ATI Renal Questions flashcard from
the Book 2023
A07nurse07is07reinforcing07teaching07a07client07who07will07have07an07x-
ray07of07the07kidneys,07ureters,07and07bladder.07Which07of07the07following07statements07
should07the07nurse07include?07-
07"The07procedure07determines07whether07you07have07a07kidney07stone."07KUB07can07Id
entify07renal07calculi,07stricture,07Ca07deposits07and07obstruction.07(No07use07of07contrast
07dyes07in07the07procedure,07no07use07for07enema07bc07it07doesn't07affect07GI07sys.,07clie
nt07needs07to07be07in07supine07position)
A07nurse07is07monitoring07a07client07who07had07a07kidney07biopsy07for07postoperative07c
omplications.07Which07of07the07following07complication07should07the07nurse07ID07as07cau
sing07the07greatest07risk07to07the07client?07-07Hemorrhage-
07from07the07lack07of07blood07clotting07on07puncture07site.07(Infection07and07pain07are07ris
ks07but07not07the07greatest07risk;07hematuria07common07complication07after0748-
72hr07of07the07procedure)
A07nurse07is07caring07for07a07client07who07has07T2DM07and07will07have07excretory07urogr
aphy.07Prior07to07the07procedure,07which07of07the07following07actions07should07the07nurs
e07take?07(Select07all07that07apply)07-
07Identify07an07allergy07to07seafood,07Withhold07metformin07for0724hr,07Administer07ene
ma,07Monitor07for07asthma07(no07need07for07blood07coagulation07profile—
its07usually07for07kidney07biopsy07for07risk07for07bleeding)
A07nurse07is07preparing07to07begin07a0724-
hour07urine07collection07for07a07client.07Which07of07the07following07actions07should07the0
7nurse07take?07-
07Discard07the07first07void07when07beginning07the07test07(Store07collected07urine07on07ic
e/fridge,07note07on07medical07record07or07on07toilet07not07on07the07door07bc07HIPPA;07St
art07test07over07if07any07urine07collection07was07missed)
A07nurse07is07collecting07data07from07a07client07who07has07returned07to07the07medical-
surgical07unit07following07a07CT07scan07of07the07kidney07with07IV07contrast.07Which07of07
the07following07findings07should07the07nurse07ID07as07an07indication07the07client07is07exp
eriencing07an07allergic07reaction07to07the07contrast07material?07-
07Skin07hives07(tachycardia,07client07that07undergo07cystoscopic07examination—
usually07have07pink07tinged07urine;07hyperpyrexia07aka07fever—
indication07of07infection07not07allergic07rxn)
A07nurse07is07reinforcing07reaching07with07a07client07who07has07chronic07kidney07DZ07an
d07is07to07begin07hemodialysis,07which07of07the07following07info07should07the07nurse07incl
ude?07-
07Hemodialysis07returns07a07balance07to07blood07electrolytes07by07removing07excess07N
a,07K,07Fluids,07Waste07products,07Maintains07acid/base07balance.07(Hemodialysis07doe
sn't07restore07kidney07function07but07sustains07life,07doesn't07replace07hormonal07functio
n07of07the07renal07system07RAAS,07Client07should07be07on07a07restrictive07diet07that's07hi
gh07in07folate07with07increased07protein,07yet07low07Na,07K07&07Phosphorus.
, A07nurse07is07caring07for07a07client07who07has07acute07kidney07injury07and07is07schedule
d07for07hemodialysis.07Which07of07the07following07actions07should07the07nurse07take?07(
Select07all07that07apply)07-07Review07the07meds07the07client07currently07takes-
withhold07meds07until07after07tx,07Check
the Book 2023
A07nurse07is07reinforcing07teaching07a07client07who07will07have07an07x-
ray07of07the07kidneys,07ureters,07and07bladder.07Which07of07the07following07statements07
should07the07nurse07include?07-
07"The07procedure07determines07whether07you07have07a07kidney07stone."07KUB07can07Id
entify07renal07calculi,07stricture,07Ca07deposits07and07obstruction.07(No07use07of07contrast
07dyes07in07the07procedure,07no07use07for07enema07bc07it07doesn't07affect07GI07sys.,07clie
nt07needs07to07be07in07supine07position)
A07nurse07is07monitoring07a07client07who07had07a07kidney07biopsy07for07postoperative07c
omplications.07Which07of07the07following07complication07should07the07nurse07ID07as07cau
sing07the07greatest07risk07to07the07client?07-07Hemorrhage-
07from07the07lack07of07blood07clotting07on07puncture07site.07(Infection07and07pain07are07ris
ks07but07not07the07greatest07risk;07hematuria07common07complication07after0748-
72hr07of07the07procedure)
A07nurse07is07caring07for07a07client07who07has07T2DM07and07will07have07excretory07urogr
aphy.07Prior07to07the07procedure,07which07of07the07following07actions07should07the07nurs
e07take?07(Select07all07that07apply)07-
07Identify07an07allergy07to07seafood,07Withhold07metformin07for0724hr,07Administer07ene
ma,07Monitor07for07asthma07(no07need07for07blood07coagulation07profile—
its07usually07for07kidney07biopsy07for07risk07for07bleeding)
A07nurse07is07preparing07to07begin07a0724-
hour07urine07collection07for07a07client.07Which07of07the07following07actions07should07the0
7nurse07take?07-
07Discard07the07first07void07when07beginning07the07test07(Store07collected07urine07on07ic
e/fridge,07note07on07medical07record07or07on07toilet07not07on07the07door07bc07HIPPA;07St
art07test07over07if07any07urine07collection07was07missed)
A07nurse07is07collecting07data07from07a07client07who07has07returned07to07the07medical-
surgical07unit07following07a07CT07scan07of07the07kidney07with07IV07contrast.07Which07of07
the07following07findings07should07the07nurse07ID07as07an07indication07the07client07is07exp
eriencing07an07allergic07reaction07to07the07contrast07material?07-
07Skin07hives07(tachycardia,07client07that07undergo07cystoscopic07examination—
usually07have07pink07tinged07urine;07hyperpyrexia07aka07fever—
indication07of07infection07not07allergic07rxn)
A07nurse07is07reinforcing07reaching07with07a07client07who07has07chronic07kidney07DZ07an
d07is07to07begin07hemodialysis,07which07of07the07following07info07should07the07nurse07incl
ude?07-
07Hemodialysis07returns07a07balance07to07blood07electrolytes07by07removing07excess07N
a,07K,07Fluids,07Waste07products,07Maintains07acid/base07balance.07(Hemodialysis07doe
sn't07restore07kidney07function07but07sustains07life,07doesn't07replace07hormonal07functio
n07of07the07renal07system07RAAS,07Client07should07be07on07a07restrictive07diet07that's07hi
gh07in07folate07with07increased07protein,07yet07low07Na,07K07&07Phosphorus.
, A07nurse07is07caring07for07a07client07who07has07acute07kidney07injury07and07is07schedule
d07for07hemodialysis.07Which07of07the07following07actions07should07the07nurse07take?07(
Select07all07that07apply)07-07Review07the07meds07the07client07currently07takes-
withhold07meds07until07after07tx,07Check
