ATI FLUID AND ELECTROLYTES EXAM 1
f# f# f# f# f#
f# 2024 QUESTIONS AND ANSWERS, GRADED
f# f# f# f#
A+) f#
f#
A f#nurse f#is f#admitting f#a f#client f#who f#reports f#nausea, f#vomiting, f#and f#weakness. f#The f#client
f#has f#dry f#oral f#mucous f#membranes f#and f#blood f#pressure f#102/64 f#mm f#Hg. f#Which f#of f#the
f#following f#findings f#should f#the f#nurse f#identify f#as f#manifestations f#of f#fluid f#volume f#deficit?
f#(Select f#all f#that f#apply.) f#
f#
A. Decreased f#skin f#turgor f# f#
B. Concentrated f#urine f#
C. Bradycardia f#
D. Low-grade f#fever f#
E. Tachypnea f#- f#A; f#Decreased f#skin f#turgor f#is f#a f#manifestation f#present f#with f#fluid f#volume
f#deficit. f#Skin f#turgor f#is f#decreased f#due f#to f#the f#lack f#of f#fluid f#within f#the f#body f#and
f#results f#in f#dryness f#of f#the f#skin. f# f#
B; f#Concentrated f#urine f#is f#a f#manifestation f#present f#with f#fluid f#volume f#deficit. f#Urine f#is
f#concentrated f#due f#to f#lack f#of f#fluid f#in f#the f#vascular f#system, f#causing f#a f#decreased f#profusion
f#of f#the f#kidneys f#resulting f#in f#an f#increased f#urine f#specific f#gravity. f# f#
D; f#Low-grade f#fever f#is f#a f#manifestation f#present f#with f#fluid f#volume f#deficit. f#Low-grade
f#fever f#is f#one f#of f#the f#body's f#ways f#to f#maintain f#homeostasis f#to f#compensate f#for f#lack f#of
f#fluid f#within f#the f#body. f# f#E; f#Tachypnea f#is f#a f#manifestation f#present f#with f#fluid f#volume
f#deficit. f#Increased f#respirations f#are f#the f#body's f#way f#to f#obtain f#oxygen f#due f#to f#the f#lack f#of
f#fluid f#volume f#within f#the f#body. f#
f#
A f#nurse f#is f#admitting f#an f#older f#adult f#client f#who f#reports f#a f#weight f#gain f#of f#2.3 f#kg f#(5 f#lb)
f#in f#48 f#hr. f#Which f#of f#the f#following f#manifestations f#of f#fluid f#volume f#excess f#should f#the
f#nurse f#expect? f#(Select f#all f#that f#apply.) f#
f#
A. Dyspnea f#
B. Edema f#
C. Bradycardia f#
D. Hypertension f#
E. Weakness f#- f#A; f#Dyspnea f#is f#a f#manifestation f#present f#with f#fluid f#volume f#excess.
f#Dyspnea f#is f#due f#to f#an f#excess f#of f#fluids f#within f#the f#body f#and f#lungs, f#and f#the f#client f#is
f#struggling f#to f#breathe f#to f#obtain f#oxygen. f#
B; f#Weight f#gain f#can f#be f#a f#result f#of f#edema. f#
D; f#Blood f#pressure f#rises f#as f#the f#heart f#must f#work f#harder f#due f#to f#the f#excess f#fluid. f#
E; f#Weakness f#is f#due f#to f#the f#excess f#fluid f#that f#is f#retained, f#which f#depletes f#energy f#and
f#increases f#the f#workload f#for f#the f#body. f#
f#
A f#nurse f#is f#assessing f#a f#client f#who f#is f#dehydrated. f#Which f#of f#the f#following f#findings f#should
f#the f#nurse f#
f#
expect?
