ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 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: C
Rationale: The oliguric phase involves urine output <400 mL/24 hr. BUN/creatinine rise, renal function worsens, and GFR remains low.
Question 2 of 5
A nurse in the emergency department is caring for a client who collapsed after playing football on a hot day. After reviewing the admission laboratory findings, the nurse recognizes that these findings are consistent with which of the following conditions?
Correct Answer: C
Rationale: Collapse after exertion in heat with elevated sodium suggests dehydration. Renal failure, low-protein diet, and SIADH are inconsistent.
Question 3 of 5
A nurse is preparing to administer prescribed intravenous potassium replacement supplements to a client who has a potassium level of 2.5 mEq/L (normal range: 3.5 to 5 mEq/L). Which of the following actions should the nurse plan to include? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Adequate urine output prevents hyperkalemia (
A). Cardiac monitoring detects arrhythmias (
C). Repeating potassium levels ensures safety (
D). Education and dextrose preparation are not directly related.
Question 4 of 5
A nurse is gathering medical history from a client admited for pyelonephritis. Which of the following should the nurse expect the client to report when asked about their medical history?
Correct Answer: B
Rationale: Recurrent UTIs increase pyelonephritis risk by allowing bacterial ascension. Calcium, ibuprofen, and genetic diseases are less directly linked.
Question 5 of 5
A nurse is providing dietary teaching to a client who has nephropathy secondary to diabetes mellitus and plans to make dietary adjustments. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Low protein intake (0.8 g/kg/day) reduces kidney workload in diabetic nephropathy. Fiber, cholesterol, and carbohydrate restrictions are less specific.