ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is caring for a male client who reports nausea and vomiting and is receiving IV fluid therapy. His blood urea nitrogen (BUN) is 32 mg/dL, creatinine is 1.1 mg/dL, and hematocrit is 50%. Which of the following nursing interventions is appropriate?
Correct Answer: C
Rationale: Elevated BUN suggests dehydration; evaluating urine amount and specific gravity assesses hydration status. Fluid reduction, cultures, or routine care are inappropriate.
Question 4 of 5
A nurse is caring for a client in a clinic who has foul-smelling urine, a low-grade fever of 37.7°C (100°F), and pain with urination. Which of the following should the nurse expect the health care provider to order? (Select all that apply.)
Correct Answer: A,B,D,E,F
Rationale: WBC count (
A), blood cultures (
B), antibiotics (
D), IV fluids (E), and urinalysis/culture (F) address suspected UTI. Catheter placement increases infection risk.
Question 5 of 5
A nurse is teaching a client who has chronic kidney disease about the process of continuous ambulatory peritoneal dialysis (CAPD). Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: CAPD allows fewer dietary/fluid restrictions than hemodialysis due to continuous waste removal. It's not specific to surgery, rigid schedules, or dialyzers.