing infection risk.
Question 4 of 5
A nurse is preparing to administer dextrose 5% in water (DSW) 100 mL to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number.)
Correct Answer: B
Rationale: Using the formula Flow rate (gtt/min) = (Volume/Time) × Drop factor, 100 mL / 60 min × 15 gtt/mL = 25 gtt/min.
Question 5 of 5
The nurse is using Chvostek sign to assess for hypocalcemia. Which statement correctly describes this test?
Correct Answer: A
Rationale: Tapping the face below and in front of the ear tests for Chvostek's sign, where facial muscle twitching indicates hypocalcemia.