2025 ATI RN TARGETED MEDICAL SURGICAL RENAL AND URINARY
ONLINE PRACTICE EXAM QUESTIONS & CORRECT ANSWERS WITH
RATIONALES
A nursing is caring for a client who has nephrotic syndrome and has been taking
prednisone for 3 days. Which of the following findings should the nurse report to
the provider as an adverse effect of prednisone?
A. Sore throat
B. Frequent stools
C. Hearing loss
D. Tremors
A. sore throat
Glucocorticoids depress the immune system and increase the client's risk for
infection. the nurse should recognize a sore throat as an indication of infection
and report this finding to the provider
A nurse is obtaining a urine specimen for cultrue and sensitivity from a client who
has manifestations of a urinary tract infection. Which of the following actions
should the nurse take?
A. Collect the clients urine in a clean specimen container
B. Instruct the client to start urinating then pass the container into the stream
C. Obtain the client's first morning urine on the following day
D. Place the client's urine specimen in a container with a preservative
B. Instruct the client to start urinating then pass the container into the stream
The nurse should instruct the client to start urinating then pass the container into
the stream and collect 30-60 ml of urine in the container
A nurse in a women's health clinic is caring for a client who reports urinary
urgency and dysuria. Which of 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
B. Pyuria
The nurse should identify pyuria, or white blood cells in the urine, as a common
manifestation of a UTI
A nurse is caring for a client who has acute kidney injury. which of the following
serum laboratory findings should the nurse report to the provider?
A. Potassium 5
B. Calcium 9
C. Creatinine 4
D. Amylase 84
C. Creatinine 4
A serum creatinine level above the expected reference range of 0.5 to 1.3 mg/dL
indicates impaired kidney function. Therefore, the nurse should report this finding
to the provider. The nurse should expect the creatinine level to decrease to within
the expected reference range with successful treatment of AKI.
A nurse is planning care for a client who has acute glomerulonephritis. The nurse
should plan to provide which of the following interventions?
A. Weigh 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. Check the client's blood glucose level
A. weigh the client daily
The nurse should monitor fluid retention by weighing the client daily. A decrease
in weight indicates the effectiveness of the therapy.
A nurse is providing instructions for reducing the dietary intake of potassium to a
client who has chronic kidney disease. Which of the following client food
selections indicates and understanding of the teaching?
A. 1 cup of cubed cantaloupe
B. 1 cup boiled spinach
C. One medium baked potato
D. One large raw apple
ONLINE PRACTICE EXAM QUESTIONS & CORRECT ANSWERS WITH
RATIONALES
A nursing is caring for a client who has nephrotic syndrome and has been taking
prednisone for 3 days. Which of the following findings should the nurse report to
the provider as an adverse effect of prednisone?
A. Sore throat
B. Frequent stools
C. Hearing loss
D. Tremors
A. sore throat
Glucocorticoids depress the immune system and increase the client's risk for
infection. the nurse should recognize a sore throat as an indication of infection
and report this finding to the provider
A nurse is obtaining a urine specimen for cultrue and sensitivity from a client who
has manifestations of a urinary tract infection. Which of the following actions
should the nurse take?
A. Collect the clients urine in a clean specimen container
B. Instruct the client to start urinating then pass the container into the stream
C. Obtain the client's first morning urine on the following day
D. Place the client's urine specimen in a container with a preservative
B. Instruct the client to start urinating then pass the container into the stream
The nurse should instruct the client to start urinating then pass the container into
the stream and collect 30-60 ml of urine in the container
A nurse in a women's health clinic is caring for a client who reports urinary
urgency and dysuria. Which of 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
B. Pyuria
The nurse should identify pyuria, or white blood cells in the urine, as a common
manifestation of a UTI
A nurse is caring for a client who has acute kidney injury. which of the following
serum laboratory findings should the nurse report to the provider?
A. Potassium 5
B. Calcium 9
C. Creatinine 4
D. Amylase 84
C. Creatinine 4
A serum creatinine level above the expected reference range of 0.5 to 1.3 mg/dL
indicates impaired kidney function. Therefore, the nurse should report this finding
to the provider. The nurse should expect the creatinine level to decrease to within
the expected reference range with successful treatment of AKI.
A nurse is planning care for a client who has acute glomerulonephritis. The nurse
should plan to provide which of the following interventions?
A. Weigh 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. Check the client's blood glucose level
A. weigh the client daily
The nurse should monitor fluid retention by weighing the client daily. A decrease
in weight indicates the effectiveness of the therapy.
A nurse is providing instructions for reducing the dietary intake of potassium to a
client who has chronic kidney disease. Which of the following client food
selections indicates and understanding of the teaching?
A. 1 cup of cubed cantaloupe
B. 1 cup boiled spinach
C. One medium baked potato
D. One large raw apple
