ATI RN
ATI Fluid Electrolyte and Acid-Base Regulation
1. . A nurse assesses a client with diabetes mellitus who is admitted with an acid-base imbalance. The clients arterial blood gas values are pH 7.36, PaO2 98 mm Hg, PaCO2 33 mm Hg, and HCO3 18 mEq/L. Which manifestation should the nurse identify as an exam
- A. Increased rate and depth of respirations
- B. ncreased urinary output
- C. Increased thirst and hunger
- D. ncreased release of acids from the kidneys
Correct answer: A
Rationale:
2. A nurse evaluates the following arterial blood gas values in a client: pH 7.48, PaO2 98 mm Hg, PaCO2 28 mm Hg, and HCO3 22 mEq/L. Which client condition should the nurse correlate with these results?
- A. Diarrhea and vomiting for 36 hours
- B. . Anxiety-induced hyperventilation
- C. Chronic obstructive pulmonary disease (COPD)
- D. Diabetic ketoacidosis and emphysema
Correct answer: B
Rationale:
3. A nurse assesses a client who has a radial artery catheter. Which assessment should the nurse complete first?
- A. . Amount of pressure in fluid container
- B. Date of catheter tubing change
- C. Percent of heparin in infusion container
- D. . Presence of an ulnar pulse
Correct answer: D
Rationale:
4. A nurse assesses a client who is admitted with an acid-base imbalance. The clients arterial blood gas values are pH 7.32, PaO2 85 mm Hg, PaCO2 34 mm Hg, and HCO3 16 mEq/L. What action should the nurse take next?
- A. Assess clients rate, rhythm, and depth of respiration.
- B. Measure the clients pulse and blood pressure.
- C. Document the findings and continue to monitor.
- D. Notify the physician as soon as possible.
Correct answer: A
Rationale:
5. A nurse teaches a client who is prescribed a central vascular access device. Which statement should the nurse include in this clients teaching?
- A. You will need to wear a sling on your arm while the device is in place
- B. There is no risk of infection because sterile technique will be used during insertion.
- C. . Ask all providers to vigorously clean the connections prior to accessing the device.
- D. You will not be able to take a bath with this vascular access device.
Correct answer: C
Rationale:
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