ATI RN
ATI Med Surg Exam 10 Questions
Extract:
Question 1 of 5
A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?
Correct Answer: B
Rationale: Prerenal AKI is characterized by a decrease in renal blood flow, which leads to a reduction in glomerular filtration rate and a subsequent accumulation of waste products, including potassium. Hyperkalemia occurs because the kidneys are unable to excrete potassium effectively.
Question 2 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 3 of 5
A nurse is caring for a client who had total thyroidectomy and a serum calcium level of 7.6 mg/dL. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Tingling of the extremities is a common symptom of hypocalcemia.
Question 4 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 5 of 5
A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?
Correct Answer: B
Rationale: Chronic alcohol abuse can lead to multiple organ damage and increased surgical risks, making it a contraindication for kidney transplant.