, f#
A. Moist f#skin f#
B. Distended f#neck f#veins f#
C. Increased f#urinary f#output f#
D. Tachycardia f#- f#D; f#Tachycardia f#is f#an f#attempt f#to f#maintain f#blood f#pressure, f#a
f#manifestation f#of f#fluid f#volume f#deficit. f#
f#
A f#nurse f#is f#caring f#for f#a f#client f#in f#a f#long-term f#facility f#who f#has f#become f#weak, f#confused,
f#and f#experienced f#dizziness f#when f#standing. f#The f#client's f#temperature f#is f#38.3 f#degrees f#C
f#(100.9 f#degrees f#F), f#pulse f#92/min, f#respirations f#20/min, f#and f#blood f#pressure f#108/60 f#mm
f#Hg. f#Which f#of f#the f#following f#actions f#should f#the f#nurse f#take? f#
f#
A. Initiate f#fluid f#restrictions f#to f#limit f#intake f#
B. Check f#for f#peripheral f#edema f#
C. Encourage f#the f#client f#to f#ambulate f#to f#promote f#oxygenation f# f#
D. Monitor f#for f#orthostatic f#hypotension f#- f#D; f#Monitor f#for f#orthostatic f#hypotension f#because
f#they f#have f#manifestations f#of f#dehydration f#due f#to f#decreased f#circulatory f#volume. f#
f#
A f#nurse f#is f#caring f#for f#a f#client f#who f#has f#a f#blood f#sodium f#level f#133 f#mEg/L f#and f#blood
f#potassium f#level f#3.4 f#mEq/L. f#The f#nurse f#should f#recognize f#that f#which f#of f#the f#following
f#treatments f#can f#result f#in f#these f#laboratory f#findings? f#
f#
A. Three f#tap f#water f#enemas f#
B. 0.9% f#NaCl f#solution f#IV f#at f#50 f#ml/hr f#
C. 5% f#dextrose f#with f#0.45% f#NaCl f#solution f#with f#20 f#mEq f#of f#K+ f#IV f#at f#80 f#mL/hr f#
D. Antibiotic f#therapy f#- f#A; f#Three f#tap f#water f#enemas f#can f#result f#in f#a f#decrease f#in f#blood
f#sodium f#and f#potassium. f#Tap f#water f#is f#hypotonic, f#and f#gastrointestinal f#losses f#are
f#isotonic. f#This f#creates f#an f#imbalance f#and f#solute f#dilution. f#
f#
A f#nurse f#is f#caring f#for f#a f#client f#who f#has f#a f#blood f#potassium f#5.4 f#mEq/L. f#The f#nurse f#should
f#assess f#for f#
f#
which f#of f#the f#following
f#manifestations?
f#
A. ECG f#changes f#
B. Constipation f#C. f#Polyuria f#
D. f#Paresthesia f#- f#A; f#Assess f#for f#ECG f#changes. f#Potassium f#levels f#can f#affect f#the f#heart f#and
f#result f#in f#arrhythmias. f#
f#
A f#nurse f#is f#caring f#for f#a f#client f#who f#has f#a f#NGT f#attached f#to f#low f#intermittent f#suctioning.
f#The f#nurse f#
f#
should f#monitor f#for f#which f#of f#the f#following f#electrolyte
f#imbalances?
f#
A. Hypercalcemia f#
B. Hyponatremia f#
C. Hyperphosphatemia f#
D. Hyperkalemia f#- f#B; f#Monitor f#the f#client f#for f#hyponatremia. f#Nasogastric f#losses f#are
f#isotonic f#and f#contain f#sodium. f#
f# f# f# f# f#
f# 2024 QUESTIONS AND ANSWERS, GRADED
f# f# f# f#
A+) f#
f#
A f#nurse f#is f#admitting f#a f#client f#who f#reports f#nausea, f#vomiting, f#and f#weakness. f#The f#client
f#has f#dry f#oral f#mucous f#membranes f#and f#blood f#pressure f#102/64 f#mm f#Hg. f#Which f#of f#the
f#following f#findings f#should f#the f#nurse f#identify f#as f#manifestations f#of f#fluid f#volume f#deficit?
f#(Select f#all f#that f#apply.) f#
f#
A. Decreased f#skin f#turgor f# f#
B. Concentrated f#urine f#
C. Bradycardia f#
D. Low-grade f#fever f#
E. Tachypnea f#- f#A; f#Decreased f#skin f#turgor f#is f#a f#manifestation f#present f#with f#fluid f#volume
f#deficit. f#Skin f#turgor f#is f#decreased f#due f#to f#the f#lack f#of f#fluid f#within f#the f#body f#and
f#results f#in f#dryness f#of f#the f#skin. f# f#
B; f#Concentrated f#urine f#is f#a f#manifestation f#present f#with f#fluid f#volume f#deficit. f#Urine f#is
f#concentrated f#due f#to f#lack f#of f#fluid f#in f#the f#vascular f#system, f#causing f#a f#decreased f#profusion
f#of f#the f#kidneys f#resulting f#in f#an f#increased f#urine f#specific f#gravity. f# f#
D; f#Low-grade f#fever f#is f#a f#manifestation f#present f#with f#fluid f#volume f#deficit. f#Low-grade
f#fever f#is f#one f#of f#the f#body's f#ways f#to f#maintain f#homeostasis f#to f#compensate f#for f#lack f#of
f#fluid f#within f#the f#body. f# f#E; f#Tachypnea f#is f#a f#manifestation f#present f#with f#fluid f#volume
f#deficit. f#Increased f#respirations f#are f#the f#body's f#way f#to f#obtain f#oxygen f#due f#to f#the f#lack f#of
f#fluid f#volume f#within f#the f#body. f#
f#
A f#nurse f#is f#admitting f#an f#older f#adult f#client f#who f#reports f#a f#weight f#gain f#of f#2.3 f#kg f#(5 f#lb)
f#in f#48 f#hr. f#Which f#of f#the f#following f#manifestations f#of f#fluid f#volume f#excess f#should f#the
