ATI LPN
ATI LPN Med Surg Lv 3 Electrolytes Imbalance Questions
Extract:
Question 1 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 2 of 5
A nurse is collecting data from a client who has dehydration. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Cool skin is a typical finding in dehydration due to reduced peripheral circulation and vasoconstriction as the body maintains core temperature and blood pressure.
Question 3 of 5
A nurse is collecting data from a client who has a calcium level of 8 mg/dL (9.0-10.5 mg/dL). Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Tetany, involving muscle cramps and spasms, is a common manifestation of hypocalcemia due to increased neuromuscular excitability at low calcium levels.
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.