ATI RN
ATI Med Surg Exam 2 Questions
Question 1 of 5
A nurse is providing discharge teaching to a client who will be performing continuous ambulatory peritoneal dialysis (CAPD) at home. Which of the following statements from the client indicates an understanding of this type of dialysis management? (Select all that apply)
Correct Answer: A,C,E
Rationale: Proper hand hygiene prevents infections (
A). Daily weight monitoring tracks fluid balance (
C). Blood pressure monitoring manages cardiovascular health (E). Laying down during dwell time is unnecessary (
B), and CAPD involves multiple daily exchanges, not once at bedtime (
D).
Question 2 of 5
A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply).
Correct Answer: A,C,D,E
Rationale: Pruritus occurs due to waste buildup (
A). Hypotension results from fluid shifts (
C). Bone pain is linked to mineral disorders (
D). Bradypnea may arise from metabolic changes (E). Slurred speech is not typical for ESRD (
B).
Question 3 of 5
A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?
Correct Answer: D
Rationale: Hyperkalemia occurs in prerenal AKI due to reduced potassium excretion from decreased renal perfusion. Hypernatremia, hypophosphatemia, and hypercalcemia are not typical.
Question 4 of 5
A nurse is monitoring an older adult female client who had a myocardial infarction (MI) for the development of acute kidney injury (AKI). Which of the following findings should the nurse identify as indicating an increased risk of AKI?
Correct Answer: A,B
Rationale: Elevated serum creatinine (1.8 mg/dL) and BUN (200 mg/dL) indicate impaired kidney function, increasing AKI risk. Normal osmolality and magnesium levels do not suggest AKI risk.
Question 5 of 5
A nurse is caring for a client admited with renal calculus. Which of the following assessment findings should the nurse associate with renal calculi? (Select all that apply)
Correct Answer: A,B,E
Rationale: Fever may indicate infection from renal calculi (
A). Urinary urgency occurs if stones affect the lower urinary tract (
B). Flank pain is a classic symptom (E). Incontinence and gastrointestinal upset are not directly linked.