ATI LPN
ATI LPN Med Surg Lv 3 Electrolytes Imbalance Questions
Extract:
Question 1 of 5
Which is the most reliable method for monitoring improvement when restoring fluid balance?
Correct Answer: D
Rationale: Daily weights directly reflect changes in fluid retention or loss, providing the most reliable measure of fluid balance.
Question 2 of 5
A nurse is collecting data from a client who has a sodium level of 155 mEq/L (136-145 mEq/L). Which of the following manifestations should the nurse expect?
Correct Answer: B
Rationale: Hypernatremia causes cellular dehydration, leading to neurological symptoms like decreased level of consciousness.
Question 3 of 5
A nurse reviewing the laboratory of a client who had a total thyroidectomy discovers that his calcium level is 7 mg/dL (9-10.5 mg/dL). Which of the following client findings should the nurse expect?
Correct Answer: C
Rationale: Hypocalcemia, common post-thyroidectomy, can cause muscle tetany due to increased neuromuscular excitability.
Question 4 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 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.