ATI LPN
ATI LPN Med Surg Lv 3 Electrolytes Imbalance Questions
Extract:
Question 1 of 5
The nurse is caring for a group of patients. Which patient is at highest risk for hypovolemia?
Correct Answer: A
Rationale: Significant blood loss (2 liters) during surgery poses the highest risk for hypovolemia, requiring immediate fluid replacement.
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 assisting with the care of a client who is hypovolemic due to blood loss following a motor-vehicle crash and needs a blood transfusion immediately. The nurse should anticipate a prescription for which of the following IV solutions while awaiting blood from a type and cross-match?
Correct Answer: B
Rationale: Lactated Ringer's, an isotonic solution, restores fluid volume and electrolytes, making it suitable for hypovolemic shock while awaiting blood.
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 monitoring a client who has dehydration and is receiving IV fluid replacement. Which of the following findings should the nurse identify as effectiveness of the treatment?
Correct Answer: B
Rationale: Urine output of 200 mL/4 hr (50 mL/hr) indicates improved kidney perfusion and hydration, suggesting effective treatment.