ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A nurse is admitting a client who has pyelonephritis. Which of the following manifestations should the nurse expect to be present during the assessment? (Select all that apply.)
Correct Answer: B,D,E,F
Rationale: Lower abdominal pain (
B), fishy urine odor (
D), mental confusion (E), and weak urine stream (F) are pyelonephritis symptoms. Frothy urine and hypertension are unrelated.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?
Correct Answer: A
Rationale: Diuretics, especially thiazides, increase urinary calcium, promoting stones. Hypocalcemia, family history, and low BMI are less directly linked.
Question 3 of 5
A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?
Correct Answer: D
Rationale: Active alcohol use disorder is a contraindication for kidney transplant due to recovery requirements. Cancer history, pacemakers, and age are not absolute barriers.
Question 4 of 5
A nurse is providing teaching to a client about completing a creatinine clearance test. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Avoiding rigorous exercise prevents altered creatinine levels, ensuring test accuracy. Collection starts at a set time, lasts 24 hours, and requires cool storage.
Question 5 of 5
A nurse is caring for a client following his first hemodialysis treatment. The client reports a headache, nausea, and restlessness. The nurse should identify these findings as manifestations of which of the following complications?
Correct Answer: C
Rationale: Dialysis disequilibrium syndrome, common after initial hemodialysis, causes headache, nausea, and restlessness. Air embolism, septicemia, and peritonitis have different symptoms.