ATI RENAL AND URINARY UPDATED ACTUAL
QUESTIONS WITH CORRECT ANSWERS
Question 1.
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
ANSWER
D. Blood Pressure
The greatest risk to the client is acute adrenal insufficiency. The adrenal gland can be
removed or damaged during nephrectomy. The nurse should evaluate the client for
hypotension, decreased urine output, and decreased level of consciousness.
Question 2.
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.
ANSWER
A. Weight the client daily
A. The nurse can monitor fluid retention by weighing the client daily.
, Question 3.
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.
ANSWER
D. Apply electrodes for cardiac monitoring
D. The nurse should apply electrodes for continuous monitoring of the client's cardiac rhythm
during ESWL. This monitoring allows the provider to deliver shock waves that are
synchronized with the R wave.
Question 4.
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 treatment of severe asthma
D. A client who is receiving propranolol for treatment of hypertension
ANSWER
A. A client who is receiving gentamicin for treatment of a wound infection
A. Aminoglycoside antibiotics can injure cells of the proximal renal tubules, causing acute
tubular necrosis. The nurse should plan to monitor this client for nephrotoxicity and acute
kidney injury.
Question 5.
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
ANSWER
B. Diabetes mellitus
B. A client who has a history of diabetes mellitus is at risk for the development of chronic
pyelonephritis due to reduced bladder tone.
QUESTIONS WITH CORRECT ANSWERS
Question 1.
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
ANSWER
D. Blood Pressure
The greatest risk to the client is acute adrenal insufficiency. The adrenal gland can be
removed or damaged during nephrectomy. The nurse should evaluate the client for
hypotension, decreased urine output, and decreased level of consciousness.
Question 2.
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.
ANSWER
A. Weight the client daily
A. The nurse can monitor fluid retention by weighing the client daily.
, Question 3.
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.
ANSWER
D. Apply electrodes for cardiac monitoring
D. The nurse should apply electrodes for continuous monitoring of the client's cardiac rhythm
during ESWL. This monitoring allows the provider to deliver shock waves that are
synchronized with the R wave.
Question 4.
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 treatment of severe asthma
D. A client who is receiving propranolol for treatment of hypertension
ANSWER
A. A client who is receiving gentamicin for treatment of a wound infection
A. Aminoglycoside antibiotics can injure cells of the proximal renal tubules, causing acute
tubular necrosis. The nurse should plan to monitor this client for nephrotoxicity and acute
kidney injury.
Question 5.
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
ANSWER
B. Diabetes mellitus
B. A client who has a history of diabetes mellitus is at risk for the development of chronic
pyelonephritis due to reduced bladder tone.
