ATI RN
ATI Med Surg Exam 10 Questions
Extract:
Question 1 of 5
A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease. The nurse should expect which of the following findings?
Correct Answer: A
Rationale: These values indicate elevated BUN (blood urea nitrogen) and creatinine levels indicating impaired kidney function, typical findings in chronic kidney disease.
Question 2 of 5
A nurse is caring for a client who has heart failure and is receiving IV furosemide. The nurse should monitor the client for which of the following electrolyte imbalances?
Correct Answer: D
Rationale: Furosemide can cause an increase in uric acid levels by reducing its excretion through the kidneys.
Question 3 of 5
A nurse is teaching a client who has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Oliguria, characterized by urine output less than 400 mL per 24 hours, is a hallmark of the oliguric phase of acute kidney injury.
Question 4 of 5
A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. Which of the following prescriptions should the nurse anticipate?
Correct Answer: D
Rationale: Fluid restriction is a key component of managing SIADH to prevent further water retention and dilutional hyponatremia. Restricting fluid intake helps to normalize serum sodium levels by allowing excess water to be excreted.
Question 5 of 5
A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication that the medication is effective?
Correct Answer: C
Rationale: Vasopressin, also known as antidiuretic hormone (ADH), acts on the kidneys to decrease urine output, making this the expected outcome of therapy.