ATI Exam #1 (Med Surg.)
Study online at https://quizlet.com/_1g36qk
1. A nurse is admitting a client who reports nau- A. CORRECT: Decreased skin turgor is a
sea, vomiting, and weakness. Upon assess- clinical manifestation present with fluid
ment, the client volume deficit. Skin
has dry oral mucous membranes, tempera- turgor is decreased to due to the lack
ture 38.5° C (101.3° F), pulse 92/min, respira- of fluid within the body and results in
tions 24/min, skin dryness of the skin.
cool with tenting present, and blood pres- B. CORRECT: Concentrated urine is a clin-
sure 102/64 mm Hg. His urine is concentrat- ical manifestation present with fluid vol-
ed with a high specific ume deficit. The
gravity. Which of the following are clinical urine is concentrated due to urinary out-
manifestations of fluid volume deficit? (Se- put being decreased.
lect all that apply.) D. CORRECT: Low-grade fever is a clinical
A. Decreased skin turgor manifestation present with fluid volume
B. Concentrated urine deficit. Low-grade fever
C. Bradycardia is one of the body's ways to maintain
D. Low-grade fever homeostasis to compensate for lack of
E. Tachypnea fluid within the body.
E. CORRECT: Tachypnea is a clinical
manifestation present with fluid volume
deficit. Increased
respirations are the body's way to obtain
oxygen due to the lack of fluid volume
within the body.
2. A nurse is admitting an older adult client A. CORRECT: Dyspnea is a clinical man-
who is experiencing dyspnea, weakness, and ifestation present with fluid volume ex-
weight gain cess. Dyspnea is due to
of 2 lb, with 1+ bilateral edema of the lower an excess of fluids within the body and
extremities. Upon assessment, the client has lungs, and the client is struggling to
a temperature breath to obtain oxygen.
37.2° C (99° F), pulse 96/min, respirations B. CORRECT: Edema is a clinical manifes-
26/min, oxygen saturation 94% on 3 L oxygen tation present with fluid volume excess.
1/7
, ATI Exam #1 (Med Surg.)
Study online at https://quizlet.com/_1g36qk
via nasal Edema is due to the
cannula, and blood pressure 152/96 mm Hg. excess of fluid within the body. Weight
Which of the following clinical manifestations gain can be a result of edema.
are indicative D. CORRECT: Hypertension is a clinical
of fluid volume excess? (Select all that apply.) manifestation related to fluid volume ex-
A. Dyspnea cess. Blood pressure
B. Edema rises as the heart must work harder due
C. Bradycardia to the excess fluid.
D. Hypertension E. CORRECT: Weakness is a clinical man-
E. Weakness ifestation present with fluid volume ex-
cess. Weakness is due
to the excess fluid that is retained, which
depletes energy and increases the work-
load for the body.
3. A nurse is caring for a client who is dehydrat- D. CORRECT: Tachycardia is an attempt to
ed. Which of the following clinical manifesta- maintain blood pressure, a clinical man-
tions should ifestation
the nurse assess for that is indicative of fluid indicative of fluid volume deficit.
volume deficit?
A. Moist skin
B. Distended neck veins
C. Increased urinary output
D. Tachycardia
4. A nurse is caring for an older adult client in a D. CORRECT: It is an appropriate action
long-term care facility. The client has become for the nurse to monitor the client's res-
weak and piratory status and for
confused. He ate 40% of his breakfast and shortness of breath. The client has a non-
lunch. Upon assessment, the client's temper- productive cough with diminished breath
ature is 38.3° C sounds in the
(100.9° F), pulse rate 92/min, respirations
2/7
Study online at https://quizlet.com/_1g36qk
1. A nurse is admitting a client who reports nau- A. CORRECT: Decreased skin turgor is a
sea, vomiting, and weakness. Upon assess- clinical manifestation present with fluid
ment, the client volume deficit. Skin
has dry oral mucous membranes, tempera- turgor is decreased to due to the lack
ture 38.5° C (101.3° F), pulse 92/min, respira- of fluid within the body and results in
tions 24/min, skin dryness of the skin.
cool with tenting present, and blood pres- B. CORRECT: Concentrated urine is a clin-
sure 102/64 mm Hg. His urine is concentrat- ical manifestation present with fluid vol-
ed with a high specific ume deficit. The
gravity. Which of the following are clinical urine is concentrated due to urinary out-
manifestations of fluid volume deficit? (Se- put being decreased.
lect all that apply.) D. CORRECT: Low-grade fever is a clinical
A. Decreased skin turgor manifestation present with fluid volume
B. Concentrated urine deficit. Low-grade fever
C. Bradycardia is one of the body's ways to maintain
D. Low-grade fever homeostasis to compensate for lack of
E. Tachypnea fluid within the body.
E. CORRECT: Tachypnea is a clinical
manifestation present with fluid volume
deficit. Increased
respirations are the body's way to obtain
oxygen due to the lack of fluid volume
within the body.
2. A nurse is admitting an older adult client A. CORRECT: Dyspnea is a clinical man-
who is experiencing dyspnea, weakness, and ifestation present with fluid volume ex-
weight gain cess. Dyspnea is due to
of 2 lb, with 1+ bilateral edema of the lower an excess of fluids within the body and
extremities. Upon assessment, the client has lungs, and the client is struggling to
a temperature breath to obtain oxygen.
37.2° C (99° F), pulse 96/min, respirations B. CORRECT: Edema is a clinical manifes-
26/min, oxygen saturation 94% on 3 L oxygen tation present with fluid volume excess.
1/7
, ATI Exam #1 (Med Surg.)
Study online at https://quizlet.com/_1g36qk
via nasal Edema is due to the
cannula, and blood pressure 152/96 mm Hg. excess of fluid within the body. Weight
Which of the following clinical manifestations gain can be a result of edema.
are indicative D. CORRECT: Hypertension is a clinical
of fluid volume excess? (Select all that apply.) manifestation related to fluid volume ex-
A. Dyspnea cess. Blood pressure
B. Edema rises as the heart must work harder due
C. Bradycardia to the excess fluid.
D. Hypertension E. CORRECT: Weakness is a clinical man-
E. Weakness ifestation present with fluid volume ex-
cess. Weakness is due
to the excess fluid that is retained, which
depletes energy and increases the work-
load for the body.
3. A nurse is caring for a client who is dehydrat- D. CORRECT: Tachycardia is an attempt to
ed. Which of the following clinical manifesta- maintain blood pressure, a clinical man-
tions should ifestation
the nurse assess for that is indicative of fluid indicative of fluid volume deficit.
volume deficit?
A. Moist skin
B. Distended neck veins
C. Increased urinary output
D. Tachycardia
4. A nurse is caring for an older adult client in a D. CORRECT: It is an appropriate action
long-term care facility. The client has become for the nurse to monitor the client's res-
weak and piratory status and for
confused. He ate 40% of his breakfast and shortness of breath. The client has a non-
lunch. Upon assessment, the client's temper- productive cough with diminished breath
ature is 38.3° C sounds in the
(100.9° F), pulse rate 92/min, respirations
2/7
