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ATI Fundamentals exam 2

Total Questions : 59

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Question 1:

A nurse is caring for a client with a new diagnosis of acute kidney injury. The client states, "This is going to mess my life up." Which of the following is the best response by the nurse to assist the client to begin to understand the impact of this disease?

Answer and Explanation

A
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Question 2:

A nurse is caring for a client diagnosed with bacterial meningitis and is receiving gentamicin. Morning laboratory results include the following: BUN 31 mg/dL, creatinine 1.8 mg/dL, and glomerular filtration rate 55 mL/min. Which of the following conditions does the client's laboratory results most likely indicate?

Answer and Explanation

A
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Question 3:

.A nurse is assisting the registered nurse conduct an admission assessment of a client with benign prostatic hypertrophy (BPH). The client states they avoid social events due to this condition. Which of the following client findings should the nurse expect to find in the assessment? (Select all that apply.)

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A
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Question 4:

A nurse is caring for a group of clients, who all are incontinent of urine, on the medical-surgical unit. Which comorbidities should the nurse expect to find in their medical records? (Select all that apply.)

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Question 5:

A nurse is caring for a client who has chronic glomerulonephritis. The assistive personnel (AP) brings a snack into the client's room. Which of the following foods should the nurse stop the AP from giving to this client?

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A
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Question 6:

A nurse is caring for a client admitted to the urology unit with complaints of shortness of breath and a diagnosis of chronic kidney disease. Which of the following pathophysiological changes in the renal system led to the admitting diagnosis of chronic kidney disease?

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Question 7:

A nurse is assisting with the discharge teaching for a client on home intermittent peritoneal dialysis. Which of the following statements by the client indicates an understanding of fluid balance self-management? (Select all that apply.)

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Question 8:

A nurse is caring for a group of clients on a medical unit. Which of the following clients is the most at risk for an acute kidney injury? (Select all that apply.)

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A
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Question 9:

A nurse is caring for a client with a history of benign prostatic hypertrophy who has been admitted for a urinary tract infection. A student nurse asks what causes benign prostatic hypertrophy in men. The nurse should respond with which of the following statements?

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A
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Question 10:

An occupational nurse at a candy factory is assisting in developing a plan of care for clients who are experiencing incontinence that affects their job performance and overall quality of life. Which of the following client statements would indicate an understanding of a contributing factor to their incontinence at work?

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Question 11:

A nurse is assisting in the planning of a discharge teaching plan for a client with glomerulonephritis. Which of the following actions should the nurse expect to be included in the plan to reduce the development of complications?

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Question 12:

A nurse is assisting in the assessment of a client coming into the clinic for complaints of painful urination. The client reports that they leak urine when they sneeze, cough, or lift heavy objects. Which of the following best describes the cause of this type of urinary elimination alteration?

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Question 13:

A nurse is caring for four clients on a medical-surgical unit. Which of the following clients is at the highest risk for developing acute kidney injury?

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A
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Question 14:

A nurse is assisting in developing a plan of care for a client in a long-term skilled facility who has urinary incontinence. The interventions include bladder training and timed voiding. Which of the following statements by the client best indicates the interventions have impacted their quality of life?

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Question 15:

nurse is caring for a client with urinary retention. The client asks what causes them to have urinary retention. Which of the following statements should the nurse make regarding possible causes of urinary retention? (Select all that apply.)

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Question 16:

A nurse is participating in the evaluation of the client's understanding of chronic kidney disease. Which of the following client statements indicate understanding of food restrictions? (Select all that apply.)

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Question 17:

A nurse is caring for a group of clients on a medical-surgical unit. Which of the following clients is the most at risk for developing acute glomerulonephritis?

Answer and Explanation

A
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Question 18:

A nurse is caring for a client in the emergency department who reports bloody urine, frequent urination, and lower back pain rated as a 9 on a scale of 0 to 10. The provider performs a physical assessment on the client and tells the client, "I think you have polycystic kidney disease, but we will order a CT scan to confirm." Which of the following physical findings did the provider most likely find during the physical assessment that led to the possible diagnosis of polycystic kidney disease?

Answer and Explanation

A
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Question 19:

A nurse is caring for a client admitted with acute glomerulonephritis. The client wants to know how this condition occurs. Which of the following best describes the pathological process of acute glomerulonephritis?

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Question 20:

A nurse is caring for a client admitted with acute glomerulonephritis. The client wants to know how this condition occurs. Which of the following best describes the pathological process of acute glomerulonephritis?

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Question 21:

A nurse is caring for a client in the clinic who reports an inability to drain their bladder and urgency with urination. The client's medical history indicates they have had benign prostatic hypertrophy (BPH) for the last 26 years. Which of the following other clinical manifestations of BPH will the client most likely report to the nurse? (Select all that apply.)

Answer and Explanation

A
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Question 22:

A nurse is caring for a group of clients on a urology unit. Which clients are the most at risk for benign prostatic hypertrophy (BPH)? (Select all that apply.)

Answer and Explanation

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Question 23:

A nurse is assisting in the admission assessment of a client who presents to the emergency department (ED) reporting a puffy face and malaise. The client states, "I finished taking amoxicillin for strep throat a few days ago." The nurse suspects the client may have acute glomerulonephritis. If the nurse is correct, which of the following other assessment findings should the nurse expect? (Select all that apply.)

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Question 24:

A nurse is caring for a client who has acute kidney injury (AKI). The nurse should expect which of the following findings in the client's medical record? (Select all that apply.)

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Question 25:

A nurse on the dialysis unit is caring for a client who has end-stage kidney disease and is getting ready for their first hemodialysis session. Which of the following topics should the nurse include when discussing the impact of hemodialysis treatment on the client's life? (Select all that apply.)

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