ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A nurse is assessing a client in the oliguric phase of acute kidney injury. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Hyperkalemia occurs in the oliguric phase due to reduced potassium excretion. Creatinine rises, GFR decreases, and hypermagnesemia is more likely.
Question 2 of 5
A nurse is teaching a client who has chronic kidney disease about limiting foods that are high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Raisins, bananas, and tomatoes are high in potassium, risking hyperkalemia. Asparagus and green beans are low-potassium options.
Question 3 of 5
A nurse is providing dietary teaching to a client who has a history of recurring calcium oxalate kidney stones. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: High fluid intake (3 L/day) dilutes urine, reducing stone formation. High vitamin C, excessive protein, and restricted calcium increase risk.
Question 4 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 5 of 5
A nurse is providing teaching to a client who has nephrotic syndrome. The nurse should recognize that which of the following client statements indicates a need for further teaching?
Correct Answer: A
Rationale: Increasing sodium worsens edema in nephrotic syndrome, indicating a need for further teaching. Biopsy, swelling, and proteinuria are accurate expectations.