ATI Fluid and Electrolytes Exam 2 2024 VERIFIED A+ GRADE
WITH 100% CORRECT QUESTION AND ANSWERS
AQclientQwithQaQsuspectedQoverdoseQofQanQunknownQdrugQisQadmittedQtoQtheQemergencyQdepart
ment.QArterialQbloodQgasQvaluesQindicateQrespiratoryQacidosis.QWhatQshouldQtheQnurseQdoQfirst?
Qa)QMonitorQtheQclient'sQheartQrhythm.
Qb)QPrepareQtoQassistQwithQventilation.
Qc)QObtainQaQurineQspecimenQforQdrugQscreening.
Qd)QPrepareQforQgastricQlavage.Q-QPrepareQtoQassistQwithQventilation.
TheQnurseQisQassessingQresidentsQatQaQsummerQpicnicQatQtheQnursingQfacility.QTheQnurseQexpress
esQconcernQdueQtoQtheQhighQheatQandQhumidityQofQtheQday.QAlthoughQtheQfacilityQisQofferingQth
eQresidentsQplentyQofQfluidsQforQfluidQmaintenance,QtheQnurseQisQmostQconcernedQaboutQwhich?
Qa)QLungQfunction
Qb)QCardiovascularQcompromise
Qc)Q InsensibleQfluidQloss
Qd)QSummerQallergiesQ-Q InsensibleQfluidQloss
AQclientQinQtheQemergencyQdepartmentQreportsQthatQheQhasQbeenQvomitingQexcessivelyQforQtheQp
astQ2Qdays.QHisQarterialQbloodQgasQanalysisQshowsQaQpHQofQ7.50,QpartialQpressureQofQarterialQcar
bonQdioxideQ(PaCO2)QofQ43QmmQHg,QpartialQpressureQofQarterialQoxygenQ(PaO2)QofQ75QmmQHg,
QandQbicarbonateQ(HCO3-
)QofQ42QmEq/L.QBasedQonQtheseQfindings,QtheQnurseQdocumentsQthatQtheQclientQisQexperiencingQ
whichQtypeQofQacid-baseQimbalance?
Qa)QRespiratoryQacidosis
Qb)QRespiratoryQalkalosis
Qc)QMetabolicQalkalosis
Qd)QMetabolicQacidosisQ-QMetabolicQalkalosis
WhichQofQtheQfollowingQisQconsideredQanQisotonicQsolution?
Qa)Q3%QNaCl
Qb)Q0.9%QnormalQsaline
Qc)Q0.45%QnormalQsaline
Qd)QDextranQinQNSQ-Q0.9%QnormalQsaline
PatientsQdiagnosedQwithQhypervolemiaQshouldQavoidQsweetQorQdryQfoodQbecause
Qa)QitQcanQcauseQdehydration.
Qb)QitQobstructsQwaterQelimination.
Qc)QitQincreasesQtheQpatient'sQdesireQtoQconsumeQfluid.
Qd)QitQcanQleadQtoQweightQgain.Q-QitQincreasesQtheQpatient'sQdesireQtoQconsumeQfluid.
WhichQofQtheQfollowingQarterialQbloodQgasQresultsQwouldQbeQconsistentQwithQmetabolicQalkalosis
?
,Qa)QpHQ7.26
Qb)QSerumQbicarbonateQofQ21QmEq/L
Qc)QpHQ7.30
Qd)QSerumQbicarbonateQofQ28QmEq/LQ-QSerumQbicarbonateQofQ28QmEq/L
WhichQofQtheQfollowingQareQtheQinsensibleQmechanismsQofQfluidQloss?
Qa)QUrination
Qb)QNausea
Qc)QBowelQelimination
Qd)QBreathingQ-QBreathing
OralQintakeQisQcontrolledQbyQtheQthirstQcenter,QlocatedQinQwhichQofQtheQfollowingQcerebralQareas?
Qa)QHypothalamus
Qb)QCerebellum
Qc)QThalamus
Qd)QBrainstemQ-QHypothalamus
WhenQevaluatingQarterialQbloodQgasesQ(ABGs),QwhichQvalueQisQconsistentQwithQmetabolicQalkal
osis?
