ATI - Fluid & Electrolytes Exam With Correct Questions And
Detailed Answers HIGHLIGHTED UPDATE Q & A
A nurse is assessing a client who has hyperkalemia. Which of the following findings
should the nurse expect? A.
Decreased muscle B. Decreased gastric motility
strength C. Increased heart rate
D. Increased blood pressue - A. Decreased muscle strength
,A nurse is assessing a client who is receiving hydrochlorothiazide and notes that the
client is confused and lethargic. Which of the following laboratory values should the
nurse report to the provider? A.
Sodium 128 mEq/L B. Potassium 4.8 mEq/L
C. Calcium 9.1 mg/dL
D. Magnesium 2.0 mEq/L - A. Sodium 128 mEq/L
A nurse is assessing a client who is using PCA following a thoracotomy. The client is short
of breath, appears restless, and has respirations of 28/min. The client's ABG results are
pH 7.52, PaO2 89mm hg, PaCO2 28 mmHg, and HCO3 -24 mEq/L. Which of the following
actions should the nurse take?
A. Instruct the client to cough
forcefully. B. Assist the client with
ambulation. C. Provide calming
interventions.
E. Discontinue the PCA. - C. Provide calming interventions.
A nurse is assessing a client who has a serum calcium level of 8.1 mg/dL. Which of the
following findings is the priority for the nurse to assess?
A. Deep-tendon reflexes
B. Cardiac rhythm
, C. Peripheral sensation
D. Bowel sounds - B. Cardiac rhythm
A nurse is caring for a client who is experiencing respiratory distress as a result of acute
pulmonary edema. Which of the following actions should the nurse take first?
A. Assist with intubation
B. Initiate high-flow oxygen therapy
C. Administer a rapid-acting diuretic
D. Administer morphine IV - B. Initiate high-flow oxygen therapy
A nurse is evaluating a client who is receiving IV fluids to treat isotonic dehydration.
Which of the following laboratory findings indicates that the fluid therapy has been
effective?
A. BUN 26 mg/dL
B. Serum sodium 138 mEq/L
C. Hct 56%
D. Urine specific gravity 1.035 - B. Serum sodium 138 mEq/L
A nurse is teaching nutritional strategies to a client who has a low serum calcium level
and an allergy to milk. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will eat extra cheese because I can't drink
milk."
B. "I will need to avoid foods with vitamin D
because I am allergic to milk."
C. "I will stop taking my calcium supplements if
they irritate my stomach."
"I will add broccoli and kale to my diet." D. - D. "I will add broccoli and kale to my
diet."
A nurse is caring for a client who has dehydration and is receiving IV fluids. When
assessing for complications, the nurse should recognize which of the following
manifestations as a sign of fluid overload?
A. Increased urine specific gravity
B. Hypoactive bowel sounds
C. Bounding peripheral
pulses
Detailed Answers HIGHLIGHTED UPDATE Q & A
A nurse is assessing a client who has hyperkalemia. Which of the following findings
should the nurse expect? A.
Decreased muscle B. Decreased gastric motility
strength C. Increased heart rate
D. Increased blood pressue - A. Decreased muscle strength
,A nurse is assessing a client who is receiving hydrochlorothiazide and notes that the
client is confused and lethargic. Which of the following laboratory values should the
nurse report to the provider? A.
Sodium 128 mEq/L B. Potassium 4.8 mEq/L
C. Calcium 9.1 mg/dL
D. Magnesium 2.0 mEq/L - A. Sodium 128 mEq/L
A nurse is assessing a client who is using PCA following a thoracotomy. The client is short
of breath, appears restless, and has respirations of 28/min. The client's ABG results are
pH 7.52, PaO2 89mm hg, PaCO2 28 mmHg, and HCO3 -24 mEq/L. Which of the following
actions should the nurse take?
A. Instruct the client to cough
forcefully. B. Assist the client with
ambulation. C. Provide calming
interventions.
E. Discontinue the PCA. - C. Provide calming interventions.
A nurse is assessing a client who has a serum calcium level of 8.1 mg/dL. Which of the
following findings is the priority for the nurse to assess?
A. Deep-tendon reflexes
B. Cardiac rhythm
, C. Peripheral sensation
D. Bowel sounds - B. Cardiac rhythm
A nurse is caring for a client who is experiencing respiratory distress as a result of acute
pulmonary edema. Which of the following actions should the nurse take first?
A. Assist with intubation
B. Initiate high-flow oxygen therapy
C. Administer a rapid-acting diuretic
D. Administer morphine IV - B. Initiate high-flow oxygen therapy
A nurse is evaluating a client who is receiving IV fluids to treat isotonic dehydration.
Which of the following laboratory findings indicates that the fluid therapy has been
effective?
A. BUN 26 mg/dL
B. Serum sodium 138 mEq/L
C. Hct 56%
D. Urine specific gravity 1.035 - B. Serum sodium 138 mEq/L
A nurse is teaching nutritional strategies to a client who has a low serum calcium level
and an allergy to milk. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will eat extra cheese because I can't drink
milk."
B. "I will need to avoid foods with vitamin D
because I am allergic to milk."
C. "I will stop taking my calcium supplements if
they irritate my stomach."
"I will add broccoli and kale to my diet." D. - D. "I will add broccoli and kale to my
diet."
A nurse is caring for a client who has dehydration and is receiving IV fluids. When
assessing for complications, the nurse should recognize which of the following
manifestations as a sign of fluid overload?
A. Increased urine specific gravity
B. Hypoactive bowel sounds
C. Bounding peripheral
pulses
