ATI Fluid, Electrolyte, and Acid-Base
Proctored Exam V2 (2025/2026) — Updated
Edition (Verified Questions & Answers |
NCLEX®-RN® Readiness)
A nurse is caring for a client on a medical-surgical unit. The nurse should first address the client's
___, followed by client's ___.
ECG; calf circumference
When using the airway, breathing, circulation framework, the nurse first should address the
client's ECG, followed by the client's calf circumference. The client has manifestations of
hypercalcemia, such as dysrhythmias, impaired circulation, decreased perfusion, and
hypertension. The nurse needs to correct the calcium imbalance and monitor the client's ECG,
heart rate, and blood pressure, and evaluate the client for a possible deep vein thrombosis.
A nurse is reviewing the medical record of a client who has diabetes mellitus and is receiving
regular insulin by continuous IV infusion to treat diabetic ketoacidosis. Which if the following
findings should the nurse report to the provider?
Urine output 30 mL/hr
Serum potassium 3.0 mEq/L
Blood glucose 180 mg/dL
BUN 18 mg/dL
, ATI Fluid, Electrolyte, and Acid-Base
Proctored Exam V2 (2025/2026) — Updated
Edition (Verified Questions & Answers |
NCLEX®-RN® Readiness)
Serum potassium 3.0 mEq/L
This serum potassium level is below the expected reference range. Hypokalemia is a serious
complication that can occur when a client who has diabetic ketoacidosis is receiving insulin to
treat the condition. The nurse should report this finding to the provider.
A nurse in a provider's office is caring for a client. The client is at risk for developing ___ and
___.
Hyponatremia; hypomagnesemia
A nurse is caring for a client in the emergency department. The client is at risk for developing
___ due to ___.
Seizures; sodium level
When analyzing cues of dizziness, nausea, vomiting, and headache after prolonged exercise, the
nurse should identify the client is at risk for seizures due to hyponatremia. The nurse should
administer an oral sodium replacement, an isotonic saline solution, or an antidiuretic receptor
antagonist medication, such as tolvaptan, to increase the client's serum sodium level. The nurse
should monitor the client for neurological changes caused by cerebral edema due to cellular
swelling. Manifestations of increased intracranial pressure include lethargy, confusion, and
seizures.
, ATI Fluid, Electrolyte, and Acid-Base
Proctored Exam V2 (2025/2026) — Updated
Edition (Verified Questions & Answers |
NCLEX®-RN® Readiness)
A nurse is caring for a client who reports difficulty breathing and tingling in both hands. Their
respiratory rate is 36/min and they appear very restless. Which of the following values should the
nurse anticipate to be outside the expected reference range if the client is in respiratory alkalosis?
PaCO2
The nurse should anticipate that a client who has respiratory alkalosis will have a decreased
PaCO2 level due to hyperventilation.
A nurse is assessing a client who has a calcium level of 8.1 mg/dL. Which of the following
findings is the priority for the nurse to assess?
Deep-tendon reflexes
Cardiac rhythm
Peripheral sensation
Bowel sounds
Cardiac rhythm
Proctored Exam V2 (2025/2026) — Updated
Edition (Verified Questions & Answers |
NCLEX®-RN® Readiness)
A nurse is caring for a client on a medical-surgical unit. The nurse should first address the client's
___, followed by client's ___.
ECG; calf circumference
When using the airway, breathing, circulation framework, the nurse first should address the
client's ECG, followed by the client's calf circumference. The client has manifestations of
hypercalcemia, such as dysrhythmias, impaired circulation, decreased perfusion, and
hypertension. The nurse needs to correct the calcium imbalance and monitor the client's ECG,
heart rate, and blood pressure, and evaluate the client for a possible deep vein thrombosis.
A nurse is reviewing the medical record of a client who has diabetes mellitus and is receiving
regular insulin by continuous IV infusion to treat diabetic ketoacidosis. Which if the following
findings should the nurse report to the provider?
Urine output 30 mL/hr
Serum potassium 3.0 mEq/L
Blood glucose 180 mg/dL
BUN 18 mg/dL
, ATI Fluid, Electrolyte, and Acid-Base
Proctored Exam V2 (2025/2026) — Updated
Edition (Verified Questions & Answers |
NCLEX®-RN® Readiness)
Serum potassium 3.0 mEq/L
This serum potassium level is below the expected reference range. Hypokalemia is a serious
complication that can occur when a client who has diabetic ketoacidosis is receiving insulin to
treat the condition. The nurse should report this finding to the provider.
A nurse in a provider's office is caring for a client. The client is at risk for developing ___ and
___.
Hyponatremia; hypomagnesemia
A nurse is caring for a client in the emergency department. The client is at risk for developing
___ due to ___.
Seizures; sodium level
When analyzing cues of dizziness, nausea, vomiting, and headache after prolonged exercise, the
nurse should identify the client is at risk for seizures due to hyponatremia. The nurse should
administer an oral sodium replacement, an isotonic saline solution, or an antidiuretic receptor
antagonist medication, such as tolvaptan, to increase the client's serum sodium level. The nurse
should monitor the client for neurological changes caused by cerebral edema due to cellular
swelling. Manifestations of increased intracranial pressure include lethargy, confusion, and
seizures.
, ATI Fluid, Electrolyte, and Acid-Base
Proctored Exam V2 (2025/2026) — Updated
Edition (Verified Questions & Answers |
NCLEX®-RN® Readiness)
A nurse is caring for a client who reports difficulty breathing and tingling in both hands. Their
respiratory rate is 36/min and they appear very restless. Which of the following values should the
nurse anticipate to be outside the expected reference range if the client is in respiratory alkalosis?
PaCO2
The nurse should anticipate that a client who has respiratory alkalosis will have a decreased
PaCO2 level due to hyperventilation.
A nurse is assessing a client who has a calcium level of 8.1 mg/dL. Which of the following
findings is the priority for the nurse to assess?
Deep-tendon reflexes
Cardiac rhythm
Peripheral sensation
Bowel sounds
Cardiac rhythm
