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ATI QUESTIONS FOR ABG Exam 1

Quiz by Brittany

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30 questions
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  • Q1
    A Nurse is admitting a client who reports nausea, vomiting, and weakness. The client has dry oral mucous membranes. Which of the following findings should the nurse identify as manifestations of fluid volume deficit? ( Select all that apply): A. Decreased Skin Turgor. B. Concentrated Urine C. Bradycardia, D. Low-Grade Fever, E. Tachypnea
    A,B,E
    A,B,D,E
    C,D,E
    A,B,C,D,E
    120s
  • Q2
    A nurse is admitting an older adult client who is experiencing dyspnea, weakness, weight gain of 2 lb, and 1+ bilateral edema of the lower extremities. The client has temperature 37.2, pulse 96, respirations 26, Oxygen saturation of 94%, and blood pressure 152/96. Which of the following manifestations of fluid volume excess should the nurse expect? ( Select all that apply): A. Dyspnea, B. Edema, C. Bradycardia, D. Hypertension, E. Weakness
    A,B,D,E
    A,B,E
    A,B,C,D
    A,B,D
    60s
  • Q3
    A nurse is assessing a client who is dehydrated for fluid volume deficit. Which of the following findings should the nurse expect in the client?
    increased urinary output
    Tachycardia
    Moist skin
    distended neck veins
    60s
  • Q4
    A nurse is caring for an older adult client in a long-term care facility. The client has become weak and confused. He ate 40% of his breakfast and lunch. The client's temperature is 38.3, pulse 92, respirations 20, and blood pressure 108/60. He has lost 3/4 lb and reports dizziness when assisted to the bathroom. He also has a nonproductive cough with diminished breath sounds in the right lower lobe. Which of the following actions should the nurse take?
    Monitor for orthostatic hypotension
    encourage the patient to ambulate to promote oxygenation
    observe for signs of peripheral edema
    initiate fluid restrictions to limit intake
    120s
  • Q5
    A nurse is caring for a client who has serum sodium level 133 and serum potassium level 3.4. The nurse should recognize that which of the following treatments can result in these laboratory findings ?
    0.9% NaCl solution IV at 50 ml/hr
    Three tap water enemas
    5% Dextrose with 0.45% NaCl solution with 20 mEq of K+ IV at 80 ml/hr
    Antibiotic therapy
    120s
  • Q6
    A nurse is caring for a client who has a serum potassium 5.4. The nurse should assess for which of the following manifestations ?
    polyuria
    paresthesia
    constipation
    ECG changes
    120s
  • Q7
    A nurse is caring for a client who has a NG tube attached to low intermittent suctioning. The nurse should monitor for which of the following electrolyte imbalances?
    Hyperkalemia
    Hypercalcemia
    Hyponatremia
    Hyperphosphatemia
    120s
  • Q8
    A nurse is assessing a client who has hyperkalemia. The nurse should identify which of the following conditions as being associated with electrolyte imbalance?
    Crushing Syndrome
    Heart Failure
    Thyroidectomy
    DKA
    120s
  • Q9
    A nurse is assessing a client for Chvostek. Which of the following techniques should the nurse use to preform this test?
    apply a blood pressure cuff to the clients arm
    place the stethoscope bell over the client's carotid artery
    Tap lightly on the client check
    ask the client to lower her chin to her chest
    120s
  • Q10
    A nurse is obtaining arterial blood gases for a client who has vomited for 24 hours. The nurse should expect which of the following acid-base imbalances to result from vomiting for 24 hours?
    respiratory acidosis
    respiratory alkalosis
    Metabolic alkalosis
    metabolic acidosis
    120s
  • Q11
    A charge nurse nurse is teaching a group of nurses about conditions related to metabolic acidosis. Which of the following statement by a unit nurse indicates the teaching has been effective?
    Metabolic acidosis can occur due to diabetic ketoacidosis
    metabolic acidosis can occur due to cancer
    Metabolic acidosis can occur in a client who has myasthenia gravis
    metabolic acidosis can occur in a client who has asthma
    120s
  • Q12
    A nurse is assessing a client who has pancreatitis. The client's arterial blood gases reveal metabolic acidosis. Which of the following are expected findings? ( Select all that apply): A. Tachycardia, B. Hypertension, C. Bounding pulses, D. Hyperreflexia, E. Dysrhythmia, F. Tachypnea
    D,E,F
    E,F
    A,B
    A,C,E
    120s
  • Q13
    A patient with multiple draining wounds is admitted for hypovolemia. Which assessment would be the most accurate way for the nurse to evaluate fluid balance?
    Skin turgor
    Daily weight
    Edema presence
    Urine output
    120s
  • Q14
    A patient who is taking a potassium-wasting diuretic for treatment of hypertension complains of generalized weakness. Which action is appropriate for the nurse to take?
    Ask the patient about loose stools.
    Suggest that the health care provider order a basic metabolic panel.
    Assess for facial muscle spasms.
    Recommend the patient avoid drinking orange juice with meals
    120s
  • Q15
    A patient with new-onset confusion and hyponatremia is being admitted. When making room assignments, the charge nurse should take which action?
    Assign the patient to a room near the nurse’s station.
    Assign the patient to a semi-private room.
    Place the patient on telemetry to monitor for peaked T waves..
    Place the patient in a room nearest to the water fountain.
    120s

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