ATI Medical-Surgical: Renal and Urinary
1. A nurse is teaching a client who is preoperative for a renal biopsy.
Which of the following statements should the nurse make?
[] "you will be NPO for 8 hours following the procedure"
[] "an allergy to shellfish is a contraindication to this procedure"
[] "you will need to be on bed rest following the procedure"
[] "a creatinine clearance is needed prior to the procedure": [] "you will need
to be on bed rest following the procedure"
2. A nurse is assessing a client who was taken to the emergency
department following a motor-vehicle crash. The nurse should recognize
that which of the following findings is a manifestation of bladder trauma?
[] stress incontinence
[] hematuria
[] pyuria
[] fever: [] hematuria
3. A nurse is teaching a newly licensed nurse about caring for a client who
has a new left arteriovenous fistula. Which of the following statements
should the nurse make?
[] "check the fistula site daily for a vibration"
[] "instruct the client to restrict movement of his left arm"
[] "avoid taking blood pressure on the client's left arm"
[] "instruct the client to sleep on his left side": [] "avoid taking blood pressure
on the client's left arm"
4. A nurse is caring for a client who is receiving peritoneal dialysis. The
nurse should monitor the client for which of the following adverse effects?
[] diarrhea
[] serum albumin increased
[] hypoglycemia
[] peritonitis: [] peritonitis
, 5. A nurse is providing teaching to a client who has a history of urinary
tract infections (UTIs). Which of the following statements should the nurse
indicate to the need for additional teaching?
[] "I will empty my bladder every 4 hours"
[] "I will drink 2 liters of fluids per day"
[] "I will use a vaginal douche daily"
[] "I will wear cotton underwear": [] "I will use a vaginal douche daily"
6. A nurse is caring for a client who has a diagnosis of renal calculi &
reports
severe flank pain. Which of the following is the priority nursing action?
[] relieve the client's pain
[] encourage the client to increase fluid intake
[] monitor the client's I&O
[] strain the client's urine: [] relieve the client's pain
7. A nurse is teaching a client who has chronic kidney disease (CKD).
Which of the following instructions should the nurse include?
[] limit fluid intake
[] limit caloric intake
[] eat a diet high in phosphorus
[] eat a diet high in protein: [] limit fluid intake
8. A nurse is teaching a client about urinary tract infections (UTIs). Which
of the following manifestations should the nurse include?
[] weight gain
[] back pain
[] vaginal discharge
[] muscle cramps: [] back pain
9. A nurse is monitoring a client who is undergoing extracorporeal
shockwave lithotripsy (ESWL). The nurse should identify that which of the
following findings is the priority?
1. A nurse is teaching a client who is preoperative for a renal biopsy.
Which of the following statements should the nurse make?
[] "you will be NPO for 8 hours following the procedure"
[] "an allergy to shellfish is a contraindication to this procedure"
[] "you will need to be on bed rest following the procedure"
[] "a creatinine clearance is needed prior to the procedure": [] "you will need
to be on bed rest following the procedure"
2. A nurse is assessing a client who was taken to the emergency
department following a motor-vehicle crash. The nurse should recognize
that which of the following findings is a manifestation of bladder trauma?
[] stress incontinence
[] hematuria
[] pyuria
[] fever: [] hematuria
3. A nurse is teaching a newly licensed nurse about caring for a client who
has a new left arteriovenous fistula. Which of the following statements
should the nurse make?
[] "check the fistula site daily for a vibration"
[] "instruct the client to restrict movement of his left arm"
[] "avoid taking blood pressure on the client's left arm"
[] "instruct the client to sleep on his left side": [] "avoid taking blood pressure
on the client's left arm"
4. A nurse is caring for a client who is receiving peritoneal dialysis. The
nurse should monitor the client for which of the following adverse effects?
[] diarrhea
[] serum albumin increased
[] hypoglycemia
[] peritonitis: [] peritonitis
, 5. A nurse is providing teaching to a client who has a history of urinary
tract infections (UTIs). Which of the following statements should the nurse
indicate to the need for additional teaching?
[] "I will empty my bladder every 4 hours"
[] "I will drink 2 liters of fluids per day"
[] "I will use a vaginal douche daily"
[] "I will wear cotton underwear": [] "I will use a vaginal douche daily"
6. A nurse is caring for a client who has a diagnosis of renal calculi &
reports
severe flank pain. Which of the following is the priority nursing action?
[] relieve the client's pain
[] encourage the client to increase fluid intake
[] monitor the client's I&O
[] strain the client's urine: [] relieve the client's pain
7. A nurse is teaching a client who has chronic kidney disease (CKD).
Which of the following instructions should the nurse include?
[] limit fluid intake
[] limit caloric intake
[] eat a diet high in phosphorus
[] eat a diet high in protein: [] limit fluid intake
8. A nurse is teaching a client about urinary tract infections (UTIs). Which
of the following manifestations should the nurse include?
[] weight gain
[] back pain
[] vaginal discharge
[] muscle cramps: [] back pain
9. A nurse is monitoring a client who is undergoing extracorporeal
shockwave lithotripsy (ESWL). The nurse should identify that which of the
following findings is the priority?
