Renal ATI
Renal ATI Exam
1. A nurse is caring for a client who has continuous bladder irrigation following a transurethral
resection of the prostate.
... [Show More] Upon 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
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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
treatment of calcium phosphate kidney stones. Which of the following actions is appropriate for
the nuse to take?
a. Monitor the client’s urine for ketones
b. Provide the client with an increased animal protein diet.
c. Limit the client’s fluid intake to 1.5 L per day.
d. Strain all of the client’s urine
13. A nurse is performing an admission assessment of a client who has acute glomerulonephritis.
The nurse should expect which of the following findings?
a. Low blood pressure
b. Polyuria
c. Dark-colored urine
d. Weight loss
14. A nurse working in a women’s health clinic is caring for a client who reports urinary urgency and
dysuria. Which ofj the following additional findings should the nurse identify as an indication of a
urinary tract infection (UTI)?
a. Vaginal discharge
b. Pyuria
c. Glucosuria
d. Elevated creatine kinase-MB
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15. A nurse is reviewing the laboratory reports of a client who has acute kidney injury (AKI). Which
of the following findings should the nurse expect? ( select all that apply)
a. BUN 30 mg/ dL
b. Urine output 40 mL in past 3 hr
c. Potassium 3.6 mEq/L
d. Serum calcium 9.8 mg/dL
e. Hematocrit 30%
16. A newly licensed nurse and a nurse preceptor are caring for a client who has just had an
arteriovenous shunt placed in her left arm. Which of the following actions by the newly licensed
nurse requires intervention by the preceptor?
a. Auscultating for bruits in the shunt every 4 hr while the client is awake
b. Elevating the shunted arm on pillows postoperativey
c. Measuring blood pressure in the shunted arm every 4 hr
d. Palpating distal pulses of the shunted arm
17. A nurse is obtaining a voided urine culture and sensitivity for a client who has manifestations of
a urinary tract infection. Which of the following actions should the nurse take?
a. Collect the client’s urine in a clean specimen container
b. Instruct the client to initiate the flow of urine before collecting the specimen
c. Obtain the client’s first morning voiding on the following day.
d. Place the client’s urine specimen in a container with a preservative
18. A nurse is caring for a client who has nephritic syndrome and has been taking prednisone for 3
days. Which of the following adverse effects should the nurse monitor for and report to the
provider?
a. Sore throat
b. Frequent stools
c. Drowsiness
d. tremors
19. A nurse working in the emergency department is caring for a client who reports costovertebral
angle tenderness, nausea, and vomiting. For which of the following laboratory jvalues should the
nurse notify the provider?
a. WBC 15,000/mm3
b. BUN 15 mg/dL
c. Urine specific gravity 1.020
d. Urine pH 5.5
20. A nurse is providing discharge teaching for a client who has chronic kidney disease (CKD). Which
of the following statements by the client indicates an understanding of the teaching?
a. “I will consume foods high in protein”
b. “I will decrease my intake of foods high in phosphorus.”
c. “I will limit my intake of foods high in calcium.”
d. “I will add salts to the foods I consume.”
21. A nurse is preparing a teaching plan for a male client who has a continent internal ileal reservoir
following surgery to treat bladder cancer. Which of the following statements should the nurse
include in the teaching plan?
a. This should not affect your ability to have sexual intercourse.
b. You should empty your new bladder when it feels full
c. You will need to avoid foods that produce intestinal gas.
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d. You must insert a catheter through your stoma to drain the urine.
22. A nurse is reviewing the medical records of four clients. Which of the following conditions is a
risk factor for chronic pyelonephritis?
a. Parkinson’s disease
b. Diabetes mellitus
c. Peptic ulcer disease
d. Gallbladder disease
23. A nurse is caring for a client who has received hemodialysis. The nurse should identify that
which of the following findings places the client at risk for seizures?
a. Hypokalemia
b. A rapid increase of catecholamines
c. A rapid decrease in fluid
d. hypercalcemia
24. A nurse is teaching a client who has a new diagnosis of acute pyelonephritis. Which of the
following instructions should the nurse include in the teaching?
a. Drink upto 1,500 mL of fluid per day.
b. Avoid the use of NSAIDs for pain.
c. Monitor peripheral blood glucose level twice per day.
d. Increase dietary protein intake.
25. A nurse is planning care for a client who is scheduled to undergo extracorporeal shock wave
lithotripsy (ESWL) for urolithiasis. Which of the following actions should the nurse plan to take?
a. Place the client in a semi-fowler’s position
b. Assist with the client’s intubation
c. Begin a 24-hr urine specimen collection after the procedure
d. Apply electrodes for cardiac monitoring
26. A nurse is caring for a client the night before a scheduled intravenous urograophy. Which of the
following is the nurse’s priority intervention?
a. Inform the client about dietary limitations
b. Place the informed consent document in the client’s record
c. Administer a bowel preparation to the client
d. Determine if the client has an allergy to iodine or shellfish
27. A nurse is providing teaching for a client who has chronic kidney disease (CKD). Which of the
following client statements indicated an understanding of the teaching?
a. “I will monitor my blood pressure on the same day each week.”
b. “I will take milk of magnesia if I’m constipated.”
c. “I will weigh myself each morning.”
d. “I will use a salt substitute in my diet.”
28. A nurse is planning care for a client who is postoperative following a nephrectomy. Which of the
following assessments id the priority for the nurse to evaluate?
a. Bowel sounds
b. Wbc count
c. Pain level
d. Blood pressure
29. A nurse is planning care for a group of client. Which of the following clients should the nurse
plan to monitor for signs of nephrotoxicity?
a. A client is receiving gentamicin for treatment of a wound infection
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b. A client is receiving digoxin for treatment of heart failure
c. A client is receiving methylprednisolone for treatment of severe asthma
d. A client is receiving propranolol for treatment of hypertension
30. A nurse is providing teaching for a client who has urge urinary incontinence. The nurse should
include which of the following instructions?
a. Sit on the toilet with water running every 4 hr.
b. Set an interval for toileting based on previous voiding pattern
c. Respond immediately to urge to void
d. Self-catheterize following a regular voiding [Show Less]