ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has chronic kidney disease about the process of continuous ambulatory peritoneal dialysis (CAPD). Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: CAPD allows fewer dietary/fluid restrictions than hemodialysis due to continuous waste removal. It's not specific to surgery, rigid schedules, or dialyzers.
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 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 4 of 5
A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?
Correct Answer: A
Rationale: Diuretics, especially thiazides, increase urinary calcium, promoting stones. Hypocalcemia, family history, and low BMI are less directly linked.
Question 5 of 5
A nurse is caring for four clients on the urology unit. Which of the following clients should the nurse plan to teach about kidney stone prevention?
Correct Answer: B
Rationale: Severe flank pain, nausea, and vomiting indicate kidney stones, warranting prevention education. Other symptoms suggest different conditions.