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
While assessing an older adult patient with fluid excess, the nurse notes the following: T = 98.6°F, P = 92, R = 18, BP = 166/88 mm Hg, bilateral crackles, oxygen saturation = 95%. Which action should the nurse take first?
Correct Answer: C
Rationale: Placing the patient in a high Fowler position maximizes lung expansion and alleviates dyspnea caused by fluid overload.
Question 3 of 5
A nurse is monitoring a client who is dehydrated. Which of the following laboratory findings should the nurse report to the provider?
Correct Answer: C
Rationale: An elevated BUN level (25 mg/dL) is above the normal range (10-20 mg/dL) and indicates dehydration due to increased protein breakdown and decreased renal perfusion, requiring immediate reporting to the provider.
Question 4 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 5 of 5
The nurse is preparing to start an IV on a newly admitted patient. Which action by the nurse places the patient at risk for infection?
Correct Answer: C
Rationale: Blowing on the cleansed area introduces bacteria from the nurse's breath, increasing infection risk.