ATI Renal GU Practice Questions
A00nurse00is00caring00for00a00client00who00has00chronic00kidney00disease00(CKD)00and00st
ates00she00has00heartburn.00The00provider00prescribes00aluminum00hydroxide.00The00cli
ent00asks,00"Why00can't00I00just00take00the00antacid00magaldrate00my00husband00has00at
00home?"00The00nurse00explains00to00the00client00that00aluminum00hydroxide00is00the00pr
eferred00antacid00because00it00lowers00which00of00the00following?
1. Serum00phosphorus00levels
2. Serum00potassium00levels
3. Serum00magnesium00levels
4. Serum00calcium00levels00-001.00Serum00phosphorus00levels
A00nurse00is00reviewing00the00arterial00blood00gas00values00of00a00client00who00has00chro
nic00kidney00disease.00Which00of00the00following00sets00of00values00should00nurse00expe
ct?
1. pH007.25,00HCO3-1900mEq/L,00PaCO2003000mm00Hg
2. pH007.30,00HCO3-2600mEq/L,00PaCO2005000mm00Hg
3. pH007.50,00HCO3-2000mEq/L,00PaCO2003200mm00Hg
4. pH007.55,00HCO3-003000mEq/L,00PaCO2003100mm00HG00-001.00pH007.25,00HCO3-
1900mEq/L,
PaCO2003000mm00Hg
A00nurse00is00reviewing00the00medical00record00of00a00client00who00has00a00urinary00tract
00infection00(UTI).00Which00of00the00following00findings00should00the00nurse00recognize00
as00a00risk00factor?
1. COPD
2. Diabetes00mellitus
3. Anemia
4. Osteoporosis00-002.00Diabetes00mellitus
A00nurse00is00providing00dietary00teaching00to00a00client00who00has00frequent00kidney00st
ones.00Which00of00the00following00instructions00should00the00nurse00include00in00the00te
aching?
1. "Limit00your00intake00of00dairy00products."
2. "Increase00the00amount00of00protein00in00your00diet."
3. "Avoid00eating00tree00nuts,00such00as00almonds."
4. "Take00a00vitamin00C00supplement00twice00daily."00-
003.00"Avoid00eating00tree00nuts,00such00as00almonds."
A00nurse00is00caring00for00a00client00who00is00receiving00peritoneal00dialysis.00The00nurse0
0should00monitor00the00client00for00which00of00the00following00manifestations00of00peritoni
tis?
1. Hyperactive00bowel00sounds
2. Nausea00and00vomiting
3. Bradycardia
4. Increased00urinary00output00-002.00Nausea00and00vomiting
A00nurse00in00a00dialysis00center00is00caring00for00a00client00who00has00a00new00diagnosis
00of00end-
stage00kidney00disease.00When00he00arrives00for00his00first00dialysis00treatment,00he00tell
, s00the00nurse,00"I00decided00to00come00today,00but00I00am00not00sure00if00I00will00need00t
o00come00back00again00this00week.00I
A00nurse00is00caring00for00a00client00who00has00chronic00kidney00disease00(CKD)00and00st
ates00she00has00heartburn.00The00provider00prescribes00aluminum00hydroxide.00The00cli
ent00asks,00"Why00can't00I00just00take00the00antacid00magaldrate00my00husband00has00at
00home?"00The00nurse00explains00to00the00client00that00aluminum00hydroxide00is00the00pr
eferred00antacid00because00it00lowers00which00of00the00following?
1. Serum00phosphorus00levels
2. Serum00potassium00levels
3. Serum00magnesium00levels
4. Serum00calcium00levels00-001.00Serum00phosphorus00levels
A00nurse00is00reviewing00the00arterial00blood00gas00values00of00a00client00who00has00chro
nic00kidney00disease.00Which00of00the00following00sets00of00values00should00nurse00expe
ct?
1. pH007.25,00HCO3-1900mEq/L,00PaCO2003000mm00Hg
2. pH007.30,00HCO3-2600mEq/L,00PaCO2005000mm00Hg
3. pH007.50,00HCO3-2000mEq/L,00PaCO2003200mm00Hg
4. pH007.55,00HCO3-003000mEq/L,00PaCO2003100mm00HG00-001.00pH007.25,00HCO3-
1900mEq/L,
PaCO2003000mm00Hg
A00nurse00is00reviewing00the00medical00record00of00a00client00who00has00a00urinary00tract
00infection00(UTI).00Which00of00the00following00findings00should00the00nurse00recognize00
as00a00risk00factor?
1. COPD
2. Diabetes00mellitus
3. Anemia
4. Osteoporosis00-002.00Diabetes00mellitus
A00nurse00is00providing00dietary00teaching00to00a00client00who00has00frequent00kidney00st
ones.00Which00of00the00following00instructions00should00the00nurse00include00in00the00te
aching?
1. "Limit00your00intake00of00dairy00products."
2. "Increase00the00amount00of00protein00in00your00diet."
3. "Avoid00eating00tree00nuts,00such00as00almonds."
4. "Take00a00vitamin00C00supplement00twice00daily."00-
003.00"Avoid00eating00tree00nuts,00such00as00almonds."
A00nurse00is00caring00for00a00client00who00is00receiving00peritoneal00dialysis.00The00nurse0
0should00monitor00the00client00for00which00of00the00following00manifestations00of00peritoni
tis?
1. Hyperactive00bowel00sounds
2. Nausea00and00vomiting
3. Bradycardia
4. Increased00urinary00output00-002.00Nausea00and00vomiting
A00nurse00in00a00dialysis00center00is00caring00for00a00client00who00has00a00new00diagnosis
00of00end-
stage00kidney00disease.00When00he00arrives00for00his00first00dialysis00treatment,00he00tell
, s00the00nurse,00"I00decided00to00come00today,00but00I00am00not00sure00if00I00will00need00t
o00come00back00again00this00week.00I
