ATI FLUID AND ELECTOLYTE PROCTORED EXAM
2023 WITH QUESTIONS AND ANSWERS/A+ GRADE
The nurse is caring for a patient who is experiencing possible third spacing. A
delay in recognizing and treating third spacing can lead to what patient
complication?
• Peripheral edema
• Nausea and vomiting
• Multi-organ system failure
• Confusion - ANSWER C
The nurse is reviewing the patient's laboratory tests. What laboratory value
indicates that the patient is experiencing fluid volume excess?
• Chloride, 102 mEq/L
• Sodium, 142 mEq/L
• Hemoglobin, 9.9 g/dL
• Serum osmolality, 290 mOsm/kg - ANSWER C
The nurse is completing discharge teaching with a patient diagnosed with
congestive heart failure. What findings should the patient notify his/her health
care provider about regarding fluid volume excess? (SATA)
• Dizziness when standing
• Five-pound weight gain in a week
• Urine output of 320 mL in 8 hours
• Dry mouth
• Cough with increased sputum production - ANSWER B, E
The nurse is caring for a patient experiencing diarrhea. What data indicate that
the patient is experiencing fluid volume deficit? (SATA)
• Increased heart rate
,• Orthostatic hypotension
• Increased urine output
• Poor skin turgor
• Weight gain - ANSWER A, B, D
The nurse is caring for a patient admitted for renal failure. What assessment
findings indicate that the patient is experiencing fluid volume excess? (SATA)
• Edema
• Decreased systolic blood pressure
• Poor skin turgor
• Altered mental status
• Orthopnea - ANSWER A, B, E
The nurse is observing assigned patients for fluid volume excess. This is
essential to prevent patients from developing what potential complication?
• Gastroesophageal reflux disease
• Congestive heart failure
• Acute renal failure
• Pneumonia - ANSWER B
The nurse is planning care for a patient who has a nasogastric tube and is
recovering from abdominal surgery. What interventions will the nurse identify
for addressing the problem of ineffective tissue perfusion? (SATA)
• Observing mental status
• Turning the patient every 2 hours
• Instructing the patient to stand slowly
• Monitoring for evidence of skin breakdown
• Obtaining daily weight - ANSWER A, B, D
, patients who have been diagnosed with hypernatremia are at risk for injury.
What is an appropriate intervention for the nurse to include in the plan of care
for this
patient?
• Ask the family to keep the patient's personal items at home.
• Keep visitors away.
• Keep the bed at waist level.
• Monitor neurologic status. - ANSWER D
A patient was admitted to the ICU earlier today. The patient had an extensive
workup revealing a sodium level of 113 mEq/L. The nurse would anticipate the
health care provider ordering what intravenous solutions for a patient who was
symptomatic with this sodium level?
• 3% normal saline
• D5.45 NS
• D5W
• 0.9% NS - ANSWER D
A nurse is reviewing lab date of 4 patients. Which of the following serum lab
values should the nurse expect for a patient experiencing 2+ pitting edema?
• Sodium 138
• Hematocrit 34%
• BUN 22
• Protein 9g - ANSWER B
A nurse is caring for a patient 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?
• Increased urine specific gravity
• Hypoactive bowel sounds
2023 WITH QUESTIONS AND ANSWERS/A+ GRADE
The nurse is caring for a patient who is experiencing possible third spacing. A
delay in recognizing and treating third spacing can lead to what patient
complication?
• Peripheral edema
• Nausea and vomiting
• Multi-organ system failure
• Confusion - ANSWER C
The nurse is reviewing the patient's laboratory tests. What laboratory value
indicates that the patient is experiencing fluid volume excess?
• Chloride, 102 mEq/L
• Sodium, 142 mEq/L
• Hemoglobin, 9.9 g/dL
• Serum osmolality, 290 mOsm/kg - ANSWER C
The nurse is completing discharge teaching with a patient diagnosed with
congestive heart failure. What findings should the patient notify his/her health
care provider about regarding fluid volume excess? (SATA)
• Dizziness when standing
• Five-pound weight gain in a week
• Urine output of 320 mL in 8 hours
• Dry mouth
• Cough with increased sputum production - ANSWER B, E
The nurse is caring for a patient experiencing diarrhea. What data indicate that
the patient is experiencing fluid volume deficit? (SATA)
• Increased heart rate
,• Orthostatic hypotension
• Increased urine output
• Poor skin turgor
• Weight gain - ANSWER A, B, D
The nurse is caring for a patient admitted for renal failure. What assessment
findings indicate that the patient is experiencing fluid volume excess? (SATA)
• Edema
• Decreased systolic blood pressure
• Poor skin turgor
• Altered mental status
• Orthopnea - ANSWER A, B, E
The nurse is observing assigned patients for fluid volume excess. This is
essential to prevent patients from developing what potential complication?
• Gastroesophageal reflux disease
• Congestive heart failure
• Acute renal failure
• Pneumonia - ANSWER B
The nurse is planning care for a patient who has a nasogastric tube and is
recovering from abdominal surgery. What interventions will the nurse identify
for addressing the problem of ineffective tissue perfusion? (SATA)
• Observing mental status
• Turning the patient every 2 hours
• Instructing the patient to stand slowly
• Monitoring for evidence of skin breakdown
• Obtaining daily weight - ANSWER A, B, D
, patients who have been diagnosed with hypernatremia are at risk for injury.
What is an appropriate intervention for the nurse to include in the plan of care
for this
patient?
• Ask the family to keep the patient's personal items at home.
• Keep visitors away.
• Keep the bed at waist level.
• Monitor neurologic status. - ANSWER D
A patient was admitted to the ICU earlier today. The patient had an extensive
workup revealing a sodium level of 113 mEq/L. The nurse would anticipate the
health care provider ordering what intravenous solutions for a patient who was
symptomatic with this sodium level?
• 3% normal saline
• D5.45 NS
• D5W
• 0.9% NS - ANSWER D
A nurse is reviewing lab date of 4 patients. Which of the following serum lab
values should the nurse expect for a patient experiencing 2+ pitting edema?
• Sodium 138
• Hematocrit 34%
• BUN 22
• Protein 9g - ANSWER B
A nurse is caring for a patient 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?
• Increased urine specific gravity
• Hypoactive bowel sounds
