ATI RN
ATI Med Surg Exam Midterm RN 36 1125 Questions
Extract:
Question 1 of 5
Which laboratory finding indicates the resolution of a patient's acute pancreatitis?
Correct Answer: B
Rationale: A decreasing serum amylase level is indicative of the resolution of acute pancreatitis. Amylase is an enzyme that helps digest carbohydrates and is released in large amounts when the pancreas is inflamed. As the inflammation resolves, amylase levels decrease.
Question 2 of 5
A nurse is caring for a client who has an acute kidney injury caused by acute tubular necrosis. The client asks why their glomerular filtration rate (GFR) keeps decreasing. Which of the following pathophysiological changes occurring in the kidney should the nurse explain as the cause of the decrease?
Correct Answer: C
Rationale: Acute tubular necrosis is characterized by damage to the renal tubular cells, which can lead to a decrease in GFR. This damage impairs the kidney's ability to filter waste products from the blood.
Question 3 of 5
A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour. The nurse should place the client on which of the following diets?
Correct Answer: D
Rationale: A low-sodium, fluid-restricted diet is appropriate to manage edema and prevent fluid overload in acute glomerulonephritis.
Question 4 of 5
A female patient with a suspected urinary tract infection is to provide a clean-catch midstream urine specimen for culture and sensitivity testing. What should the nurse do to obtain the specimen?
Correct Answer: A
Rationale: This method is the standard procedure for obtaining a clean-catch midstream urine specimen. The initial voiding washes away organisms near the meatus, and the midstream urine is less likely to be contaminated by bacteria from the skin or urethral area.
Question 5 of 5
A nurse is admitting a client who has pyelonephritis. Which of the following manifestations should the nurse expect to be present during the assessment?
Correct Answer: B,C,E,F
Rationale: Frequency, flank pain, costovertebral tenderness, and urgency are common manifestations of pyelonephritis due to urinary tract irritation and kidney inflammation.