ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 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 2 of 5
A nurse is preparing a client for a kidney biopsy. Which of the following client conditions should the nurse identify as a contraindication for this diagnostic test?
Correct Answer: D
Rationale: Bleeding tendencies increase biopsy complication risk. Elevated creatinine, retention, and pain are not contraindications.
Question 3 of 5
A nurse is performing an assessment of a female client in the clinic. The client reports foul-smelling urine and pain with urination. The client states, 'I bet I have a UTI. Why do I tend to get urinary tract infections?' Which of the following statements should the nurse include in the explanation?
Correct Answer: B
Rationale: A shorter urethra in females allows easier bacterial access to the bladder, increasing UTI risk. Showering, E. coli levels, and sexual activity assumptions are incorrect.
Question 4 of 5
A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease (CKD). The nurse should expect which of the following findings?
Correct Answer: D
Rationale: BUN 23 mg/dL and creatinine 1.0 mg/dL align with CKD's elevated levels. Other options are normal or incorrectly scaled.
Question 5 of 5
A nurse is assessing a client who has end-stage kidney disease and is receiving hemodialysis. Which of the following findings should the nurse identify as an indication the client is experiencing fluid overload?
Correct Answer: C
Rationale: A 5 lb weight gain indicates fluid overload in hemodialysis patients. Flattened veins, normal skin turgor, and 93% oxygen saturation suggest other issues.