ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 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 2 of 5
A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?
Correct Answer: D
Rationale: Hyperkalemia occurs in prerenal AKI due to reduced potassium excretion from decreased renal perfusion. Hypernatremia, hypophosphatemia, and hypercalcemia are not typical.
Question 3 of 5
A nurse is caring for a client who has polycystic kidney disease (PKD). The client is admited to the hospital for renal calculi and reports that their abdomen has been getting bigger. Which of the following statements by the nurse is the best explanation for the increase in abdominal girth?
Correct Answer: B
Rationale: In PKD, growing cysts enlarge the kidneys, increasing abdominal girth. Infections, stones, or inflammation do not primarily cause this.
Question 4 of 5
A nurse is admitting a client who has pyelonephritis. Which of the following manifestations should the nurse expect to be present during the assessment? (Select all that apply.)
Correct Answer: B,D,E,F
Rationale: Lower abdominal pain (
B), fishy urine odor (
D), mental confusion (E), and weak urine stream (F) are pyelonephritis symptoms. Frothy urine and hypertension are unrelated.
Question 5 of 5
A nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. The nurse should instruct the client to increase dietary intake of which of the following substances?
Correct Answer: A
Rationale: Iron supports red blood cell production with epoetin alfa. Sodium, potassium, and protein need careful management in CKD.