ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse identify as possible organ rejection?
Correct Answer: A
Rationale: Reduced urine output (oliguria) can indicate acute rejection due to decreased renal function.
Question 2 of 5
A nurse is assessing a client who has a urine output of 250 mL in a 24-hr period. Which of the following descriptive terms should the nurse place in the client's electronic record?
Correct Answer: D
Rationale: Oliguria is defined as urine output < 400 mL/24 hours; 250 mL qualifies.
Question 3 of 5
Which intervention does the nurse utilize post-operatively to assess the patency of the arteriovenous fistula?
Correct Answer: B
Rationale: A functional AV fistula should have a palpable thrill (vibration) and an audible bruit (whooshing sound) when auscultated with a stethoscope. These findings confirm adequate blood flow and patency.
Question 4 of 5
The client is vomiting and very dehydrated. Which medication would be most effective in treating the nausea and vomiting?
Correct Answer: D
Rationale: Ondansetron (Zofran) is a serotonin (5-HT3) receptor antagonist that is highly effective for nausea and vomiting, especially in dehydration and severe vomiting.
Question 5 of 5
A nurse is monitoring a client who has acute kidney injury. Which of the following laboratory findings should the nurse expect?
Correct Answer: B
Rationale: AKI leads to impaired renal filtration, causing elevated blood urea nitrogen (BUN) and creatinine levels due to the accumulation of nitrogenous waste.