ATI RN
ATI Pediatric Nursing n100 Exam Questions
Extract:
A client who presents with a sudden 5 lb. (2.3 kg) weight gain, bounding pulses, and a blood pressure of 174/94.
Question 1 of 5
The nurse is caring for a client who presents with a sudden 5 lb. (2.3 kg) weight gain, bounding pulses, and a blood pressure of 174/94. These clinical findings are indicative of:
Correct Answer: C
Rationale: The correct answer is C: excess fluid volume. The sudden weight gain, bounding pulses, and elevated blood pressure indicate fluid overload. Bounding pulses suggest increased blood volume, while the elevated blood pressure reflects increased fluid in the vascular system. The weight gain further supports excess fluid retention. Hypovolemic shock (
A) is characterized by low blood volume, not excessive fluid. Hemodilution (
B) refers to a decrease in blood concentration, not fluid overload. Deficient fluid volume (
D) would present with hypotension and decreased urine output.
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Question 2 of 5
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