ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?
Correct Answer: C
Rationale: Metabolic acidosis (pH 7.25, HCO3- 19) is expected in CKD due to acid accumulation. Other sets indicate respiratory or metabolic alkalosis.
Question 2 of 5
A nurse is caring for a client in a clinic who has foul-smelling urine, a low-grade fever of 37.7°C (100°F), and pain with urination. Which of the following should the nurse expect the health care provider to order? (Select all that apply.)
Correct Answer: A,B,D,E,F
Rationale: WBC count (
A), blood cultures (
B), antibiotics (
D), IV fluids (E), and urinalysis/culture (F) address suspected UTI. Catheter placement increases infection risk.
Question 3 of 5
A nurse is reviewing laboratory findings for four clients. Which of the following clients has manifestations of acute kidney injury?
Correct Answer: D
Rationale: Elevated serum creatinine (6 mg/dL) indicates impaired kidney function, a hallmark of AKI. Normal hemoglobin, BUN, and potassium do not suggest AKI.
Question 4 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 5 of 5
A nurse is caring for a client who has an admited diagnosis of renal calculi and a medical history of hypertension and gout. The client works 6 days a week outside in temperatures between 32.2°C to 37.8°C (90°F to 100°F). Which of the following should the nurse tell the client to prevent a recurrence of renal calculi?
Correct Answer: C
Rationale: High fluid intake prevents urine concentration, reducing stone formation. Oxalate-rich and purine-rich diets increase risk, and gout medication is unrelated.