Renal (ATI and PPT)LATEST UPDATE 2025
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1. A nurse is planning care for a client d. blood pressure
who is postoperative following a
nephrectomy. Which of the following The greatest risk to the client is acute adrenal in-
assessments is the priority for the sufficiency. The adrenal gland can be removed or
nurse to evaluate? damaged during nephrectomy. The nurse should
a. bowel sounds evaluate the client for hypotension, decreased urine
b. WBC count output, and decreased level of consciousness.
c. pain level
d. blood pressure
2. A nurse is planning care for a client a. weigh the client daily
who has acute glomerulonephritis.
The nurse should plan to provide The nurse can monitor fluid retention by weighing
which of the following interventions? the client daily
a. weigh the client daily
b. encourage the client to drink 2 to
3L of fluid per day
c. instruct the client to ambulate
every 2 hr.
d. obtain the client's serum blood glu-
cose
3. A nurse is planning care for a client d. apply electrodes for cardiac monitoring
who is scheduled to undergo ex-
tracorporeal shock wave lithotripsy The nurse should apply electrodes for continuous
(ESWL) for urolithiasis. Which of the monitoring of the client's cardiac rhythm during
following actions should the nurse ESWL. The monitoring allows the provider to deliver
plan to take? shock waves that are synchronized with the R wave.
a. place the client in a semi-Fowler's
position
b. assist with the client's intubation
c. begin a 24-hr urine specimen col-
, Renal (ATI and PPT)LATEST UPDATE 2025
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lection after the procedure
d. apply electrodes for cardiac moni-
toring
4. A nurse is planning care for a group of a. a client who is receiving gentamicin for treatment
clients. Which of the following clients of a wound infection.
should the nurse plan to monitor for
signs of nephrotoxicity? Aminoglycoside antibiotics can injure cells of the
a. a client who is receiving gentamicin proximal renal tubules, causing acute tubular necro-
for treatment of a wound infection. sis. The nurse should plan to monitor this client for
b. a client who is receiving digoxin for nephrotoxicity and acute kidney injury.
treatment of heart failure
c. a client who is receiving methyl-
prednisolone for treatment of hyper-
tension
d. a client who is receiving propra-
nolol for treatment of hypertension
5. A nurse is reviewing the medical b. diabetes mellitus
records of four clients. Which of the
following conditions is a risk factor for A client who has a history of diabetes mellitus is at
chronic pyelonephritis? risk for the development of chronic pyelonephritis
a. parkinson's disease due to reduced bladder tone.
b. diabetes mellitus
c. peptic ulcer disease
d. gallbladder disease
6. A nurse is performing an admis- c. dark-colored urine
sion assessment of a client who has
acute glomerulonephritis. The nurse The client who has acute glomerulonephritis usually
should expect which of the following has urine that is a dark, reddish-brown color.
findings?
, Renal (ATI and PPT)LATEST UPDATE 2025
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a. low blood pressure
b. polyuria
c. dark-colored urine
d. weight loss
7. A nurse is caring for a client who c. infuse regular insulin dextrose 10% in water
has chronic kidney failure and the
following laboratory results: BUN The client has an elevated potassium level should
196 mg/dL, sodium 152 mEq/L, and receive regular insulin with dextrose 10% in water by
potassium 7.3 mEq/L. Which of the continuous IV infusion to facilitate moving potassium
following interventions should the out of the extracellular fluid into intracellular fluid.
nurse implement?
a. initiate an IV infusion of 0.9% sodi-
um chloride
b. give oral spirolactone
c. infuse regular insulin dextrose 10%
in water
d. administer furosemide
8. A nurse is caring for a client the night d. determine if the client is allergic to iodine of
before a scheduled intravenous urog- shellfish
raphy. Which of the following is the
nurse's priority intervention? The greatest risk to the client is injury or death form
a. inform the client about dietary lim- an allergic reaction to radiopaque contrast media.
itations The nurse should determine if the client has an al-
b. place the informed consent docu- lergy to iodine or shellfish, which indicates the client
ment in the client's record is at high risk of having an allergic reaction to the
c. administer a bowel preparation to contrast media
the client
d. determine if the client is allergic to
iodine of shellfish
, Renal (ATI and PPT)LATEST UPDATE 2025
Study online at https://quizlet.com/_hezv3p
9. A nurse is performing an admis- a. tachypnea
sion assessment on a client who
has severe chronic kidney disease The nurse should expect the client who has severe
(CKD). Which of the following find- CKD to have tachypnea due to metabolic acidosis
ings should the nurse expect for this
client?
a. tachypnea
b. hypotension
c. exophthalmos
d. insomnia
10. A nurse is caring for a client who a. sore throat
has nephrotic syndrome and has
been taking prednisone for 3 days. Glucocorticoids depress the natural immune system
Which of the following adverse ef- and increase the client's risk for infection. A sore
fects should the nurse monitor for throat can indicate an infection.
and report to the provider?
a. sore throat
b. frequent stools
c. drowsiness
d. tremors
11. A nurse is reviewing the laboratory a. BUN 30 mg/dL
reports of a client who has acute kid- b. Urine output of 40mL in past 3hr
ney injury (AKI). Which of the follow- e. Hematocrit 30%
ing findings should the nurse expect?
