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ATI Med Surg Fluid and Electrolytes Balance and Disturbance Exam Questions and Answers Latest Update 2025/2026 graded A+

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Answer Key Question 1: (see full question) An elderly client takes 40 mg of Lasix twice a day. Which electrolyte imbalance is the most serious adverse effect of diuretic use? You selected: Hypokalemia Correct Explanation: Hypokalemia (potassium level below 3.5 mEq/L) usually indicates a defict in total potassium stores. Potassium-losing diuretics, such as loop diuretics, can induce hypokalemia. Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 13: Fluid and Electrolytes: Balance and Disturbance, p. 255. Chapter 13: Fluid and Electrolytes: Balance and Disturbance - Page 255 Question 2: (see full question) The nurse is reviewing client lab work for a critical lab value. Which value is called to the physician for additional orders? Correct response: Potassium: 5.8 mEq/L Explanation: Normal potassium level is 3.5 to 5.5 mEq/L. Elevated potassium levels can lead to muscle weakness, paresthesias, and cardiac dysrhythmias. Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 13: Fluid and Electrolytes: Balance and Disturbance, p. 254. Chapter 13: Fluid and Electrolytes: Balance and Disturbance - Page 254 Question 3: (see full question) A client with pancreatic cancer has the following blood chemistry profile: Glucose, fasting: 204 mg/dl; blood urea nitrogen (BUN): 12 mg/dl; Creatinine: 0.9 mg/dl; Sodium: 136 mEq/L; Potassium: 2.2 mEq/L; Chloride: 99 mEq/L; CO2: 33 mEq/L. Which result should the nurse identify as critical and report immediately? You selected: Potassium Correct Explanation: The nurse should identify potassium: 2.2 mEq/L as critical because a normal potassium level is 3.8 to 5.5 mEq/L. Severe hypokalemia can cause cardiac and respiratory arrest, possibly leading to death. Hypokalemia also depresses the release of insulin and results in glucose intolerance. The glucose level is above normal (normal is 75 to 110 mg/dl) and the chloride level is a bit low (normal is 100 to 110 mEq/L). Although these levels should be reported, neither is life-threatening. The BUN (normal is 8 to 26 mg/dl) and creatinine (normal is 0.8 to 1.4 mg/dl) are within normal range. (less) all chapters download via Downloaded by dennis murimi () 3 3 Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 13: Fluid and Electrolytes: Balance and Disturbance, p. 255. Chapter 13: Fluid and Electrolytes: Balance and Disturbance - Page 255 Question 4: (see full question) Which nerve is implicated in the Chvostek’s sign? You selected: Facial Correct Explanation: Chvostek’s sign consists of twitching of muscles supplied by the facial nerve when the nerve is tapped about 2 cm anterior to the earlobe, just below the zygomatic arch. Reference: Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 13: Fluid and Electrolytes: Balance and Disturbance, p. 259. Chapter 13: Flu

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ATI DETAILED
ANSWER KEY
(COGNITION AND
SENSATION )
QUESTIONS ,
RATIONALES AND
VERIFIED SOLUTIONS
2025/2026 GRADED A+.

,2



Detailed Answer Key
Cognition and Sensation




1. A nurse notes a client who has Parkinson disease shows signs of dyskinesia. Which of the following
physical manifestations should the nurse expect?



A. Difficulty swallowing

Rationale: The nurse should expect to find with signs of dyskinesia difficulty moving,
not swallowing.

B. Difficulty speaking

Rationale: The nurse should expect to find with signs of dyskinesia difficulty moving,
not speaking.

C. Difficulty moving

Rationale: The nurse should expect to find with signs of dyskinesia difficulty moving
which is correct.

D. Difficulty breathing

Rationale: The nurse should expect to find with signs of dyskinesia difficulty moving
not breathing.




2. A nurse is caring for a client who reports a throbbing headache after a lumbar puncture. Which of the
following actions is appropriate for the nurse to take? (Select all that apply.)



A. Administer the client's PRN pain medication.

B. Darken the client's room and close the door.

C. Limit the client's fluid intake for 8 hr.

D. Keep the client flat in bed for several hours.
2025 lectdenis

,2



Detailed Answer Key
Cognition and Sensation



Rationale: Administer the client's PRN pain medication is correct. This action is an
appropriate nursing action for management of a post-lumbar puncture
headache.Darken the client's room and close the door is correct. This is an
appropriate nursing action for management of a post-lumbar puncture
headache.Limit the client's fluid intake for 8 hr is incorrect. Increasing fluids
is helpful in replacing the cerebrospinal fluid that was removed during the
procedure, unless contraindicated.Keep the client flat in bed for several
hours is correct. The headache is usually relieved when the client lies down,
keeping the client flat in bed for several hours should relieve the headache.




CAA_DetailedAnswerKey created 10/27/2012 page 1 of
14




2025 lectdenis

, 2



Detailed Answer Key
Cognition and Sensation




3. A nurse is reinforcing the discharge instructions to a client who has multiple sclerosis (MS). The
client reports symptoms of diplopia, dysmetria, and sensory change. Which of the following nursing
statements are appropriate?



A. “Wear an eye patch on the right eye at all times.”

Rationale: The nurse should instruct the client to alternate every two hours an eye
patch to improve diplopia, not leave on the right eye continually.

B. “Plan to relax in a hot tub spa each day.”

Rationale: The nurse should instruct the client to avoid extreme temperature changes
which may exacerbate the MS symptoms.

C. “Engage in a vigorous exercise program.”

Rationale: The nurse should instruct the client to develop a tolerable exercise program,
not a vigorous exercise program, which may exacerbate the MS symptoms.

D. “Implement a schedule to include periods of rest.”

Rationale: The nurse should implement a schedule with periods of exercise followed
by periods of rest to maintain muscle strength and coordination.




4. A nurse is caring for a client who has undergone a cataract removal of the left eye with placement
of an intraocular lens implant. Which of the following statements by the client indicates to the
nurse that additional education is needed?



A. “Even though my vision is improved, I will still need glasses.”

Rationale: Most clients will still need glasses because the intraocular lens implant does
not restore a client's vision to 20/20.

B. “If there is drainage around my eye, I should wipe it away with a clean, damp washcloth.”

2025 lectdenis

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