ATI Renal MC Questions
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1. A nurse is providing teaching to a client who has renal failure and an elevated phosphorous level. The provider
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tinstructed the client to take aluminum hydroxide 300 mg PO three times daily. For which of the following
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tadverseeffects should the nurse inform the client?
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A. Constipation
B. Metallic taste t
C. Headache
D. Muscle spasms t
2. A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of
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tthefollowing laboratory results should the nurse review for an indication of a therapeutic effect of the medication?
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A. The leukocyte count
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B. The platelet count
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C. The hematocrit (Hct)
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D. The erythrocyte sedimentation rate (ESR)
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3. A nurse is reviewing laboratory values for a client who has systemic lupus erythematosus (SLE). Which of
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tthefollowing values should give the nurse the best indication of the client's renal function?
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A. Serum creatinine t
B. Blood urea nitrogen (BUN) t t t
C. Serum sodium t
D. Urine-specific gravity t
4. A nurse is caring for a client who has impaired renal function. For which of the following findings should the
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tnursenotify the provider?
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A. Urine output of175 mL in the past 8 hr
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B. Urine output of 2,200 mL in the past 24 hr
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C. First-voided urine in the morning has a strong odor t t t t t t t t
D. Urine is cloudy after sitting in the urinal for 6 hr
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pg. 1
, Renal
5. A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of
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tthefollowing should the nurse identify as a contraindication for this treatment?
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A. Breast cancer survivor for 8 years
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B. Pacemaker
C. 65-years of age t t
D. Alcohol use disorder t t
6. A nurse is discussing laboratory values associated with the renal system with a newly licensed nurse. Which of
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tthefollowing statements by the newly licensed nurse indicates an understanding of the values?
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A. Potassium levels are increased in clients who have polyuria.
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B. Specific gravity is decreased in clients who have hypovolemia.
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C. BUN is decreased in clients who have dehydration.
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D. Creatinine levels are increased in clients who have acute kidney injury.
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7. A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are
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texpectedfindings? (Select all that apply).
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A. Slurred speech t
B. Bone pain t
C. Bradypnea.
D. Pruritus
E. Hypotension
8. A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which
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tofthe following electrolyte imbalances should the nurse expect?
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A. Hyperkalemia
B. Hypernatremia
C. Hypercalcemia
D. Hypophosphatemia
pg. 2