ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Extract:
Question 1 of 5
The nurse is developing a plan of care for a client diagnosed with acute renal failure (ARF). Which statement would be an appropriate outcome for the client?
Correct Answer: A
Rationale: Restoring normal electrolyte balance is a key goal in ARF management.
Question 2 of 5
A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease. The nurse should expect which of the following findings?
Correct Answer: A
Rationale: In CKD, BUN (> 20 mg/dL) and creatinine (> 1.2 mg/dL) are significantly elevated due to reduced kidney function.
Question 3 of 5
A client with a history of lung disease is at risk for developing respiratory acidosis. The nurse should anticipate to assess which signs and symptoms to indicate respiratory acidosis?
Correct Answer: C
Rationale: Respiratory acidosis occurs when COâ‚‚ retention leads to cerebral vasodilation, increasing intracranial pressure and causing headache, restlessness, and confusion.
Question 4 of 5
The nurse is caring for a client who has chronic renal disease and is receiving therapy with erythropoietin (epoetin alpha). Which of the following laboratory results should the nurse review as an indication of a therapeutic effect of this medication?
Correct Answer: B
Rationale: Erythropoietin stimulates red blood cell production, increasing hemoglobin levels in clients with CKD-related anemia.
Question 5 of 5
The nurse is preparing the discharge teaching plan for a client with a kidney transplant. Which statement indicates the teaching is effective?
Correct Answer: C
Rationale: Fever >101°F (38.3°
C) is an early sign of infection or organ rejection. Prompt medical attention is required.