Qa)QPaCOQ36
Qb)QpHQ7.48
Qc)QHCOQ21QmEq/L
Qd)QOQsaturationQ95%Q-QpHQ7.48
AQ64-year-
oldQclientQisQbroughtQinQtoQtheQclinicQwithQthirsty,Qdry,QstickyQmucousQmembranes,QdecreasedQ
urineQoutput,Qfever,QaQroughQtongue,QandQlethargy.QSerumQsodiumQlevelQisQaboveQ145QmEq/L.Q
ShouldQtheQnurseQstartQsaltQtabletsQwhenQcaringQforQthisQclient?
Qa)QNo,QsodiumQintakeQshouldQbeQrestricted.
Qb)QNo,QstartQwithQtheQsodiumQchlorideQIV.
Qc)QYes,QthisQwillQcorrectQtheQsodiumQdeficit.
Qd)QYes,QalongQwithQtheQhypotonicQIV.Q-QNo,QsodiumQintakeQshouldQbeQrestricted.
AQclientQhospitalizedQforQtreatmentQofQaQpulmonaryQembolismQdevelopsQrespiratoryQalkalosis.Q
WhichQclinicalQfindingsQcommonlyQaccompanyQrespiratoryQalkalosis?
Qa)QNauseaQorQvomiting
Qb)QAbdominalQpainQorQdiarrhea
Qc)QHallucinationsQorQtinnitus
Qd)QLight-headednessQorQparesthesiaQ-QLight-headednessQorQparesthesia
, AQclientQhasQtheQfollowingQarterialQbloodQgasQ(ABG)Qvalues:QpH,Q7.12;QpartialQpressureQofQarte
rialQcarbonQdioxideQ(PaCO2),Q40QmmQHg;QandQbicarbonateQ(HCO3-
),Q15QmEq/L.QTheseQABGQvaluesQsuggestQwhichQdisorder?
Qa)QMetabolicQacidosis
Qb)QRespiratoryQalkalosis
Qc)QMetabolicQalkalosis
Qd)QRespiratoryQacidosisQ-QMetabolicQacidosis
TheQnurseQisQinstructingQaQpatientQwithQrecurrentQhyperkalemiaQaboutQfollowingQaQpotassium-
QrestrictedQdiet.QWhichQofQtheQfollowingQpatientQstatementsQindicatesQtheQneedQforQadditionalQi
nstruction?
Qa)Q"BananasQhaveQaQlotQofQpotassiumQinQthem,QI'llQstopQbuyingQthem."
Qb)Q"IQneedQtoQcheckQifQmyQcolaQbeverageQhasQpotassiumQinQit."
Qc)Q"IQwillQnotQsaltQmyQfood,QinsteadQ I'llQuseQsaltQsubstitute."
Qd)Q"I'llQdrinkQcranberryQjuiceQwithQmyQbreakfastQinsteadQofQcoffee."Q-
Q"IQwillQnotQsaltQmyQfood,QinsteadQI'llQuseQsaltQsubstitute."
TheQnurseQisQcaringQforQaQpatientQdiagnosedQwithQhyperchloremia.QSignsQandQsymptomsQofQhyp
erchloremiaQincludeQwhichQofQtheQfollowing?QSelectQallQthatQapply.
Qa)QTachypnea
Qb)QHypotension
Qc)QDehydration
Qd)QLethargy
Qe)QWeaknessQ-Q•QTachypnea
• Weakness
• Lethargy
AQclientQpresentsQwithQanorexia,QnauseaQandQvomiting,QdeepQboneQpain,QandQconstipation.QTheQ
followingQareQtheQclient'sQlaboratoryQvalues.
NaQ+Q130QmEq/L
QKQ+Q4.6QmEq/L
Q ClQ-
Q94QmEq/LQMgQ+
+Q2.8Qmg/dLQCaQ
++Q13Qmg/dL
WhichQofQtheQfollowingQalterationsQisQconsistentQwithQtheQclient'sQfindings?
