ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A nurse is performing discharge teaching with a client who was admited for pyelonephritis. Which of the following instructions related to the prevention of pyelonephritis should the nurse include in the teaching? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Adequate fluids (
C), completing antibiotics (
D), and front-to-back wiping (E) prevent pyelonephritis. Excessive bathing and douching increase risk.
Question 2 of 5
A nurse is caring for a client who has nephrotic syndrome and is receiving high-dose corticosteroid therapy. For which of the following electrolyte imbalances should the nurse monitor?
Correct Answer: B
Rationale: Corticosteroids increase potassium excretion, risking hypokalemia. Hyperkalemia, hypomagnesemia, and hypermagnesemia are less likely.
Question 3 of 5
A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.5 tablets
Rationale: 0.125 mg ÷0.25 mg/tablet = 0.5 tablets per dose.
Question 4 of 5
A nurse is caring for a group of clients who have been diagnosed with urinary retention. Which of the following underlying conditions place these clients at risk for urinary retention? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: Multiple sclerosis, constipation, Parkinson's, and pelvic organ prolapse impair bladder function, causing retention. Streptococcal infection is unrelated.
Question 5 of 5
A nurse is teaching a client who has chronic kidney failure about planning a low-protein diet. The client asks, 'Why do I have to be concerned about protein?' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: A low-protein diet reduces uremia by limiting waste buildup. It does not directly affect hyperkalemia, edema, or nitrogenous waste as primarily.