f#nurse f#expect? f#(Select f#all f#that f#apply.) f#
f#
A. Dyspnea f#
B. Edema f#
C. Bradycardia f#
D. Hypertension f#
E. Weakness f#- f#A; f#Dyspnea f#is f#a f#manifestation f#present f#with f#fluid f#volume f#excess.
f#Dyspnea f#is f#due f#to f#an f#excess f#of f#fluids f#within f#the f#body f#and f#lungs, f#and f#the f#client f#is
f#struggling f#to f#breathe f#to f#obtain f#oxygen. f#
B; f#Weight f#gain f#can f#be f#a f#result f#of f#edema. f#
D; f#Blood f#pressure f#rises f#as f#the f#heart f#must f#work f#harder f#due f#to f#the f#excess f#fluid. f#
E; f#Weakness f#is f#due f#to f#the f#excess f#fluid f#that f#is f#retained, f#which f#depletes f#energy f#and
f#increases f#the f#workload f#for f#the f#body. f#
f#
A f#nurse f#is f#assessing f#a f#client f#who f#is f#dehydrated. f#Which f#of f#the f#following f#findings f#should
f#the f#nurse f#
f#
expect?
, f#
A. Moist f#skin f#
B. Distended f#neck f#veins f#
C. Increased f#urinary f#output f#
D. Tachycardia f#- f#D; f#Tachycardia f#is f#an f#attempt f#to f#maintain f#blood f#pressure, f#a
f#manifestation f#of f#fluid f#volume f#deficit. f#
f#
A f#nurse f#is f#caring f#for f#a f#client f#in f#a f#long-term f#facility f#who f#has f#become f#weak, f#confused,
f#and f#experienced f#dizziness f#when f#standing. f#The f#client's f#temperature f#is f#38.3 f#degrees f#C
f#(100.9 f#degrees f#F), f#pulse f#92/min, f#respirations f#20/min, f#and f#blood f#pressure f#108/60 f#mm
f#Hg. f#Which f#of f#the f#following f#actions f#should f#the f#nurse f#take? f#
f#
A. Initiate f#fluid f#restrictions f#to f#limit f#intake f#
B. Check f#for f#peripheral f#edema f#
C. Encourage f#the f#client f#to f#ambulate f#to f#promote f#oxygenation f# f#
D. Monitor f#for f#orthostatic f#hypotension f#- f#D; f#Monitor f#for f#orthostatic f#hypotension f#because
f#they f#have f#manifestations f#of f#dehydration f#due f#to f#decreased f#circulatory f#volume. f#
f#
A f#nurse f#is f#caring f#for f#a f#client f#who f#has f#a f#blood f#sodium f#level f#133 f#mEg/L f#and f#blood
f#potassium f#level f#3.4 f#mEq/L. f#The f#nurse f#should f#recognize f#that f#which f#of f#the f#following
f#treatments f#can f#result f#in f#these f#laboratory f#findings? f#
f#
A. Three f#tap f#water f#enemas f#
B. 0.9% f#NaCl f#solution f#IV f#at f#50 f#ml/hr f#
C. 5% f#dextrose f#with f#0.45% f#NaCl f#solution f#with f#20 f#mEq f#of f#K+ f#IV f#at f#80 f#mL/hr f#
D. Antibiotic f#therapy f#- f#A; f#Three f#tap f#water f#enemas f#can f#result f#in f#a f#decrease f#in f#blood
f#sodium f#and f#potassium. f#Tap f#water f#is f#hypotonic, f#and f#gastrointestinal f#losses f#are
f#isotonic. f#This f#creates f#an f#imbalance f#and f#solute f#dilution. f#
f#
A f#nurse f#is f#caring f#for f#a f#client f#who f#has f#a f#blood f#potassium f#5.4 f#mEq/L. f#The f#nurse f#should
f#assess f#for f#
f#
which f#of f#the f#following
f#manifestations?
f#
A. ECG f#changes f#
B. Constipation f#C. f#Polyuria f#
D. f#Paresthesia f#- f#A; f#Assess f#for f#ECG f#changes. f#Potassium f#levels f#can f#affect f#the f#heart f#and
f#result f#in f#arrhythmias. f#
f#
A f#nurse f#is f#caring f#for f#a f#client f#who f#has f#a f#NGT f#attached f#to f#low f#intermittent f#suctioning.
f#The f#nurse f#
f#
should f#monitor f#for f#which f#of f#the f#following f#electrolyte
f#imbalances?
f#
A. Hypercalcemia f#
B. Hyponatremia f#
C. Hyperphosphatemia f#
D. Hyperkalemia f#- f#B; f#Monitor f#the f#client f#for f#hyponatremia. f#Nasogastric f#losses f#are
f#isotonic f#and f#contain f#sodium. f#
