ATI LPN
ATI LPN Med Surg Lv 3 Electrolytes Imbalance Questions
Extract:
Question 1 of 5
An older adult nursing home resident who has always been alert and oriented is now showing signs of dehydration and has become confused. Which electrolyte imbalance is most likely involved?
Correct Answer: C
Rationale: Hyponatremia disrupts brain cell function, commonly causing confusion in dehydrated older adults.
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
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 4 of 5
A nurse in a community clinic is collecting data from a client who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Poor skin turgor, hypotension, and flat neck veins are expected findings in dehydration due to fluid loss from vomiting and diarrhea.
Question 5 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.