ATI MED SURG PROCTORED RETAKE STUDY GUIDE LATEST
VERSION UPDATED AND REVISED IN 2025
A nurse is reinforcing teaching with a client who will have
an x-ray of the kidneys, ureters, and bladder. Which of
the following statements should the nurse include? -
ANSWER ->The procedure determines whether you have
a kidney stone
KUB can identify renal calculi, strictures, calcium
deposits, and obstructions of the urinary system
A nurse is monitoring a client who has a kidney biopsy for
post-op complications. Which of the following
complications should the nurse identify as causing the
greatest risk to the client? - ANSWER ->Hemorrhage
due to lack of clotting at the puncture site.
A nurse is caring for a client who has type 2 diabetes
mellitus and will have excretory urography. Prior to the
procedure, which of the following actions should the
nurse take? - ANSWER ->Identify an allergy to seafood
(contrast dye)
Administer an enema (removes contents for clear view)
,Withhold metformin for 24 hr (greater risk of lactic
acidosis from the contrast dye)
Check for asthma (exacerbation as an allergic response to
the contrast dye)
A nurse is preparing to begin a 24 hour urine collection
for a client. Which of the following actions should the
nurse take? - ANSWER ->Discard the first voiding when
beginning the test.
A nurse is collecting data from a client who has returned
to the med-surg unit following a CT scan of the kidneys
with IV contrast. Which of the following findings should
the nurse identify as an indication the client is
experiencing an allergic reaction to the contrast material.
- ANSWER ->Pruritus
ss of a reaction: tachycardia, dyspnea, rash, and pruritus.
A nurse is reinforcing teaching with a client who has
chronic kidney disease and is to begin hemodialysis.
Which of the following information should the nurse
include? - ANSWER ->Hemodialysis returns a balance to
serum electrolytes.
, Does so by removing excess sodium, potassium, fluids
and waste products, and restores acid-base balance.
A nurse is caring for a client who has actor kidney injury
and is scheduled for hemodialysis. Which of the following
actions should the nurse take? - ANSWER ->Measure the
client's weight
Review the medications the client currently takes
Check serum electrolytes
Check the AV fistula for a bruit
A nurse is contributing to the plan of care for a client
who received hemodialysis. Which of the following
interventions should the nurse recommend? - ANSWER -
>Monitor the access site for bleeding
Administer medications the nurse withheld prior to
dialysis
Observe for manifestations of hypovolemia
Check BUN and serum creatinine
A nurse is caring for a client who develops disequilibrium
syndrome after receiving hemodialysis. Which of the
following actions should the nurse take? - ANSWER -
>Check level of consciousness.
VERSION UPDATED AND REVISED IN 2025
A nurse is reinforcing teaching with a client who will have
an x-ray of the kidneys, ureters, and bladder. Which of
the following statements should the nurse include? -
ANSWER ->The procedure determines whether you have
a kidney stone
KUB can identify renal calculi, strictures, calcium
deposits, and obstructions of the urinary system
A nurse is monitoring a client who has a kidney biopsy for
post-op complications. Which of the following
complications should the nurse identify as causing the
greatest risk to the client? - ANSWER ->Hemorrhage
due to lack of clotting at the puncture site.
A nurse is caring for a client who has type 2 diabetes
mellitus and will have excretory urography. Prior to the
procedure, which of the following actions should the
nurse take? - ANSWER ->Identify an allergy to seafood
(contrast dye)
Administer an enema (removes contents for clear view)
,Withhold metformin for 24 hr (greater risk of lactic
acidosis from the contrast dye)
Check for asthma (exacerbation as an allergic response to
the contrast dye)
A nurse is preparing to begin a 24 hour urine collection
for a client. Which of the following actions should the
nurse take? - ANSWER ->Discard the first voiding when
beginning the test.
A nurse is collecting data from a client who has returned
to the med-surg unit following a CT scan of the kidneys
with IV contrast. Which of the following findings should
the nurse identify as an indication the client is
experiencing an allergic reaction to the contrast material.
- ANSWER ->Pruritus
ss of a reaction: tachycardia, dyspnea, rash, and pruritus.
A nurse is reinforcing teaching with a client who has
chronic kidney disease and is to begin hemodialysis.
Which of the following information should the nurse
include? - ANSWER ->Hemodialysis returns a balance to
serum electrolytes.
, Does so by removing excess sodium, potassium, fluids
and waste products, and restores acid-base balance.
A nurse is caring for a client who has actor kidney injury
and is scheduled for hemodialysis. Which of the following
actions should the nurse take? - ANSWER ->Measure the
client's weight
Review the medications the client currently takes
Check serum electrolytes
Check the AV fistula for a bruit
A nurse is contributing to the plan of care for a client
who received hemodialysis. Which of the following
interventions should the nurse recommend? - ANSWER -
>Monitor the access site for bleeding
Administer medications the nurse withheld prior to
dialysis
Observe for manifestations of hypovolemia
Check BUN and serum creatinine
A nurse is caring for a client who develops disequilibrium
syndrome after receiving hemodialysis. Which of the
following actions should the nurse take? - ANSWER -
>Check level of consciousness.
