ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A nurse is teaching a group of unlicensed assistive personnel about urinary tract infections (UTIs) in clients who have vaginas. When describing why clients who have vaginas have higher rates of UTIs than clients who do not have vaginas, which of the following explanations should the nurse use?
Correct Answer: B
Rationale: A shorter urethra in clients with vaginas allows easier bacterial access to the bladder. Alkalotic urine, detrusor strength, and bladder capacity are not primary factors.
Question 2 of 5
A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: Oliguria (175 mL/8 hr) suggests worsening renal function, requiring notification. Strong odor, normal output, and cloudy urine are less urgent.
Question 3 of 5
A client who has low back pain reports that they are unable to void. The nurse notices a distended bladder on assessment. Which of the following is the likely cause of this client's low back pain?
Correct Answer: A
Rationale: A distended bladder from urinary retention causes low back pain. Stress fractures, nerve root pain, and renal cancer are less likely causes.
Question 4 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.
Question 5 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.