ATI RN
ATI Fundamental Exam Chapter 25 Candile Questions
Extract:
Question 1 of 5
Which may cause hyperkalemia?
Correct Answer: A
Rationale: Renal failure can cause hyperkalemia because the kidneys are unable to excrete excess potassium from the body. This can lead to high levels of potassium in the blood, which can affect the heart and muscles. Diarrhea can cause hypokalemia, not hyperkalemia, because it can lead to loss of potassium from the gastrointestinal tract. This can result in low levels of potassium in the blood, which can also affect the heart and muscles. Blood transfusion can cause hyperkalemia if the blood is old or hemolyzed, meaning that the red blood cells have broken down and released potassium into the plasma. This can increase the potassium levels in the recipient's blood. Diaphoresis, or sweating, can cause hypokalemia, not hyperkalemia, because it can lead to loss of potassium from the skin. This can also lower the potassium levels in the blood.
Question 2 of 5
If your patient has a higher than normal pH (alkalosis) you would expect to also see:
Correct Answer: C
Rationale: This is incorrect because low HCO3- and high PaCO2 are signs of metabolic acidosis, not alkalosis. Metabolic acidosis is a condition where the blood pH is lower than the normal range of 7.35 to 7.45, due to an excess of acids or a loss of bases in the body. This is incorrect because low PaCO2 and low HCO3- are signs of respiratory acidosis, not alkalosis. Respiratory acidosis is a condition where the blood pH is lower than the normal range of 7.35 to 7.45, due to impaired gas exchange or hypoventilation, which causes carbon dioxide to accumulate in the blood. This is correct because low PaCO2 and high HCO3- are signs of alkalosis. Alkalosis is a condition where the blood pH is higher than the normal range of 7.35 to 7.45, due to a loss of acids or an excess of bases in the body. There are two types of alkalosis: respiratory and metabolic. Respiratory alkalosis is caused by hyperventilation, which lowers the PaCO2 in the blood. Metabolic alkalosis is caused by vomiting, diuretics, or excessive intake of antacids, which raises the HCO3- in the blood. This is incorrect because high PaCO2 and high HCO3- are signs of compensation, not alkalosis. Compensation is a process where the body tries to restore the normal pH by adjusting the levels of PaCO2 and HCO3- in the opposite direction of the primary disorder.
Question 3 of 5
The registered nurse reviews the result of the arterial blood gas values with the licensed practical nurse and tells the LPN that the client has respiratory acidosis. The LPN would expect to note which of the following on the laboratory result report?
Correct Answer: C
Rationale: This is incorrect because this represents respiratory alkalosis, not acidosis. Respiratory alkalosis is characterized by a high pH and a low PCO2. This is incorrect because this represents a mixed disorder, not a pure respiratory acidosis. A mixed disorder occurs when both the pH and the PCO2 are abnormal, but in opposite directions. This is correct because this represents respiratory acidosis. Respiratory acidosis is characterized by a low pH and a high PCO2. This is incorrect because this represents normal values, not respiratory acidosis. Normal values for pH and PCO2 are 7.35 to 7.45 and 35 to 45 mmHg, respectively.
Question 4 of 5
The thirst mechanism is located in the:
Correct Answer: D
Rationale: This is incorrect because the adrenal gland is not involved in the thirst mechanism. The adrenal gland is responsible for producing hormones such as cortisol, aldosterone, and adrenaline, which regulate stress response, blood pressure, and metabolism. This is incorrect because the cerebral cortex is not involved in the thirst mechanism. The cerebral cortex is the outer layer of the brain that is responsible for higher cognitive functions such as memory, language, and reasoning. This is incorrect because the pituitary gland is not directly involved in the thirst mechanism. The pituitary gland is a small gland at the base of the brain that produces hormones that control growth, reproduction, and metabolism. However, the pituitary gland does secrete antidiuretic hormone (ADH), which is regulated by the hypothalamus and affects water balance in the body. This is correct because the hypothalamus is the location of the thirst mechanism. The hypothalamus is a part of the brain that regulates many bodily functions such as temperature, appetite, sleep, and emotions. The hypothalamus also monitors the blood osmolarity and triggers the sensation of thirst when the blood is too concentrated.
Question 5 of 5
The nurse is caring for a client with severe diarrhea. The nurse monitors the client closely understanding that this client is at risk for developing which acid-base disorder?
Correct Answer: C
Rationale: This is incorrect because respiratory alkalosis is a condition where the blood pH is higher than the normal range of 7.35 to 7.45, due to hyperventilation, which lowers the carbon dioxide in the blood. Severe diarrhea does not cause hyperventilation, but rather dehydration and electrolyte imbalance. This is incorrect because metabolic alkalosis is a condition where the blood pH is higher than the normal range of 7.35 to 7.45, due to a loss of acids or an excess of bases in the body. Severe diarrhea does not cause a loss of acids or an excess of bases, but rather a loss of fluids and bicarbonate, which is a base that buffers the acids in the blood. This is correct because metabolic acidosis is a condition where the blood pH is lower than the normal range of 7.35 to 7.45, due to an excess of acids or a loss of bases in the body. Severe diarrhea causes a loss of fluids and bicarbonate, which is a base that buffers the acids in the blood. This leads to an accumulation of acids and a decrease in pH. This is incorrect because respiratory acidosis is a condition where the blood pH is lower than the normal range of 7.35 to 7.45, due to impaired gas exchange or hypoventilation, which causes carbon dioxide to accumulate in the blood. Severe diarrhea does not affect the respiratory system directly, but rather the metabolic system.