ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client immediately following a hemodialysis treatment. For which of the following manifestations will the nurse administer a PRN dose of phenytoin?
Correct Answer: A
Rationale: Headache and restlessness may indicate seizures, warranting phenytoin. Other symptoms suggest different issues.
Question 2 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.
Question 3 of 5
A nurse is providing discharge teaching for a client who is to perform peritoneal dialysis at home. Which of the following information should the nurse include?
Correct Answer: E
Rationale: Microwaving risks uneven heating, pain is not expected, redness indicates infection, and fiber is beneficial. None are correct.
Question 4 of 5
A nurse is reviewing laboratory findings for four clients. Which of the following clients has manifestations of acute kidney injury?
Correct Answer: D
Rationale: Elevated serum creatinine (6 mg/dL) indicates impaired kidney function, a hallmark of AKI. Normal hemoglobin, BUN, and potassium do not suggest AKI.
Question 5 of 5
A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?
Correct Answer: B
Rationale: Shellfish allergy suggests possible iodine contrast reaction risk, requiring provider notification. Menstruation, fluid intake, and hematuria are less urgent.