Practice Question
A nurse is monitoring an older adult female client who had a myocardial infarction (MI) for the development of acute kidney injury (AKI). Which of the following findings should the nurse identify as indicating an increased risk of AKI?
Answer Choices:
Correct Answer:
Blood urea nitrogen (BUN) 200 mg/dL
Rationale:
🔷 Elevated BUN (200 mg/dL) suggests acute kidney injury (AKI), particularly prerenal AKI, where impaired renal perfusion leads to reduced filtration.
🔷 Magnesium levels and serum osmolality are not as directly related to kidney injury in this context.
🔷 A creatinine level of 1.8 mg/dL may be slightly elevated but does not indicate severe AKI on its own.
🔷 BUN is often more sensitive to fluid shifts and renal perfusion.
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This question is from RN ATI MedSurg Exam V which contains 90 questions.
More Questions from This Exam
A nurse is providing discharge teaching to a client who will be performing continuous ambulatory peritoneal dialysis (CAPD) at home. Which of the following statements from the client indicates an understanding of this type of dialysis management? (Select all that apply.)
Answer Choices:
A. "I must wash my hands every time before I connect the tubing to the catheter in my stomach."
B. "I will lay down for 4 to 6 hours every time the new solution is dwelling in my peritoneal cavity.
C. I will weigh myself daily and keep track of my weight in my dialysis record."
D. "I will complete the instillation of fluid once a day at bedtime."
E. "I will check my blood pressure and follow the instructions related to changes I might need to do based on the results."
A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply.).
Answer Choices:
A. Pruritus
B. Slurred speech
C. Hypotension
D. Bone pain
E. Bradypnea
A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?
Answer Choices:
A. Hypernatremia
B. Hypophosphatemia
C. Hypercalcemia
D. Hyperkalemia
A nurse is caring for a client admitted with renal calculus. Which of the following assessment findings should the nurse associate with renal calculi? (Select all that apply).
Answer Choices:
A. Fever
B. Urinary urgency
C. Incontinence
D. Gastrointestinal upset
E. Flank pain
A nurse is providing discharge teaching to a client who has a new arteriovenous fistula in the right forearm. Which of the following manifestations should the nurse include in the teaching as possible indications of venous insufficiency?
Answer Choices:
A. A raised red rash around the fistula site
B. Coldness and numbness distal to the fistula site
C. Pain in the right arm proximal to the fistula site
D. Foul-smelling drainage from the fistula site
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4