ATI RN
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ATI Fundamental Exam Chapter 25 Candile Questions
Extract:
Question
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1 of 5
Which electrolyte imbalance is most likely to cause abdominal pain urinary retention and confusion?
Correct Answer: B
Rationale: Potassium (K+) imbalance can cause cardiac and neuromuscular symptoms, such as arrhythmias, palpitations, muscle weakness, or paralysis, but not abdominal pain, urinary retention, or confusion.
Question 2 of 5
The nurse is reviewing the health records of assigned clients. The nurse would plan care knowing that which client is at risk for fluid volume deficit?
Correct Answer: A
Rationale: The client with an ileostomy is at risk for fluid volume deficit because an ileostomy is a surgical opening in the ileum, the last part of the small intestine, that allows the drainage of intestinal contents. This can result in a loss of fluids and electrolytes, especially sodium and potassium, which can lead to dehydration and hypovolemia. The client with cirrhosis is not at risk for fluid volume deficit, but rather fluid volume excess. Cirrhosis is a chronic liver disease that causes scarring and impaired liver function. This can lead to portal hypertension, which is an increase in the pressure in the portal vein that carries blood from the digestive organs to the liver. Portal hypertension can cause ascites, which is the accumulation of fluid in the abdominal cavity, and edema, which is the swelling of the tissues due to fluid retention. The client with heart failure is not at risk for fluid volume deficit, but rather fluid volume excess. Heart failure is a condition where the heart is unable to pump enough blood to meet the body's needs. This can lead to congestion of the blood vessels, which can cause pulmonary edema, which is the accumulation of fluid in the lungs, and peripheral edema, which is the swelling of the extremities due to fluid retention. The client with decreased renal function is not at risk for fluid volume deficit, but rather fluid volume excess. Decreased renal function is a condition where the kidneys are unable to filter the blood and remove excess fluids and wastes. This can lead to oliguria, which is a decrease in urine output, and anuria, which is the absence of urine output. This can cause fluid overload, which can affect the heart and the lungs.
Question 3 of 5
Which of the following is the movement of a pure solvent (liquid) across a membrane?
Correct Answer: C
Rationale: This is incorrect because diffusion is the movement of solutes (dissolved substances) from an area of higher concentration to an area of lower concentration, until equilibrium is reached. This is incorrect because hydrostatic pressure is the force exerted by a fluid against a wall or a membrane. Hydrostatic pressure can drive the movement of fluid and solutes across a membrane, but it is not the movement itself. This is correct because osmosis is the movement of a pure solvent (liquid) across a semipermeable membrane from an area of lower solute concentration to an area of higher solute concentration, until equilibrium is reached. This is incorrect because ATP is not a movement, but a molecule. ATP stands for adenosine triphosphate, which is the main source of energy for cellular processes. ATP can provide energy for some types of transport across membranes, such as active transport.
Question 4 of 5
The nurse caring for a frail 92-year-old dehydrated patient should add to the plan of care:
Correct Answer: D
Rationale: This is incorrect because over-hydration is unlikely in a dehydrated patient. Overhydration is a condition where the body has too much water, which can cause hyponatremia, edema, and cerebral swelling. This is incorrect because diarrhea is a cause, not a consequence, of dehydration. Diarrhea is the frequent and watery passage of stool, which can lead to fluid and electrolyte loss. This is incorrect because pulmonary congestion is also unlikely in a dehydrated patient. Pulmonary congestion is a condition where the lungs are filled with fluid, which can cause dyspnea, cough, and crackles. This is correct because fall is a potential complication of dehydration. Dehydration can cause confusion, dizziness, weakness, and hypotension, which can increase the risk of falling and injuring oneself.
Question 5 of 5
An isotonic solution contains equal solute concentration on both sides.
Correct Answer: A
Rationale: This is correct because an isotonic solution has equal solute concentration on both sides of a semipermeable membrane, resulting in no net movement of water.