ATI RN
ATI Med Surg Exam Midterm RN 36 1125 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has an acute kidney injury caused by acute tubular necrosis. The client asks why their glomerular filtration rate (GFR) keeps decreasing. Which of the following pathophysiological changes occurring in the kidney should the nurse explain as the cause of the decrease?
Correct Answer: C
Rationale: Acute tubular necrosis is characterized by damage to the renal tubular cells, which can lead to a decrease in GFR. This damage impairs the kidney's ability to filter waste products from the blood.
Question 2 of 5
A nurse is planning care for a client who has atrial fibrillation and reports heart palpitations, lightheadedness, and shortness of breath. Which of the following procedures should the nurse anticipate for this client?
Correct Answer: D
Rationale: Synchronized electrical cardioversion is a common treatment for atrial fibrillation to restore normal rhythm, especially with significant symptoms.
Question 3 of 5
Which laboratory finding indicates the resolution of a patient's acute pancreatitis?
Correct Answer: B
Rationale: During an episode of acute pancreatitis, serum concentrations of amylase and lipase rise significantly, often within hours of pancreatic injury. These elevated enzyme levels are key components in diagnosing the condition. As the inflammation subsides and the pancreas begins to heal, the levels of these enzymes typically decrease, returning to normal ranges.
Question 4 of 5
A nurse is caring for a client who has an acute kidney injury caused by acute tubular necrosis. The client asks why their glomerular filtration rate (GFR) keeps decreasing. Which of the following pathophysiological changes occurring in the kidney should the nurse explain as the cause of the decrease?
Correct Answer: C
Rationale: Acute tubular necrosis is characterized by damage to the renal tubular cells, which can lead to a decrease in GFR. This damage impairs the kidney's ability to filter waste products from the blood.
Question 5 of 5
What should the nurse ask the patient about to determine possible causes of acute glomerulonephritis?
Correct Answer: B
Rationale: A recent sore throat and fever, especially if caused by a streptococcal infection, can lead to post-streptococcal glomerulonephritis.