ATI RN
ATI Fundamental Exam Chapter 25 Candile Questions
Extract:
Question 1 of 5
Megan's patient is on strict intake and output measurements. Her patient's total output is 2200 mL. What should the total intake be for an average adult?
Correct Answer: A
Rationale: For an average adult, the total intake should be approximately equal to the total output every day.
Therefore, if the patient's total output is 2200 mL, the total intake should also be around 2200 mL. 3000 mL is more than the recommended daily fluid intake for an average adult, which is about 2500 mL. If the patient's intake is higher than their output, they may develop fluid overload or edema. 3800 mL is much more than the recommended daily fluid intake for an average adult, which is about 2500 mL. If the patient's intake is higher than their output, they may develop fluid overload or edema. 2400 mL is slightly less than the recommended daily fluid intake for an average adult, which is about 2500 mL. However, if the patient's intake is lower than their output, they may develop dehydration or electrolyte imbalance.
Question 2 of 5
George Torres is admitted with a head injury. He is comatose and is breathing rapidly. His blood gases show a pH of 7.47 PaCO2 of 32 mm Hg and HCO3- of 26 mEq/L. Compare these gases to normal values. What type of imbalance does this patient have and is it being compensated or uncompensated?
Correct Answer: C
Rationale: Metabolic alkalosis is a condition where the pH and the HCO3- are both elevated, indicating a loss of acids or a gain of bases in the body. This is not the case for this patient, as his HCO3- is within the normal range of 22 to 26 mEq/L. Respiratory acidosis is a condition where the pH and the PaCO2 are both low, indicating a retention of carbon dioxide in the lungs due to hypoventilation. This is not the case for this patient, as his pH is high and his PaCO2 is low. Respiratory alkalosis is a condition where the pH and the PaCO2 are both high, indicating a loss of carbon dioxide in the lungs due to hyperventilation. This is the case for this patient, as his pH is above the normal range of 7.35 to 7.45 and his PaCO2 is below the normal range of 35 to 45 mm Hg. This condition is uncompensated, as his HCO3- is within the normal range and has not changed to counteract the pH imbalance. Metabolic acidosis is a condition where the pH and the HCO3- are both low, indicating a gain of acids or a loss of bases in the body. This is not the case for this patient, as his pH is high and his HCO3- is within the normal range.
Question 3 of 5
A decreased serum pH causes a condition known as:
Correct Answer: A
Rationale: This is correct because acidosis is a condition where the serum pH is lower than the normal range of 7.35 to 7.45. Acidosis can be caused by an excess of acids or a loss of bases in the body, which can affect the function of various organs and systems. This is incorrect because equal bicarbonate is not a condition, but a term that describes the balance between bicarbonate (HCO3-) and carbonic acid (H2CO3) in the blood. Bicarbonate is a base that buffers the acids in the blood and maintains the pH. Equal bicarbonate means that the ratio of bicarbonate to carbonic acid is 20:1, which is the normal value. This is incorrect because neutral carbonic acid is not a condition, but a term that describes the pH of carbonic acid (H2CO3) in the blood. Carbonic acid is an acid that forms when carbon dioxide (CO2) dissolves in water. Neutral carbonic acid means that the pH of carbonic acid is 7.0, which is neither acidic nor basic. This is incorrect because alkalosis is a condition where the serum pH is higher than the normal range of 7.35 to 7.45. Alkalosis can be caused by a loss of acids or an excess of bases in the body, which can affect the function of various organs and systems.
Question 4 of 5
What is the normal range of serum chloride level in adults?
Correct Answer: C
Rationale: This is incorrect because 95-110 mg/dL is the normal range of serum phosphorus level in adults, not chloride. Phosphorus is an electrolyte that is involved in energy metabolism, acid-base balance, and bone formation. This is incorrect because 10-120 mEq/L is not a realistic range for any electrolyte level in the blood. The units of mEq/L indicate the concentration of ions, not the mass of the substance. The normal range of serum chloride level in adults is expressed in mEq/L, not mg/dL. This is correct because 96-106 mEq/L is the normal range of serum chloride level in adults. Chloride is an electrolyte that is important for fluid balance, acid-base balance, and nerve transmission. This is incorrect because 1.8-2.6 mEq/L is the normal range of serum magnesium level in adults, not chloride. Magnesium is an electrolyte that is important for muscle and nerve function, as well as enzyme activity.
Question 5 of 5
The nurse is aware that small ions such as glucose oxygen and carbon dioxide redistribute themselves through semipermeable membranes by a process called
Correct Answer: A
Rationale: Diffusion is the process by which small ions such as glucose, oxygen, and carbon dioxide redistribute themselves through semipermeable membranes from areas of higher concentration to areas of lower concentration. This is how these molecules move across the cell membrane and the capillary wall. Osmosis is the process by which water moves through semipermeable membranes from areas of lower solute concentration to areas of higher solute concentration. This is how water balance is maintained across the cell membrane and the capillary wall. Blood pressure is the force exerted by the blood on the walls of the blood vessels. It is not a process by which small ions redistribute themselves through semipermeable membranes, but rather a factor that influences the movement of fluids and solutes across the capillary wall. Rehydration is the process of restoring the fluid balance in the body by drinking fluids or receiving intravenous fluids. It is not a process by which small ions redistribute themselves through semipermeable membranes, but rather a treatment for dehydration.