ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has kidney cancer and has been informed that it has metastasized. Which of the following statements should the nurse make when the client asks what metastasis means?
Correct Answer: A
Rationale: Metastasis is the spread of cancer cells from the kidneys to other body parts. Localization, cell transformation, and space-limited growth are incorrect.
Question 2 of 5
A nurse is caring for a group of clients diagnosed with polycystic kidney disease (PKD). While teaching about ways to slow the progression to end-stage renal disease (ESRD), which of the following topics would be most important for the nurse to include?
Correct Answer: D
Rationale: Blood pressure control slows PKD progression to ESRD by reducing kidney strain. Pain, glucose, and fluid management are less critical.
Question 3 of 5
A nurse is caring for older adult clients at a long-term care facility. Which of the following assessments should the nurse consider when monitoring clients for urinary retention? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Dribbling (
A), irregular voiding (
C), and bladder distension (E) indicate retention. Urine color and proteinuria are unrelated.
Question 4 of 5
A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: Oliguria (175 mL/8 hr) suggests worsening renal function, requiring notification. Strong odor, normal output, and cloudy urine are less urgent.
Question 5 of 5
A nurse is caring for a client following his first hemodialysis treatment. The client reports a headache, nausea, and restlessness. The nurse should identify these findings as manifestations of which of the following complications?
Correct Answer: C
Rationale: Dialysis disequilibrium syndrome, common after initial hemodialysis, causes headache, nausea, and restlessness. Air embolism, septicemia, and peritonitis have different symptoms.