NURS 4120 FINAL EXAM WITH ATI PRACTICE QUESTIONS AND ANSWERS NEW 2021 EXAM UPDATE

NURS 4120 FINAL EXAM WITH ATI PRACTICE QUESTIONS AND ANSWERS NEW 2021 EXAM UPDATE A nurse is planning care for a client who is postoperative following a nephrectomy. Which of the following assessments is the priority for the nurse to evaluate? A. Bowel sounds B. WBC count C. Pain level D. Blood pressure 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. Obtain the client's serum blood glucose. A nurse is planning care for a client who is scheduled to undergo extracorporeal shock wave lithotripsy (ESWL) for urolithiasis. Which of the following actions should the nurse plan to take? A. Place the client in a semi-Fowler's position. B. Assist with the client's intubation. C. Begin a 24-hr urine specimen collection after the procedure. D. Apply electrodes for cardiac monitoring. A nurse is planning care for a group of clients. Which of the following clients should the nurse plan to monitor for signs of nephrotoxicity? A. A client who is receiving gentamicin for treatment of a wound infection B. A client who is receiving digoxin for treatment of heart failure C. A client who is receiving methylprednisolone for the treatment of severe asthma D. A client who is receiving propranolol for the treatment of hypertension A nurse is reviewing the medical records of four clients. Which of the following conditions is a risk factor for chronic pyelonephritis? A. Parkinson's disease B. Diabetes mellitus C. Peptic ulcer disease D. Gallbladder disease A nurse is performing an admission assessment of a client who has acute glomerulonephritis. The nurse should expect which of the following findings? A. Low blood pressure B. Polyuria C. Dark-colored urine D. Weight loss A nurse is caring for a client who has chronic kidney failure and the following laboratory results: BUN 196 mg/dL, sodium 152 mEq/L, and potassium 7.3 mEq/L. Which of the following interventions should the nurse implement? A. Initiate an IV infusion of 0.9% sodium chloride. B. Give oral spironolactone. C. Infuse regular insulin in dextrose 10% in water. D. Administer furosemide. A nurse is caring for a client the night before a scheduled intravenous urography. Which of the following is the nurse's priority intervention? A. Inform the client about dietary limitations. B. Place the informed consent document in the client's record. C. Administer a bowel preparation to the client. D. Determine if the client has an allergy to iodine or shellfish. 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? A. Tachypnea B. Hypotension C. Exophthalmos D. Insomnia A nurse is caring for a client who has a nephrotic syndrome and has been taking prednisone for 3 days. Which of the following adverse effects should the nurse monitor for and report to the provider? A. Sore throat B. Frequent stools C. DrowsinessAKI D. Tremors A nurse is reviewing the laboratory reports of a client who has acute kidney injury (AKI). Which of the following findings should the nurse expect? (Select all that apply.) A. BUN 30 mg/dL B. Urine output of 40 mL in past 3 hr C. Potassium 3.6 mEq/L D. Serum calcium 9.8 mg/dL E. Hematocrit 30% A nurse is discussing hemodialysis with a newly licensed nurse. The nurse should identify that hemodialysis is contraindicated for which of the following clients? A. A client who cannot receive anticoagulants B. A client who is unable to ambulate C. A client who is immunocompromised D. A client who is allergic to iodine A nurse is providing teaching for a client to urge urinary incontinence. The nurse should include which of the following instructions? A. Sit on the toilet with water running every 4 hr. B. Set an interval for toileting based on previous voiding patterns. C. Respond immediately to the urge to void. D. Self-catheterize daily following a regular voiding A nurse is providing discharge teaching for a client who has chronic kidney disease (CKD). Which of the following statements by the client indicates an understanding of the teaching? A. "I will consume foods high in protein." B. "I will decrease my intake of foods high in phosphorus." C. "I will limit my intake of foods high in calcium." D. "I will add salt to the foods I consume." 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? A. Irrigate the catheter with normal saline. B. Notify the provider. C. Check the irrigation tubing for kinks. D. Provide PRN pain medication. 