ATI RN
ATI Med Surg Exam 10 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has renal failure and an elevated phosphorus 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: A
Rationale: Constipation is a common adverse effect of aluminum hydroxide, an antacid often used to bind phosphate in patients with renal failure to prevent hyperphosphatemia.
Question 2 of 5
A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply).
Correct Answer: A,B,D
Rationale: Bone pain occurs due to mineral and bone disorders, slurred speech can indicate uremic encephalopathy, and pruritus is common due to uremic toxins in ESRD.
Question 3 of 5
A nurse is teaching a client who has a new diagnosis of hyperparathyroidism. The nurse should include in the teaching that the client is at risk for which of the following complications?
Correct Answer: A
Rationale: Hyperparathyroidism can lead to bone resorption and weakening, putting the client at risk for fractures.
Question 4 of 5
A nurse is teaching a client who has chronic kidney failure about planning a low-protein diet. The client states, 'Why do I have to be concerned about protein?' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: A low-protein diet reduces the risk for uremia, a condition resulting from chronic kidney failure where urea and other waste products build up in the body due to impaired renal function.
Question 5 of 5
A nurse is planning care for a client who has a new diagnosis of diabetes insipidus. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Checking urine specific gravity helps assess the concentration of urine, which can be very dilute in diabetes insipidus.