ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 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 2 of 5
A nurse is providing teaching to a client about completing a creatinine clearance test. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Avoiding rigorous exercise prevents altered creatinine levels, ensuring test accuracy. Collection starts at a set time, lasts 24 hours, and requires cool storage.
Question 3 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.
Question 4 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 5 of 5
A nurse is monitoring an older adult female client who had a myocardial infarction (MI) for the development of acute kidney injury (AKI). Which of the following findings should the nurse identify as indicating an increased risk of AKI?
Correct Answer: A,B
Rationale: Elevated serum creatinine (1.8 mg/dL) and BUN (200 mg/dL) indicate impaired kidney function, increasing AKI risk. Normal osmolality and magnesium levels do not suggest AKI risk.