ATI RN
ATI Med Surg Exam 2 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: D
Rationale: Hyperkalemia occurs in prerenal AKI due to reduced potassium excretion from decreased renal perfusion. Hypernatremia, hypophosphatemia, and hypercalcemia are not typical.
Question 2 of 5
A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?
Correct Answer: B
Rationale: Epoetin alfa increases red blood cell production, raising hematocrit. ESR, platelets, and leukocytes are unaffected.
Question 3 of 5
A nurse is assessing a client in the oliguric phase of acute kidney injury. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Hyperkalemia occurs in the oliguric phase due to reduced potassium excretion. Creatinine rises, GFR decreases, and hypermagnesemia is more likely.
Question 4 of 5
A nurse is caring for a client who will have blood sampling for serum creatinine level and asks what this test shows. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Serum creatinine assesses kidney function by measuring filtration efficiency. Other options are less accurate or dismissive.
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.