ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?
Correct Answer: D
Rationale: Active alcohol use disorder is a contraindication for kidney transplant due to recovery requirements. Cancer history, pacemakers, and age are not absolute barriers.
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 caring for older adult clients at a long-term care facility. Which of the following assessments should the nurse consider when monitoring clients for urinary retention? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Dribbling (
A), irregular voiding (
C), and bladder distension (E) indicate retention. Urine color and proteinuria are unrelated.
Question 4 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.
Question 5 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.