ATI RN
ATI Med Surg Exam 2 Questions
Question 1 of 5
A nurse is performing discharge teaching with a client who was admited for pyelonephritis. Which of the following instructions related to the prevention of pyelonephritis should the nurse include in the teaching? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Adequate fluids (
C), completing antibiotics (
D), and front-to-back wiping (E) prevent pyelonephritis. Excessive bathing and douching increase risk.
Question 2 of 5
A nurse is teaching a client who has chronic kidney failure about planning a low-protein diet. The client asks, 'Why do I have to be concerned about protein?' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: A low-protein diet reduces uremia by limiting waste buildup. It does not directly affect hyperkalemia, edema, or nitrogenous waste as primarily.
Question 3 of 5
A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?
Correct Answer: C
Rationale: Metabolic acidosis (pH 7.25, HCO3- 19) is expected in CKD due to acid accumulation. Other sets indicate respiratory or metabolic alkalosis.
Question 4 of 5
A nurse is planning care for a client who has cystitis. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: Avoiding carbonated beverages reduces bladder irritation in cystitis. Higher fluid intake, full antibiotic courses, and avoiding acidic juices are preferred.
Question 5 of 5
A nurse is caring for a client who has kidney cancer and has been informed that it has metastasized. Which of the following statements should the nurse make when the client asks what metastasis means?
Correct Answer: A
Rationale: Metastasis is the spread of cancer cells from the kidneys to other body parts. Localization, cell transformation, and space-limited growth are incorrect.