(Select all that apply)
a. BUN 30 mg/dL
b. Urine output of 40mL in past 3hr
c. Potassium 3.6 mEq/L
d. Serum calcium 9.8 mg/dL
e. Hematocrit 30%
Study online at https://quizlet.com/_hezv3p
1. A nurse is planning care for a client d. blood pressure
who is postoperative following a
nephrectomy. Which of the following The greatest risk to the client is acute adrenal in-
assessments is the priority for the sufficiency. The adrenal gland can be removed or
nurse to evaluate? damaged during nephrectomy. The nurse should
a. bowel sounds evaluate the client for hypotension, decreased urine
b. WBC count output, and decreased level of consciousness.
c. pain level
d. blood pressure
2. A nurse is planning care for a client a. weigh the client daily
who has acute glomerulonephritis.
The nurse should plan to provide The nurse can monitor fluid retention by weighing
which of the following interventions? the client daily
a. weigh the client daily
b. encourage the client to drink 2 to
3L of fluid per day
c. instruct the client to ambulate
every 2 hr.
d. obtain the client's serum blood glu-
cose
3. A nurse is planning care for a client d. apply electrodes for cardiac monitoring
who is scheduled to undergo ex-
tracorporeal shock wave lithotripsy The nurse should apply electrodes for continuous
(ESWL) for urolithiasis. Which of the monitoring of the client's cardiac rhythm during
following actions should the nurse ESWL. The monitoring allows the provider to deliver
plan to take? shock waves that are synchronized with the R wave.
a. place the client in a semi-Fowler's
position
b. assist with the client's intubation
c. begin a 24-hr urine specimen col-
, Renal (ATI and PPT)LATEST UPDATE 2025
Study online at https://quizlet.com/_hezv3p
lection after the procedure
d. apply electrodes for cardiac moni-
toring
4. A nurse is planning care for a group of a. a client who is receiving gentamicin for treatment
clients. Which of the following clients of a wound infection.
should the nurse plan to monitor for
signs of nephrotoxicity? Aminoglycoside antibiotics can injure cells of the
a. a client who is receiving gentamicin proximal renal tubules, causing acute tubular necro-
for treatment of a wound infection. sis. The nurse should plan to monitor this client for
b. a client who is receiving digoxin for nephrotoxicity and acute kidney injury.
treatment of heart failure
c. a client who is receiving methyl-
prednisolone for treatment of hyper-
tension
d. a client who is receiving propra-
nolol for treatment of hypertension
5. A nurse is reviewing the medical b. diabetes mellitus
records of four clients. Which of the
following conditions is a risk factor for A client who has a history of diabetes mellitus is at
chronic pyelonephritis? risk for the development of chronic pyelonephritis
a. parkinson's disease due to reduced bladder tone.
b. diabetes mellitus
c. peptic ulcer disease
d. gallbladder disease
6. A nurse is performing an admis- c. dark-colored urine
sion assessment of a client who has
acute glomerulonephritis. The nurse The client who has acute glomerulonephritis usually
should expect which of the following has urine that is a dark, reddish-brown color.
findings?
, Renal (ATI and PPT)LATEST UPDATE 2025
Study online at https://quizlet.com/_hezv3p
a. low blood pressure
b. polyuria
c. dark-colored urine
d. weight loss
7. A nurse is caring for a client who c. infuse regular insulin dextrose 10% in water
has chronic kidney failure and the
following laboratory results: BUN The client has an elevated potassium level should
196 mg/dL, sodium 152 mEq/L, and receive regular insulin with dextrose 10% in water by
potassium 7.3 mEq/L. Which of the continuous IV infusion to facilitate moving potassium
following interventions should the out of the extracellular fluid into intracellular fluid.
nurse implement?
a. initiate an IV infusion of 0.9% sodi-
um chloride
b. give oral spirolactone
c. infuse regular insulin dextrose 10%
in water
d. administer furosemide
8. A nurse is caring for a client the night d. determine if the client is allergic to iodine of
before a scheduled intravenous urog- shellfish
raphy. Which of the following is the
nurse's priority intervention? The greatest risk to the client is injury or death form
a. inform the client about dietary lim- an allergic reaction to radiopaque contrast media.
itations The nurse should determine if the client has an al-
b. place the informed consent docu- lergy to iodine or shellfish, which indicates the client
ment in the client's record is at high risk of having an allergic reaction to the
c. administer a bowel preparation to contrast media
the client
d. determine if the client is allergic to
iodine of shellfish
, Renal (ATI and PPT)LATEST UPDATE 2025
Study online at https://quizlet.com/_hezv3p
9. A nurse is performing an admis- a. tachypnea
sion assessment on a client who
has severe chronic kidney disease The nurse should expect the client who has severe
(CKD). Which of the following find- CKD to have tachypnea due to metabolic acidosis
ings should the nurse expect for this
client?
a. tachypnea
b. hypotension
c. exophthalmos
d. insomnia
10. A nurse is caring for a client who a. sore throat
has nephrotic syndrome and has
been taking prednisone for 3 days. Glucocorticoids depress the natural immune system
Which of the following adverse ef- and increase the client's risk for infection. A sore
fects should the nurse monitor for throat can indicate an infection.
and report to the provider?
a. sore throat
b. frequent stools
c. drowsiness
d. tremors
11. A nurse is reviewing the laboratory a. BUN 30 mg/dL
reports of a client who has acute kid- b. Urine output of 40mL in past 3hr
ney injury (AKI). Which of the follow- e. Hematocrit 30%
ing findings should the nurse expect?
(Select all that apply)
a. BUN 30 mg/dL
b. Urine output of 40mL in past 3hr
c. Potassium 3.6 mEq/L
d. Serum calcium 9.8 mg/dL
e. Hematocrit 30%
