ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?
Correct Answer: B
Rationale: Epoetin alfa increases red blood cell production, raising hematocrit. ESR, platelets, and leukocytes are unaffected.
Question 2 of 5
A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?
Correct Answer: D
Rationale: Hyperkalemia occurs in prerenal AKI due to reduced potassium excretion from decreased renal perfusion. Hypernatremia, hypophosphatemia, and hypercalcemia are not typical.
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 caring for a client who has nephrotic syndrome and is receiving high-dose corticosteroid therapy. For which of the following electrolyte imbalances should the nurse monitor?
Correct Answer: B
Rationale: Corticosteroids increase potassium excretion, risking hypokalemia. Hyperkalemia, hypomagnesemia, and hypermagnesemia are less likely.
Question 5 of 5
A nurse is preparing to administer amantadine 150 mg PO every 12 hours. Available is amantadine 50 mg/5 mL syrup. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 15 mL
Rationale: 150 mg ÷(50 mg/5 mL) = 15 mL per dose.