ATI Engage Fundamentals RN 2.0: Fluid,
Electrolyte, and Acid-Base Regulation Final
Exam Questions With Correct Answers
(Assured A)
1.A nurse is reviewing the laboratory test results for a client who has an elevated
temperature. The nurse should recognize which of the following findings is a
manifestation of dehydration? Select all that apply
A. Hct 55%
B. Serum Osmolarity 260 mOsm/kg
C. Serum Sodium 150 mEql/L
D. Urine Specific Gravity 1.035
E. Serum creatinine 0.6 mg/dL - ANSWER C.
D.
2. A nurse on a medical surgical unit is caring for a group of clients. For which of
the following clients should the nurse anticipate a prescription for fluid restriction?
A. A client who has a new diagnosis of adrenal insufficiency.
B. A client who has heart failure
C. A client who is receiving treatment for DKA
D. A client who has abdominal ascites - ANSWER B. A client who has heart failure
3. A nurse is planning care for a client who has dehydration. Which of the
following actions should the nurse include?
A. Administer anti hypertensive on schedule
B. Check the clients weight each morning.
,C. Notify the provider of a urine output greater than 30mL/hr
D. Encourage independent ambulation four times a day. - ANSWER B. Check the
clients weight each morning
4. Serum sodium levels are between ____ and ______ mEq/L. - ANSWER 136-
145
5. Hyponatremia is a sodium level less than _____ mEq/L. - ANSWER 136
6.This condition results from an excess of water in the plasma or loss of sodium
rich fluids. - ANSWER Hyponatremia
7. Name three serious complications that result from untreated acute hyponatremia
- ANSWER Coma, Seizures, Respiratory Arrest
8.Hypokalemia is a serum potassium level less than ____ mEq/L. - ANSWER 3.5
9.This condition is the result of an increased loss of potassium from the body,
decreased intake and absorption of potassium, or movement of potassium into the
cells. - ANSWER Hypokalemia
10. Metabolic alkalosis is a pH greater than _____. - ANSWER 7.45
11. This condition is the result of an increased intake of potassium, movement of
potassium out of the cells, or inadequate renal excretion. - ANSWER
Hyperkalemia
, 12. Name two potentially life threatening complications that involve the heart due
to Hyperkalemia. - ANSWER Cardiac Arrhythmias and Cardiac Arrest
13. Hyperkalemia is a serum potassium level greater than ____ mEq/L. -
ANSWER 5.0
14. Metabolic acidosis is a pH less than _____. - ANSWER 7.35
15. The expected total calcium level for the body is 9 to _____ mg/dL. - ANSWER
10.5
16. Hypocalcemia is a total serum calcium level less than _____ mg/dL -
ANSWER 9
17. Muscle Twitching, numbness and tingling is a key sign of what condition?
A. Hyponatremia
B. Hypokalemia
C. Hypervolemia
D. Hypocalcemia - ANSWER D.
18. Hypercalcemia is a total serum calcium level greater than _____ mg/dL. -
ANSWER 10.5
19. In Hypercalcemia, calcium shifts from the bone to _______. - ANSWER
Extracellular Fluid
20. Hypomagnesemia is a serum magnesium level less than ______ mEq/L. -
ANSWER 1.3
Electrolyte, and Acid-Base Regulation Final
Exam Questions With Correct Answers
(Assured A)
1.A nurse is reviewing the laboratory test results for a client who has an elevated
temperature. The nurse should recognize which of the following findings is a
manifestation of dehydration? Select all that apply
A. Hct 55%
B. Serum Osmolarity 260 mOsm/kg
C. Serum Sodium 150 mEql/L
D. Urine Specific Gravity 1.035
E. Serum creatinine 0.6 mg/dL - ANSWER C.
D.
2. A nurse on a medical surgical unit is caring for a group of clients. For which of
the following clients should the nurse anticipate a prescription for fluid restriction?
A. A client who has a new diagnosis of adrenal insufficiency.
B. A client who has heart failure
C. A client who is receiving treatment for DKA
D. A client who has abdominal ascites - ANSWER B. A client who has heart failure
3. A nurse is planning care for a client who has dehydration. Which of the
following actions should the nurse include?
A. Administer anti hypertensive on schedule
B. Check the clients weight each morning.
,C. Notify the provider of a urine output greater than 30mL/hr
D. Encourage independent ambulation four times a day. - ANSWER B. Check the
clients weight each morning
4. Serum sodium levels are between ____ and ______ mEq/L. - ANSWER 136-
145
5. Hyponatremia is a sodium level less than _____ mEq/L. - ANSWER 136
6.This condition results from an excess of water in the plasma or loss of sodium
rich fluids. - ANSWER Hyponatremia
7. Name three serious complications that result from untreated acute hyponatremia
- ANSWER Coma, Seizures, Respiratory Arrest
8.Hypokalemia is a serum potassium level less than ____ mEq/L. - ANSWER 3.5
9.This condition is the result of an increased loss of potassium from the body,
decreased intake and absorption of potassium, or movement of potassium into the
cells. - ANSWER Hypokalemia
10. Metabolic alkalosis is a pH greater than _____. - ANSWER 7.45
11. This condition is the result of an increased intake of potassium, movement of
potassium out of the cells, or inadequate renal excretion. - ANSWER
Hyperkalemia
, 12. Name two potentially life threatening complications that involve the heart due
to Hyperkalemia. - ANSWER Cardiac Arrhythmias and Cardiac Arrest
13. Hyperkalemia is a serum potassium level greater than ____ mEq/L. -
ANSWER 5.0
14. Metabolic acidosis is a pH less than _____. - ANSWER 7.35
15. The expected total calcium level for the body is 9 to _____ mg/dL. - ANSWER
10.5
16. Hypocalcemia is a total serum calcium level less than _____ mg/dL -
ANSWER 9
17. Muscle Twitching, numbness and tingling is a key sign of what condition?
A. Hyponatremia
B. Hypokalemia
C. Hypervolemia
D. Hypocalcemia - ANSWER D.
18. Hypercalcemia is a total serum calcium level greater than _____ mg/dL. -
ANSWER 10.5
19. In Hypercalcemia, calcium shifts from the bone to _______. - ANSWER
Extracellular Fluid
20. Hypomagnesemia is a serum magnesium level less than ______ mEq/L. -
ANSWER 1.3
