ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who has progressing chronic kidney disease (CKD). Which of the following laboratory results would the nurse expect to find in the client's electronic health record?
Correct Answer: A
Rationale: Increasing urine albumin indicates CKD progression due to kidney damage. GFR decreases, creatinine rises, and proteinuria increases.
Question 3 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).
Question 4 of 5
A nurse is gathering medical history from a client admited for pyelonephritis. Which of the following should the nurse expect the client to report when asked about their medical history?
Correct Answer: B
Rationale: Recurrent UTIs increase pyelonephritis risk by allowing bacterial ascension. Calcium, ibuprofen, and genetic diseases are less directly linked.
Question 5 of 5
A nurse is caring for a client who has polycystic kidney disease (PKD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Flank pain is common in PKD due to cyst enlargement. Confusion, hypotension, and urinary retention are not typical.