ATI LPN
ATI LPN Med Surg Lv 3 Electrolytes Imbalance Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client. Which of the following findings should the nurse report to the charge nurse as an indicator of dehydration?
Correct Answer: C
Rationale: Skin tenting is a classic sign of dehydration, indicating reduced skin turgor due to fluid volume depletion.
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
At 0330, a nurse is caring for a client who is postoperative. The client's IV fluids are infusing at 120 mL/hr. How many mL of IV fluid should infuse by 0600? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: B
Rationale: From 0330 to 0600 is 2.5 hours; 120 mL/hr × 2.5 hr = 300 mL.
Question 4 of 5
The IV infusion pump for a patient receiving an IV therapy begins to alarm and displays occlusion. When the silence button is pushed, the alarm quickly resumes. Which action should the nurse take first?
Correct Answer: D
Rationale: Checking for kinking of the tubing or a closed clamp is the first action, as most occlusions are due to these issues, which can often be resolved immediately.
Question 5 of 5
An 87-year-old patient recovering from abdominal surgery has a continuous intravenous infusion to supply nutrients and antibiotics. What complication should you suspect when signs and symptoms of redness, warmth, and pain at the infusion site are reported?
Correct Answer: B
Rationale: Phlebitis, inflammation of the vein, commonly presents with redness, warmth, and pain at the IV site, often caused by the catheter or medication.