NUR325 (Conner) Exam 2 Book, ATI
Questions and Answers 100% Pass
A nurse is caring for a client who sustained blood loss. Which of the
following is a manifestation of hypovolemia?
A. Decreased heart rate
B. Dyspnea
C. Increased blood pressure
D. Weak pulse -
[ANSWER]: D
(Not A, because the heart rate of a client who has hypovolemia will be
increased to compensate for the decreased blood volume. Not B,
because Dyspnea is characteristic of respiratory conditions, and is not
usually associated with hypovolemia. Not C, because the client's blood
pressure will be lower due to the decreased blood volume.)
,QUESTION: A nurse in the emergency department is caring for a client
who collapsed after playing football on a hot day. After reviewing the
admission laboratory findings, the nurse recognizes that these findings
are consistent with which of the following conditions?
Sodium -- 152 mEq/L
Potassium -- 3.6 mEq/L
Chloride -- 105 mEq/L
Glucose -- 102mg/dL
BUN -- 18 mg/dL
Creatinine -- 0.7 mg/dL
A. Renal Failure
B. Low-protein diet
C. Dehydration
D. Syndrome of inappropriate antidiuretic hormone (SIADH) -
,[ANSWER]: C.
(Not A, because the creatinine and BUN are within the accepted
reference range, which does not indicate renal failure. Not B, because
none of the laboratory findings supports a condition that includes a
high-protein diet. Not D, because SIADH is associated with
hyponatremia (decreased sodium).
Rationale for C - Hypernatremic (hypertonic) dehydration occurs with
excessive fluid losses due to perspiration, respiration, and inadequate
fluid intake. The nurse should note that the client's sodium is above the
accepted reference range, while glucose, potassium, BUN, chloride, and
creatinine are within the accepted reference ranges. The client's history,
collapsing after activity on a hot day, and the sodium findings are
consistent with dehydration due to water deficit.)
QUESTION: A nurse is assessing a client who has a sodium level of 116
mEq/L. Which of the following findings should the nurse expect?
, A. Nausea and vomiting
B. Extreme thirst
C. Flushed skin
D. Fever -
[ANSWER]: A.
(Not B, because extreme thirst is an expected finding for a client who
has hypernatremia. Not C, because flushed skin is an expected finding
for a client who has hypernatremia. Not D, because fever is an expected
finding for a client who has hypernatremia.
Rationale for A - A sodium level of 116 mEq/L is a critical value
indicating hyponatremia. Nausea and vomiting are expected findings for
a client with this sodium level.)
Questions and Answers 100% Pass
A nurse is caring for a client who sustained blood loss. Which of the
following is a manifestation of hypovolemia?
A. Decreased heart rate
B. Dyspnea
C. Increased blood pressure
D. Weak pulse -
[ANSWER]: D
(Not A, because the heart rate of a client who has hypovolemia will be
increased to compensate for the decreased blood volume. Not B,
because Dyspnea is characteristic of respiratory conditions, and is not
usually associated with hypovolemia. Not C, because the client's blood
pressure will be lower due to the decreased blood volume.)
,QUESTION: A nurse in the emergency department is caring for a client
who collapsed after playing football on a hot day. After reviewing the
admission laboratory findings, the nurse recognizes that these findings
are consistent with which of the following conditions?
Sodium -- 152 mEq/L
Potassium -- 3.6 mEq/L
Chloride -- 105 mEq/L
Glucose -- 102mg/dL
BUN -- 18 mg/dL
Creatinine -- 0.7 mg/dL
A. Renal Failure
B. Low-protein diet
C. Dehydration
D. Syndrome of inappropriate antidiuretic hormone (SIADH) -
,[ANSWER]: C.
(Not A, because the creatinine and BUN are within the accepted
reference range, which does not indicate renal failure. Not B, because
none of the laboratory findings supports a condition that includes a
high-protein diet. Not D, because SIADH is associated with
hyponatremia (decreased sodium).
Rationale for C - Hypernatremic (hypertonic) dehydration occurs with
excessive fluid losses due to perspiration, respiration, and inadequate
fluid intake. The nurse should note that the client's sodium is above the
accepted reference range, while glucose, potassium, BUN, chloride, and
creatinine are within the accepted reference ranges. The client's history,
collapsing after activity on a hot day, and the sodium findings are
consistent with dehydration due to water deficit.)
QUESTION: A nurse is assessing a client who has a sodium level of 116
mEq/L. Which of the following findings should the nurse expect?
, A. Nausea and vomiting
B. Extreme thirst
C. Flushed skin
D. Fever -
[ANSWER]: A.
(Not B, because extreme thirst is an expected finding for a client who
has hypernatremia. Not C, because flushed skin is an expected finding
for a client who has hypernatremia. Not D, because fever is an expected
finding for a client who has hypernatremia.
Rationale for A - A sodium level of 116 mEq/L is a critical value
indicating hyponatremia. Nausea and vomiting are expected findings for
a client with this sodium level.)
