ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A client who has polycystic kidney disease (PKD) presents to the emergency department with reports of a severe headache. Which of the following complications should the nurse expect?
Correct Answer: B
Rationale: Cerebral aneurysms are a known PKD complication, causing severe headaches if leaking or rupturing. Other options are unrelated.
Question 2 of 5
A nurse is teaching a client about self-administered peritoneal dialysis. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Microwaving dialysate risks uneven heating, indicating a need for further teaching teaching. Output volume, clear fluid, and infection risk are correct.
Question 3 of 5
A nurse is caring for a client who is to receive liquid medications via a gastrostomy tube. The client is prescribed phenytoin 250 mg. The amount available is phenytoin oral solution 25 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 50 mL
Rationale: 250 mg ÷(25 mg/5 mL) = 50 mL per dose.
Question 4 of 5
A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease (CKD). The nurse should expect which of the following findings?
Correct Answer: D
Rationale: BUN 23 mg/dL and creatinine 1.0 mg/dL align with CKD's elevated levels. Other options are normal or incorrectly scaled.
Question 5 of 5
A nurse is caring for a client who reports to the clinic for laboratory tests. The client has an acute kidney injury caused by acute tubular necrosis and asks why their glomerular filtration rate (GFR) keeps decreasing. Which of the following pathophysiological changes occurring in the kidney should the nurse explain as the cause of the decrease?
Correct Answer: A
Rationale: In acute tubular necrosis, tubular cell injury impairs reabsorption, reducing GFR. Obstruction, inflammation, and reduced blood flow are less primary causes.