ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has polycystic kidney disease (PKD). The client is admited to the hospital for renal calculi and reports that their abdomen has been getting bigger. Which of the following statements by the nurse is the best explanation for the increase in abdominal girth?
Correct Answer: B
Rationale: In PKD, growing cysts enlarge the kidneys, increasing abdominal girth. Infections, stones, or inflammation do not primarily cause this.
Question 2 of 5
A nurse is caring for a client who is undergoing initial peritoneal dialysis. Which of the following should the nurse report immediately to the provider?
Correct Answer: D
Rationale: Purulent dialysate outflow suggests peritonitis, a serious infection requiring immediate attention. Blood-tinged outflow, leakage, or discomfort are less urgent.
Question 3 of 5
A nurse is teaching a client about self-administered peritoneal dialysis. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Microwaving dialysate risks uneven heating, indicating a need for further teaching teaching. Output volume, clear fluid, and infection risk are correct.
Question 4 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 5 of 5
A nurse is providing discharge teaching to a client who will be performing continuous ambulatory peritoneal dialysis (CAPD) at home. Which of the following statements from the client indicates an understanding of this type of dialysis management? (Select all that apply)
Correct Answer: A,C,E
Rationale: Proper hand hygiene prevents infections (
A). Daily weight monitoring tracks fluid balance (
C). Blood pressure monitoring manages cardiovascular health (E). Laying down during dwell time is unnecessary (
B), and CAPD involves multiple daily exchanges, not once at bedtime (
D).