ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has nephrotic syndrome. The nurse should recognize that which of the following client statements indicates a need for further teaching?
Correct Answer: A
Rationale: Increasing sodium worsens edema in nephrotic syndrome, indicating a need for further teaching. Biopsy, swelling, and proteinuria are accurate expectations.
Question 2 of 5
The nurse reviews data from a new client's kidney function test. Which of the following standards of transplant nursing practice is the nurse primarily performing?
Correct Answer: B
Rationale: Reviewing kidney function test data is assessment, collecting and analyzing information for care planning.
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 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 5 of 5
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?
Correct Answer: C
Rationale: Nausea and vomiting are common peritonitis symptoms in peritoneal dialysis. Increased urine, bradycardia, and hyperactive bowel sounds are unrelated.