ATI RN
ATI Fundamentals Carugda Custom Exam Questions
Extract:
Question 1 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: High urine specific gravity (D 1.035 normal 1.005-1.030) indicates dehydration due to concentrated urine. Increased glucose (
A) may occur but is less specific creatinine 0.6 mg/dL (
B) is normal and blood osmolarity 260 mOsm/kg (
C) is low (normal 275-295) suggesting overhydration.
Question 2 of 5
Among the following,which is not a clinical finding of a severely dehydrated patient?
Correct Answer: B
Rationale: Pitting edema (
B) indicates fluid overload not dehydration. Skin pallor and cool skin (
A) tachycardia with thready pulse (
C) high urine specific gravity (E) and hypernatremia (F) are dehydration signs. Lung crackles (
D) suggest fluid overload or lung issues not dehydration.
Question 3 of 5
An LPN is reviewing the laboratory test 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: B, C, D
Rationale: The document incorrectly lists blood osmolarity 260 mOsm/kg (
A) as a dehydration sign but normal is 275-295 mOsm/kg; low values suggest overhydration. Hypotension (
B) from reduced blood volume high urine specific gravity (C 1.035 normal 1.005-1.030) from concentrated urine and elevated sodium (D 150 mEq/L normal 135-145) from water loss indicate dehydration.
Question 4 of 5
A nurse in a community clinic is collecting data from a patient who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect?
Correct Answer: A ,D, E
Rationale: Frequent vomiting and diarrhea cause dehydration leading to hypotension (
A) from low blood volume poor skin turgor (
D) from reduced elasticity and flat neck veins (E) from low venous pressure. Bradycardia (
B) is uncommon and pale yellow urine (
C) suggests hydration not dehydration.
Question 5 of 5
A nurse is planning care for a child who has severe diarrhea. Which of the following actions is the nurse's priority?
Correct Answer: C
Rationale: Rehydration (
C) is the priority to restore fluids and electrolytes preventing complications from severe diarrhea. Regular diet (
A) may worsen symptoms fluid therapy (
B) follows rehydration and assessing fluid balance (
D) is ongoing but secondary.