Fluid, Electrolyte, and Acid-Base Regulation ATI
2026: Nursing Concepts, Clinical Judgment, ABGs,
and Priority Interventions
Question and answer
This client's ABG values indicate respiratory acidosis. Respiratory acidosis is indicated by a pH value
below the expected reference range of 7.35 to 7.45 and a PaCO2 value above the expected reference
range of 35 to 45 mm Hg.
A nurse is assessing a client who is exhibiting signs of fluid and electrolyte imbalance. Which of the
following findings should the nurse identify as a potential cause for the client's fluid and electrolyte
imbalance? - √√CORRECT ANSWER√√The client reports that they performed yard work for 8 hr in 35° C
(95° F) temperature earlier that day.
The nurse should identify that working outside in high temperatures for an extended period can cause
profuse sweating and lead to a fluid and electrolyte imbalance.
A nurse is caring for a client who is receiving treatment of hyponatremia. The nurse should identify which
of the following findings as an indication that the treatment has been effective? (select all that apply)
The client states their muscle spasms are absent.
The client reports a headache.
The client denies being confused.
, The client reports being nauseated.
The client reports feeling tired. - √√CORRECT ANSWER√√The client states muscle spasms are absent
The client denies being confused
The client states their muscle spasms are absent is correct.
The absence of muscle spasms indicates that the treatment for hyponatremia has been effective.
The client denies being confused is correct.
The client reporting that they are not confused is an indication of adequate sodium levels. Therefore, this
is an indication that the treatment for hyponatremia has been effective.
The client reports a headache is incorrect. Headache is a manifestation of hyponatremia, rather than an
indication that the treatment for hyponatremia has been effective.
The client reports being nauseated is incorrect. Nausea is a manifestation of hyponatremia, rather than
an indication that the treatment for hyponatremia has been effective.
The client reports feeling tired is incorrect.
Fatigue is a manifestation of hyponatremia, rather than an indication that the treatment for hyponatremia
has been effective.
A nurse has completed assessing and analyzing data for a client who has acid-base imbalance. Which of
the following steps of the nursing process should the nurse take? - √√CORRECT ANSWER√√Planning
After assessing and analyzing data for a client who has an acid-base imbalance, the nurse should move
into the planning stage of the nursing process and establish goals and outcomes for the client.
A nurse is caring for a client who has a prescription to receive one unit of packed red blood cells. The
clients blood type is AB+, and the nurse receives a unit of A- blood from the blood bank. Which of the
following actions should the nurse take? - √√CORRECT ANSWER√√Verify the unit of blood with another
nurse.
2026: Nursing Concepts, Clinical Judgment, ABGs,
and Priority Interventions
Question and answer
This client's ABG values indicate respiratory acidosis. Respiratory acidosis is indicated by a pH value
below the expected reference range of 7.35 to 7.45 and a PaCO2 value above the expected reference
range of 35 to 45 mm Hg.
A nurse is assessing a client who is exhibiting signs of fluid and electrolyte imbalance. Which of the
following findings should the nurse identify as a potential cause for the client's fluid and electrolyte
imbalance? - √√CORRECT ANSWER√√The client reports that they performed yard work for 8 hr in 35° C
(95° F) temperature earlier that day.
The nurse should identify that working outside in high temperatures for an extended period can cause
profuse sweating and lead to a fluid and electrolyte imbalance.
A nurse is caring for a client who is receiving treatment of hyponatremia. The nurse should identify which
of the following findings as an indication that the treatment has been effective? (select all that apply)
The client states their muscle spasms are absent.
The client reports a headache.
The client denies being confused.
, The client reports being nauseated.
The client reports feeling tired. - √√CORRECT ANSWER√√The client states muscle spasms are absent
The client denies being confused
The client states their muscle spasms are absent is correct.
The absence of muscle spasms indicates that the treatment for hyponatremia has been effective.
The client denies being confused is correct.
The client reporting that they are not confused is an indication of adequate sodium levels. Therefore, this
is an indication that the treatment for hyponatremia has been effective.
The client reports a headache is incorrect. Headache is a manifestation of hyponatremia, rather than an
indication that the treatment for hyponatremia has been effective.
The client reports being nauseated is incorrect. Nausea is a manifestation of hyponatremia, rather than
an indication that the treatment for hyponatremia has been effective.
The client reports feeling tired is incorrect.
Fatigue is a manifestation of hyponatremia, rather than an indication that the treatment for hyponatremia
has been effective.
A nurse has completed assessing and analyzing data for a client who has acid-base imbalance. Which of
the following steps of the nursing process should the nurse take? - √√CORRECT ANSWER√√Planning
After assessing and analyzing data for a client who has an acid-base imbalance, the nurse should move
into the planning stage of the nursing process and establish goals and outcomes for the client.
A nurse is caring for a client who has a prescription to receive one unit of packed red blood cells. The
clients blood type is AB+, and the nurse receives a unit of A- blood from the blood bank. Which of the
following actions should the nurse take? - √√CORRECT ANSWER√√Verify the unit of blood with another
nurse.
