ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain that which of the following conditions can increase the risk for renal calculi?
Correct Answer: C
Rationale: Dehydration concentrates urine, promoting stone formation. Iron deficiency, proteinuria, and obesity are less directly linked.
Question 2 of 5
A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply).
Correct Answer: A,C,D,E
Rationale: Pruritus occurs due to waste buildup (
A). Hypotension results from fluid shifts (
C). Bone pain is linked to mineral disorders (
D). Bradypnea may arise from metabolic changes (E). Slurred speech is not typical for ESRD (
B).
Question 3 of 5
A nurse is caring for a client admited for pyelonephritis. The client's history includes frequent urinary tract infections (UTI). Which of the following statements by the client indicates that they are su?ering from a psychosocial effect from frequent UTIs?
Correct Answer: B
Rationale: Missing social activities indicates a psychosocial impact. Back pain, bathroom proximity, and nausea are physical symptoms.
Question 4 of 5
A nurse is caring for a client who has an admited diagnosis of renal calculi and a medical history of hypertension and gout. The client works 6 days a week outside in temperatures between 32.2°C to 37.8°C (90°F to 100°F). Which of the following should the nurse tell the client to prevent a recurrence of renal calculi?
Correct Answer: C
Rationale: High fluid intake prevents urine concentration, reducing stone formation. Oxalate-rich and purine-rich diets increase risk, and gout medication is unrelated.
Question 5 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.