ATI RN
ATI Fundamentals Carugda Custom Exam Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
A nurse is contributing to the plan of care for a client who is postoperative following peritoneal lavage for peritonitis. The client has a nasogastric tube to low-intermittent suction and closed-suction drains in place. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Place the client in a high Fowler's position. Placing the client in a high Fowler's position helps promote drainage and prevents complications such as aspiration. This position increases lung expansion and aids in the movement of fluid through the peritoneal cavity. Irrigating the nasogastric tube with tap water (
Choice
A) is not recommended as it can cause electrolyte imbalances. Marking abdominal girth once daily (
Choice
B) may not be necessary unless there are specific concerns about abdominal distension. Ambulating the client twice daily (
Choice
D) is beneficial but does not directly address the postoperative care needs related to the peritoneal lavage.
Question 4 of 5
A nurse is caring for a child who has acute diarrhea and reports that he is thirsty. Which of the following fluids should the nurse give the child?
Correct Answer: D
Rationale: The correct answer is D: Pedialyte. Pedialyte is the most appropriate fluid for a child with acute diarrhea who is thirsty because it helps replace lost electrolytes and fluids. It contains the right balance of electrolytes, such as sodium and potassium, which are essential for maintaining hydration and electrolyte balance. Broth (
A) may be too high in sodium and low in other essential electrolytes. Apple juice (
B) and cherry gelatin (
C) contain high sugar content, which can worsen diarrhea. Choosing Pedialyte over water (E) is important as water alone may not replace the lost electrolytes.
Question 5 of 5
A nurse is caring for a patient in a long-term care facility who is receiving enteral feedings via an NG tube. Which of the following actions should the nurse complete prior to administering the tube feeding?
Correct Answer: A ,B ,C
Rationale: The correct actions are A, B, and C. Auscultating stomach sounds ensures proper placement of the NG tube to prevent aspiration. Warming the formula to body temperature prevents discomfort and potential complications. Assisting the client to sit upright promotes safe and effective feeding. Discarding residual gastric contents is unnecessary and may lead to nutrient loss. The other choices are not essential steps in ensuring the safe administration of enteral feedings.