RENAL ATI EXAM
1. A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection of the prostate. Upon
... [Show More] detecting an output obstruction, which of the following actions should the nurse take first?
a. Irrigate the catheter with normal saline
b. Notify the provider
c. Check the irrigation tubing for kinks
d. Provide PRN pain medication
2. A nurse is providing instructions regarding reduced dietary intake of potassium for a client who has chronic kidney disease. Which of the following food selections is appropriate for the nurse to recommend to the client?
a. 1 cup cubed cantaloupe
b. 1 cup boiled spinach
c. One baked potato
d. One large apple
3. A nurse is caring for a client who has acute kidney injury. Which of the following laboratory findings should the nurse report to the provider?
a. Serum potassium 5.0 mEq/L
b. Serum calcium 9.0 mg/dL
c. Serum creatinine 4.0 mg/dL
d. Serum amylase 84 IU/L
4. A nurse is caring for a client immediately following a kidney transplant. The nurse should identify which of the following client findings as a possible indication of a delay in functioning of the transplanted kidney?
a. Blood pressure 110/58 mm Hg
b. Incisional tenderness
c. Pink and bloody urine
d. Urine output 30 mL/2hr
5. A nurse is assessing a client who has chronic kidney disease and has completed her third peritoneal dialysis (PD) treatment. Which of the following should the nurse report to the provider?
a. Greater outflow of dialysate than inflow
b. Weight loss
c. Cloudy dialysate effluent
d. Report of pain during inflow
6. A nurse is performing an admission assessment on a client who has severe chronic kidney disease (CKD). Which of the following findings should the nurse expect for this client?
a. Tachypnea
b. Hypotension
c. Exophthalmos
d. Insomnia
7. A nurse is planning care for a client who has acute glomerulonephritis. The nurse should plan to provide which of the following interventions?
a. Weight the client daily
b. Encourage the client to drink 2 to 3 L of fluid per day
c. Instruct the client to ambulate every 2 hr
d. Obtain the client serum blood glucose
8. A nurse is caring for a hospitalized client who received hemodialysis 1 hr ago. When evaluating the client’s status after dialysis. Which of the following information should the nurse assess for first?
a. Serum potassium level
b. Body weight
c. Serum creatinine level
d. Vital signs
9. A nurse is caring for a client who has chronic kidney failure and the following laboratory results: BUN 196 mg/dL, sodium 152 mEq/L, and potassium 7.3 mEq/L. Which of the following intervention should the nurse implement?
a. Initiate an IV infusion of 0.9% sodium chloride
b. Give oral spironolactone
c. Infuse regular insulin in dextrose 10% in water
d. Administer furosemide
10. A nurse is providing education regarding cyclosporine for a client who had a kidney transplant 2 days ago. Which of the following statements by the nurse is appropriate?
a. “You may experience hair loss due to the medication therapy you’ll be taking.”
b. “You will need to continue taking this medication to protect your new kidneys.”
c. “Use an over-the-counter anti-inflammatory medication for aches and pains.”
d. “You will be at an increased risk for infection if you stop taking this medication.”
11. A nurse is discussing hemodialysis with a newly licensed nurse. The nurse should identify that hemodialysis is contraindicated for which of the following clients?
a. A client who cannot receive anticoagulants
b. A client who is unable to ambulate
c. A client who is immunocompromised
d. A client who is allergic to iodine
12. A nurse is caring for a client following extracorporeal shock wave lithotripsy (ESWL) for the [Show Less]