Qa)QHyperkalemia
Qb)QHyponatremia
Qc)QHypermagnesemia
Qd)QHypercalcemiaQ-QHypercalcemia
WITH 100% CORRECT QUESTION AND ANSWERS
AQclientQwithQaQsuspectedQoverdoseQofQanQunknownQdrugQisQadmittedQtoQtheQemergencyQdepart
ment.QArterialQbloodQgasQvaluesQindicateQrespiratoryQacidosis.QWhatQshouldQtheQnurseQdoQfirst?
Qa)QMonitorQtheQclient'sQheartQrhythm.
Qb)QPrepareQtoQassistQwithQventilation.
Qc)QObtainQaQurineQspecimenQforQdrugQscreening.
Qd)QPrepareQforQgastricQlavage.Q-QPrepareQtoQassistQwithQventilation.
TheQnurseQisQassessingQresidentsQatQaQsummerQpicnicQatQtheQnursingQfacility.QTheQnurseQexpress
esQconcernQdueQtoQtheQhighQheatQandQhumidityQofQtheQday.QAlthoughQtheQfacilityQisQofferingQth
eQresidentsQplentyQofQfluidsQforQfluidQmaintenance,QtheQnurseQisQmostQconcernedQaboutQwhich?
Qa)QLungQfunction
Qb)QCardiovascularQcompromise
Qc)Q InsensibleQfluidQloss
Qd)QSummerQallergiesQ-Q InsensibleQfluidQloss
AQclientQinQtheQemergencyQdepartmentQreportsQthatQheQhasQbeenQvomitingQexcessivelyQforQtheQp
astQ2Qdays.QHisQarterialQbloodQgasQanalysisQshowsQaQpHQofQ7.50,QpartialQpressureQofQarterialQcar
bonQdioxideQ(PaCO2)QofQ43QmmQHg,QpartialQpressureQofQarterialQoxygenQ(PaO2)QofQ75QmmQHg,
QandQbicarbonateQ(HCO3-
)QofQ42QmEq/L.QBasedQonQtheseQfindings,QtheQnurseQdocumentsQthatQtheQclientQisQexperiencingQ
whichQtypeQofQacid-baseQimbalance?
Qa)QRespiratoryQacidosis
Qb)QRespiratoryQalkalosis
Qc)QMetabolicQalkalosis
Qd)QMetabolicQacidosisQ-QMetabolicQalkalosis
WhichQofQtheQfollowingQisQconsideredQanQisotonicQsolution?
Qa)Q3%QNaCl
Qb)Q0.9%QnormalQsaline
Qc)Q0.45%QnormalQsaline
Qd)QDextranQinQNSQ-Q0.9%QnormalQsaline
PatientsQdiagnosedQwithQhypervolemiaQshouldQavoidQsweetQorQdryQfoodQbecause
Qa)QitQcanQcauseQdehydration.
Qb)QitQobstructsQwaterQelimination.
Qc)QitQincreasesQtheQpatient'sQdesireQtoQconsumeQfluid.
Qd)QitQcanQleadQtoQweightQgain.Q-QitQincreasesQtheQpatient'sQdesireQtoQconsumeQfluid.
WhichQofQtheQfollowingQarterialQbloodQgasQresultsQwouldQbeQconsistentQwithQmetabolicQalkalosis
?
,Qa)QpHQ7.26
Qb)QSerumQbicarbonateQofQ21QmEq/L
Qc)QpHQ7.30
Qd)QSerumQbicarbonateQofQ28QmEq/LQ-QSerumQbicarbonateQofQ28QmEq/L
WhichQofQtheQfollowingQareQtheQinsensibleQmechanismsQofQfluidQloss?
Qa)QUrination
Qb)QNausea
Qc)QBowelQelimination
Qd)QBreathingQ-QBreathing
OralQintakeQisQcontrolledQbyQtheQthirstQcenter,QlocatedQinQwhichQofQtheQfollowingQcerebralQareas?
Qa)QHypothalamus
Qb)QCerebellum
Qc)QThalamus
Qd)QBrainstemQ-QHypothalamus
WhenQevaluatingQarterialQbloodQgasesQ(ABGs),QwhichQvalueQisQconsistentQwithQmetabolicQalkal
osis?