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? A. 1 cup cubed cantaloupe B. 1 cup boiled spinach C. One baked potato D. One large apple A nurse is preparing a teaching plan for a male client who has a continent internal ileal reservoir following surgery to treat bladder cancer. Which of the following statements should the nurse include in the teaching plan? A. "This should not affect your ability to have sexual intercourse." B. "You should empty your new bladder when it feels full." C. "You will need to avoid foods that produce intestinal gas." D. "You must insert a catheter through your stoma to drain the urine." A nurse is assessing a client who has chronic kidney disease and has completed her third peritoneal dialysis (PD) treatment. Which of the following findings should the nurse report to the provider? A. The greater outflow of dialysate than the inflow B. Weight loss C. Cloudy dialysate effluent D. Report of pain during inflow A nurse is caring for a client who has received hemodialysis. The nurse should identify which of the following findings places the client at risk for seizures? A. Hypokalemia B. A rapid increase of catecholamines C. A rapid decrease in fluid D. Hypercalcemia A nurse is teaching a client who has a new diagnosis of acute pyelonephritis. Which of the following instructions should the nurse include in the teaching? A. Drink up to 1,500 mL of fluid per day. B. Avoid the use of NSAIDs for pain. C. Monitor peripheral blood glucose levels twice per day. D. Increase dietary protein intake. A nurse is caring for a client following extracorporeal shock wave lithotripsy (ESWL) for the treatment of calcium phosphate kidney stones. Which of the following actions is appropriate for the nurse to take? A. Monitor the client's urine for ketones. B. Provide the client with an increased animal protein diet. C. Limit the client's fluid intake to 1.5 L per day. D. Strain all of the client's urine. 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 inthe functioning of the transplanted kidney? A. Blood pressure 110/58 mm Hg B. Incisional tenderness C. Pink and bloody urine D. Urine output 30 mL/2 hr A nurse is obtaining a voided urine culture and sensitivity for a client who has manifestations of a urinary tract infection. Which of the following actions should the nurse take? A. Collect the client's urine in a clean specimen container. B. Instruct the client to initiate the flow of urine before collecting the specimen. C. Obtain the client's first morning voiding on the following day. D. Place the client's urine specimen in a container with a preservative. A nurse is providing education regarding cyclosporine for a client who had a kidney transplant 2 days ago. Which of the following statements by the nurse is appropriate? A. "You may experience hair loss due to the medication therapy you'll be taking." B. "You will need to continue taking this medication to protect your new kidneys." C. "Use an over-the-counter anti-inflammatory medication for aches and pains." D. "You will be at an increased risk for infection if you stop taking this medication." A nurse is providing teaching for a client who has chronic kidney disease (CKD). Which of the following client statements indicates an understanding of the teaching? A. "I will monitor my blood pressure on the same day each week." B. "I will take milk of magnesia if I'm constipated." C. "I will weigh myself each morning." D. "I will use a salt substitute in my diet." 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? A. Serum potassium 5.0 mEq/L B. Serum calcium 9.0 mg/dL C. Serum creatinine 4.0 mg/dL D. Serum amylase 84 IU/L A newly licensed nurse and a nurse preceptor are caring for a client who has just had an arteriovenous shunt placed in her left arm. Which of the following actions by the newly licensed nurse requires intervention by the preceptor? A. Auscultating for bruits in the shunt every 4 hr while the client is awake B. Elevating the shunted arm on pillows postoperatively C. Measuring blood pressure in the shunted arm every 4 hr D. Palpating distal pulses of the shunted arm A nurse working 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 A nurse working in the emergency department is caring for a client who reports costovertebral angle tenderness, nausea, and vomiting. For which of the following laboratory values should the nurse notify the provider? A. WBC 15,000/mm3 B. BUN 15 mg/dL C. Urine specific gravity 1.020 D. Urine pH 5.5 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? A. Serum potassium level B. Bodyweight C. Serum creatinine level D. Vital signs A client has chest pain rated at 8 on a 10 point visual analog scale. The 12-lead electrocardiogram reveals ST elevation in the inferior leads and Troponin levels are elevated. What is the highest priority for nursing management of this client at this time? Reduce pain and myocardial oxygen demand. A client with chest pain is prescribed intravenous nitroglycerin (Tridil). Which assessment is of greatest concern for the nurse initiating the nitroglycerin drip?