ATI LPN
ATI LPN Med Surg Lv 3 Electrolytes Imbalance Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has a sodium level of 155 mEq/L (136-145 mEq/L). Which of the following manifestations should the nurse expect?
Correct Answer: B
Rationale: Hypernatremia causes cellular dehydration, leading to neurological symptoms like decreased level of consciousness.
Question 2 of 5
A nurse reviewing the laboratory of a client who had a total thyroidectomy discovers that his calcium level is 7 mg/dL (9-10.5 mg/dL). Which of the following client findings should the nurse expect?
Correct Answer: C
Rationale: Hypocalcemia, common post-thyroidectomy, can cause muscle tetany due to increased neuromuscular excitability.
Question 3 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 4 of 5
A nurse is assisting with care of a client who has a prescription for 3,000 mL of intravenous fluids over the next 24 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number)
Correct Answer: B
Rationale: Dividing total volume by time, 3000 mL / 24 hr = 125 mL/hr.
Question 5 of 5
A nurse is planning to monitor a client for dehydration following several episodes of vomiting and an increase in the client's temperature. Which of the following findings should the nurse identify as an indication that the client is dehydrated?
Correct Answer: A
Rationale: High urine specific gravity (1.034) indicates concentrated urine, a sign of dehydration as the kidneys conserve water.