ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is providing teaching to a client who has renal failure and an elevated phosphorous level. The provider instructed the client to take aluminum hydroxide 300 mg PO three times daily. For which of the following adverse effects should the nurse inform the client?
Correct Answer: B
Rationale: Aluminum hydroxide commonly causes constipation as a side effect. Muscle spasms, headaches, and metallic taste are not typical.
Question 3 of 5
A nurse is caring for a 68-kg (150-lb) client who has dehydration. Which of the following manifestations is an indication of effective treatment?
Correct Answer: A
Rationale: Normal urine specific gravity (1.005–1.030) indicates rehydration. Decreased pulse pressure, lightheadedness, and low urine output suggest ongoing dehydration.
Question 4 of 5
A nurse is discussing laboratory values associated with the renal system with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the values?
Correct Answer: B
Rationale: Increased creatinine indicates AKI due to reduced filtration. Specific gravity rises in hypovolemia, potassium is unrelated to polyuria, and BUN rises in dehydration.
Question 5 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.