ATI RN
ATI Med Surg Exam Midterm RN 36 1125 Questions
Extract:
Question 1 of 5
Which of the following are causes of intrarenal acute kidney injury?
Correct Answer: A,D,E
Rationale: Hemoglobin, myoglobin, and nephrotoxins cause intrarenal AKI by damaging renal tubules or nephrons.
Question 2 of 5
A nurse is gathering medical history from a client admitted for pyelonephritis. Which of the following should the nurse expect the client to report when asked about their medical history?
Correct Answer: C
Rationale: A history of UTIs is relevant to pyelonephritis, as the infection can ascend from the lower urinary tract to the kidneys. Recurrent UTIs are a risk factor for pyelonephritis.
Question 3 of 5
How will the nurse assess for flank tenderness in a patient with suspected pyelonephritis?
Correct Answer: D
Rationale: Striking a flat hand over the costovertebral angle, known as costovertebral angle tenderness, elicits pain in pyelonephritis.
Question 4 of 5
A 55-year-old patient with end-stage kidney disease (ESKD) is scheduled to receive a prescribed dose of epoetin alfa (Procrit). Which statement should the nurse include in her teaching about this medication?
Correct Answer: B
Rationale: Epoetin alfa is used to treat anemia in chronic kidney disease by supplementing erythropoietin, which damaged kidneys cannot produce effectively.
Question 5 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.