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 dietary sources of potassium. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Pecans are low in potassium, suitable for AKI. Cantaloupe, potatoes, and yogurt are high-potassium foods to avoid.
Question 2 of 5
A nurse is caring for a male client who reports nausea and vomiting and is receiving IV fluid therapy. His blood urea nitrogen (BUN) is 32 mg/dL, creatinine is 1.1 mg/dL, and hematocrit is 50%. Which of the following nursing interventions is appropriate?
Correct Answer: C
Rationale: Elevated BUN suggests dehydration; evaluating urine amount and specific gravity assesses hydration status. Fluid reduction, cultures, or routine care are inappropriate.
Question 3 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 4 of 5
A nurse is providing discharge teaching to a client who will be performing continuous ambulatory peritoneal dialysis (CAPD) at home. Which of the following statements from the client indicates an understanding of this type of dialysis management? (Select all that apply)
Correct Answer: A,C,E
Rationale: Proper hand hygiene prevents infections (
A). Daily weight monitoring tracks fluid balance (
C). Blood pressure monitoring manages cardiovascular health (E). Laying down during dwell time is unnecessary (
B), and CAPD involves multiple daily exchanges, not once at bedtime (
D).
Question 5 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.