ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving peritoneal dialysis for kidney failure. Which additional condition in the client's medical history puts the client at increased risk for the development of peritonitis?
Correct Answer: A
Rationale: Diabetes impairs immunity, increasing peritonitis risk in peritoneal dialysis. Obesity, hemochromatosis, and ulcerative colitis are less directly linked.
Question 2 of 5
A nurse manager at a skilled nursing facility has noticed an increase in urinary tract infections (UTIs) by 12% in the past year. In an e?ort to decrease this rate, which of the following should the nurse manager teach the nursing staff? (Select all that apply.)
Correct Answer: A,B,C,D,E
Rationale: Front-to-back wiping (
A), early catheter removal (
B), completing antibiotics (
C), regular voiding (
D), and fluid intake (E) reduce UTI risk.
Question 3 of 5
A nurse is providing teaching to a client who has nephrotic syndrome. The nurse should recognize that which of the following client statements indicates a need for further teaching?
Correct Answer: A
Rationale: Increasing sodium worsens edema in nephrotic syndrome, indicating a need for further teaching. Biopsy, swelling, and proteinuria are accurate expectations.
Question 4 of 5
A nurse is assessing a client in the oliguric phase of acute kidney injury. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Hyperkalemia occurs in the oliguric phase due to reduced potassium excretion. Creatinine rises, GFR decreases, and hypermagnesemia is more likely.
Question 5 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.