ATI Targeted Prac Assessmt 2019: Renal
and Urinary
A nurse is caring for a client who has continuous bladder irrigation following a transurethral
resection of the prostate. Upon detecting an output obstruction, which of the following actions
should the nurse take first?
-Irrigate the catheter w/ normal saline
-Notify the provider
-Check the irrigation tubing for kinks
-Provide the PRN pain medication - ANS-Check the irrigation tubing for kinks
The first action the nurse should take is to check the irrigation tubing for kinking or clots as
these can prevent outflow of fluids
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?
- 1 cup cubed cantaloupe
-1 cup boiled spinach
- 1 baked potato
-1 large apple - ANS- 1 large apple
Of the listed foods, 1 large apple is the lowest in potassium, containing 239 mg per serving
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?
- serum potassium 5.0 mEq/L
- Serum calcium 9.0 mg/dL
- Serum creatinine 4.0 mg/dL
- Serum amylase 84 IU/L - ANS- Serum creatinine 4.0 mg/dL
Normal range is 0.6 - 1.3 mg/dL
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?
- Blood pressure 110/58 mm Hg
- Incisional tenderness
- Pink and bloody urine
- Urine output 30 mL/2 hr - ANS- Urine output 30 mL / 2hr
, A minimum urine output of 30 mL/hr is expected following a renal transplant. The nurse should
monitor for adequate output or a decrease in the hourly output.
A nurse is assessing a client who has chronic kidney disease and has completed her third
peritonial dialysis (PD) treatment. Which of the following findings should the nurse report to the
provider?
- Greater outflow of dialysate than inflow
- Weight loss
- Cloudy dialysate effluent
- Report of pain during inflow - ANS- Cloudy dialysate effluent
Cloudy or opaque drainage is an early manifestation of peritonitis. The nurse should notify the
provider immediately because infection can be a life-threatening complication.
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?
- Tachypnea
- Hypotension
- Exophthalmos
- Insomnia - ANSTachypnea
The nurse should expect the client who has severe CKD to have tachypnea due to metabolic
acidosis
A nurse is planning care for a client who has acute glomerulonephritis. The nurse should plan to
provide which of the following interventions?
- weigh the client daily.
- Encourage the client to drink 2 to 3 L of fluid per day
- Instruct the client to ambulate every 2 hr.
- Obtain the client's serum blood glucose - ANSWeigh the client daily
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?
- Serum potassium level
- Body weight
- Serum creatinine level
- Vital signs - ANSVital signs
When using ABCs approach to client care, the nurse should determine that the priority info to
asses is the client's V/S
and Urinary
A nurse is caring for a client who has continuous bladder irrigation following a transurethral
resection of the prostate. Upon detecting an output obstruction, which of the following actions
should the nurse take first?
-Irrigate the catheter w/ normal saline
-Notify the provider
-Check the irrigation tubing for kinks
-Provide the PRN pain medication - ANS-Check the irrigation tubing for kinks
The first action the nurse should take is to check the irrigation tubing for kinking or clots as
these can prevent outflow of fluids
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?
- 1 cup cubed cantaloupe
-1 cup boiled spinach
- 1 baked potato
-1 large apple - ANS- 1 large apple
Of the listed foods, 1 large apple is the lowest in potassium, containing 239 mg per serving
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?
- serum potassium 5.0 mEq/L
- Serum calcium 9.0 mg/dL
- Serum creatinine 4.0 mg/dL
- Serum amylase 84 IU/L - ANS- Serum creatinine 4.0 mg/dL
Normal range is 0.6 - 1.3 mg/dL
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?
- Blood pressure 110/58 mm Hg
- Incisional tenderness
- Pink and bloody urine
- Urine output 30 mL/2 hr - ANS- Urine output 30 mL / 2hr
, A minimum urine output of 30 mL/hr is expected following a renal transplant. The nurse should
monitor for adequate output or a decrease in the hourly output.
A nurse is assessing a client who has chronic kidney disease and has completed her third
peritonial dialysis (PD) treatment. Which of the following findings should the nurse report to the
provider?
- Greater outflow of dialysate than inflow
- Weight loss
- Cloudy dialysate effluent
- Report of pain during inflow - ANS- Cloudy dialysate effluent
Cloudy or opaque drainage is an early manifestation of peritonitis. The nurse should notify the
provider immediately because infection can be a life-threatening complication.
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?
- Tachypnea
- Hypotension
- Exophthalmos
- Insomnia - ANSTachypnea
The nurse should expect the client who has severe CKD to have tachypnea due to metabolic
acidosis
A nurse is planning care for a client who has acute glomerulonephritis. The nurse should plan to
provide which of the following interventions?
- weigh the client daily.
- Encourage the client to drink 2 to 3 L of fluid per day
- Instruct the client to ambulate every 2 hr.
- Obtain the client's serum blood glucose - ANSWeigh the client daily
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?
- Serum potassium level
- Body weight
- Serum creatinine level
- Vital signs - ANSVital signs
When using ABCs approach to client care, the nurse should determine that the priority info to
asses is the client's V/S