Qa)QPaCOQ36
Qb)QpHQ7.48
Qc)QHCOQ21QmEq/L
Qd)QOQsaturationQ95%Q-QpHQ7.48
AQ64-year-
oldQclientQisQbroughtQinQtoQtheQclinicQwithQthirsty,Qdry,QstickyQmucousQmembranes,QdecreasedQ
urineQoutput,Qfever,QaQroughQtongue,QandQlethargy.QSerumQsodiumQlevelQisQaboveQ145QmEq/L.Q
ShouldQtheQnurseQstartQsaltQtabletsQwhenQcaringQforQthisQclient?
Qa)QNo,QsodiumQintakeQshouldQbeQrestricted.
Qb)QNo,QstartQwithQtheQsodiumQchlorideQIV.
Qc)QYes,QthisQwillQcorrectQtheQsodiumQdeficit.
Qd)QYes,QalongQwithQtheQhypotonicQIV.Q-QNo,QsodiumQintakeQshouldQbeQrestricted.
AQclientQhospitalizedQforQtreatmentQofQaQpulmonaryQembolismQdevelopsQrespiratoryQalkalosis.Q
WhichQclinicalQfindingsQcommonlyQaccompanyQrespiratoryQalkalosis?
Qa)QNauseaQorQvomiting
Qb)QAbdominalQpainQorQdiarrhea
Qc)QHallucinationsQorQtinnitus
Qd)QLight-headednessQorQparesthesiaQ-QLight-headednessQorQparesthesia
, AQclientQhasQtheQfollowingQarterialQbloodQgasQ(ABG)Qvalues:QpH,Q7.12;QpartialQpressureQofQarte
rialQcarbonQdioxideQ(PaCO2),Q40QmmQHg;QandQbicarbonateQ(HCO3-
),Q15QmEq/L.QTheseQABGQvaluesQsuggestQwhichQdisorder?
Qa)QMetabolicQacidosis
Qb)QRespiratoryQalkalosis
Qc)QMetabolicQalkalosis
Qd)QRespiratoryQacidosisQ-QMetabolicQacidosis
TheQnurseQisQinstructingQaQpatientQwithQrecurrentQhyperkalemiaQaboutQfollowingQaQpotassium-
QrestrictedQdiet.QWhichQofQtheQfollowingQpatientQstatementsQindicatesQtheQneedQforQadditionalQi
nstruction?
Qa)Q"BananasQhaveQaQlotQofQpotassiumQinQthem,QI'llQstopQbuyingQthem."
Qb)Q"IQneedQtoQcheckQifQmyQcolaQbeverageQhasQpotassiumQinQit."
Qc)Q"IQwillQnotQsaltQmyQfood,QinsteadQ I'llQuseQsaltQsubstitute."
Qd)Q"I'llQdrinkQcranberryQjuiceQwithQmyQbreakfastQinsteadQofQcoffee."Q-
Q"IQwillQnotQsaltQmyQfood,QinsteadQI'llQuseQsaltQsubstitute."
TheQnurseQisQcaringQforQaQpatientQdiagnosedQwithQhyperchloremia.QSignsQandQsymptomsQofQhyp
erchloremiaQincludeQwhichQofQtheQfollowing?QSelectQallQthatQapply.
Qa)QTachypnea
Qb)QHypotension
Qc)QDehydration
Qd)QLethargy
Qe)QWeaknessQ-Q•QTachypnea
• Weakness
• Lethargy
AQclientQpresentsQwithQanorexia,QnauseaQandQvomiting,QdeepQboneQpain,QandQconstipation.QTheQ
followingQareQtheQclient'sQlaboratoryQvalues.
NaQ+Q130QmEq/L
QKQ+Q4.6QmEq/L
Q ClQ-
Q94QmEq/LQMgQ+
+Q2.8Qmg/dLQCaQ
++Q13Qmg/dL
WhichQofQtheQfollowingQalterationsQisQconsistentQwithQtheQclient'sQfindings?
Qa)QHyperkalemia
Qb)QHyponatremia
Qc)QHypermagnesemia
Qd)QHypercalcemiaQ-QHypercalcemia
