ATI Dynamic Quiz: Fluids
1. A nurse is caring for a client who requires fluid restriction and may drink only 1 oz of water with each oral
medication. How many milliliters of water should the nurse document as intake for the 3 separate medications the
client receives during a 12-hr night shift? (Round the answer to the nearest whole number and fill in the blank
with the numeric value only.)
Answer:
90 mL
1.) What is the unit of measurement the nurse should calculate? mL
2.) Set up an equation and solve for X
1 oz/30 mL = 3 oz/X mL
3x30=90 mL
X=90 mL
2. A nurse is caring for a semiconscious client who had a small-bore NG tube placed yesterday for the
administration of enteral feeding. Which of the following methods should the nurse use to verify correct
tube placement? (Select all that apply.)
A. Auscultate injected air
B. Verify the initial X-ray examination
C. Measure
D. Determine the pH of aspirated fluid
E. Check the aspirated fluid for glucose
Answer:
Correct Answers:
B. Verify the initial X-ray examination
C. Measure the length of the exposed tube
D. Determine the pH of aspirated fluid
The nurse should confirm the NG tube placement by checking the X-ray results following the insertion of the NG
tube. In addition, the nurse should check the length of the NG tube that is exposed by comparing the markings on the
tube to the client's nose to verify tube placement. Finally, the nurse should check the pH of aspirated fluid to verify
the tube placement.
Incorrect Answers: A. Auscultating air injected into an NG tube is not a reliable method of determining correct NG
tube placement. E. Checking for glucose in the aspirated fluid is not a reliable method of determining correct NG
tube placement.
3. A nurse is reviewing a client’s laboratory report. The client’s ABG levels are pH 7.5, PaCO2 32 mmHg, and
HCO3- 24 mEq/L. The nurse should determine that the client has which of the following acid-base
imbalances?
A. Respiratory alkalosis
B. Metabolic acidosis
C. Respiratory acidosis
D. Metabolic alkalosis
Correct Answer: A. Respiratory alkalosis This client’s pH is elevated above the expected reference range of 7.35 to
7.45, indicating alkalosis. Additionally, the client’s PaCO2 is below the expected reference range of 35 to 45
mmHg, which indicates a respiratory origin. Hence, the nurse should conclude that the client’s elevated pH and
decreased PaCO2 indicate respiratory alkalosis.
Incorrect Answers: B. ABGs are drawn to determine the acid-base balance in the arterial blood. Acidosis is
determined by measuring a pH lower than the expected reference range of 7.35 to 7.45. This client has a pH of 7.5
and therefore does not have acidosis. C. This client’s pH is elevated above the expected reference range of 7.35 to
1. A nurse is caring for a client who requires fluid restriction and may drink only 1 oz of water with each oral
medication. How many milliliters of water should the nurse document as intake for the 3 separate medications the
client receives during a 12-hr night shift? (Round the answer to the nearest whole number and fill in the blank
with the numeric value only.)
Answer:
90 mL
1.) What is the unit of measurement the nurse should calculate? mL
2.) Set up an equation and solve for X
1 oz/30 mL = 3 oz/X mL
3x30=90 mL
X=90 mL
2. A nurse is caring for a semiconscious client who had a small-bore NG tube placed yesterday for the
administration of enteral feeding. Which of the following methods should the nurse use to verify correct
tube placement? (Select all that apply.)
A. Auscultate injected air
B. Verify the initial X-ray examination
C. Measure
D. Determine the pH of aspirated fluid
E. Check the aspirated fluid for glucose
Answer:
Correct Answers:
B. Verify the initial X-ray examination
C. Measure the length of the exposed tube
D. Determine the pH of aspirated fluid
The nurse should confirm the NG tube placement by checking the X-ray results following the insertion of the NG
tube. In addition, the nurse should check the length of the NG tube that is exposed by comparing the markings on the
tube to the client's nose to verify tube placement. Finally, the nurse should check the pH of aspirated fluid to verify
the tube placement.
Incorrect Answers: A. Auscultating air injected into an NG tube is not a reliable method of determining correct NG
tube placement. E. Checking for glucose in the aspirated fluid is not a reliable method of determining correct NG
tube placement.
3. A nurse is reviewing a client’s laboratory report. The client’s ABG levels are pH 7.5, PaCO2 32 mmHg, and
HCO3- 24 mEq/L. The nurse should determine that the client has which of the following acid-base
imbalances?
A. Respiratory alkalosis
B. Metabolic acidosis
C. Respiratory acidosis
D. Metabolic alkalosis
Correct Answer: A. Respiratory alkalosis This client’s pH is elevated above the expected reference range of 7.35 to
7.45, indicating alkalosis. Additionally, the client’s PaCO2 is below the expected reference range of 35 to 45
mmHg, which indicates a respiratory origin. Hence, the nurse should conclude that the client’s elevated pH and
decreased PaCO2 indicate respiratory alkalosis.
Incorrect Answers: B. ABGs are drawn to determine the acid-base balance in the arterial blood. Acidosis is
determined by measuring a pH lower than the expected reference range of 7.35 to 7.45. This client has a pH of 7.5
and therefore does not have acidosis. C. This client’s pH is elevated above the expected reference range of 7.35 to
