ATI-RENAL-+-URINARY-SYSTEM-QUESTIONS-WITH-COMPLETE-SOLUTION
A-nurse-is-caring-for-a-client-who-is-in-the-oliguric-anuric-stage-of-acute-kidney-
injury.-The-client-reports-diarrhea,-a-dull-headache,-palpitations,-and-muscle-
tingling-and-weakness.-Which-of-the-following-actions-should-the-nurse-take-
first?
A.
Administer-an-analgesic-to-the-client
B.
Check-the-client's-electrolyte-values
C.
Measure-the-client's-weight
D.
Restrict-the-client's-protein-intake---Correct-Answer--Correct-Answer:-B.
Check-the-client's-electrolyte-values
The-nurse-should-apply-the-urgent-versus-nonurgent-priority-setting-
framework-when-caring-for-the-client.-Using-this-framework,-the-nurse-should-
consider-urgent-needs-to-be-the-priority-because-they-pose-a-greater-threat-to-
the-client.-The-nurse-might-also-need-to-use-Maslow's-hierarchy-of-needs,-the-
,ABC-priority-setting-framework,-and/or-nursing-knowledge-to-identify-which-
finding-is-the-most-urgent.-The-nurse-should-check-the-client's-most-recent-
potassium-value-because-these-findings-are-manifestations-of-hyperkalemia,-
which-can-lead-to-cardiac-dysrhythmias.
Incorrect-Answers:A.-Administering-an-analgesic-for-a-dull-headache-is-
important-to-manage-the-client's-pain;-however,-there-is-another-action-that-
the-nurse-should-take-first.
C.-Measuring-the-client's-weight-is-important-to-monitor-the-client's-fluid-
balance;-however,-there-is-another-action-the-nurse-should-take-first.
D.-Restricting-the-client's-protein-intake-is-important-to-manage-the-client's-
acute-kidney-injury;-however,-there-is-another-action-the-nurse-should-take-
first.
A-nurse-is-assessing-a-client-who-has-urolithiasis-and-reports-pain-in-his-thigh.-
This-finding-indicates-the-stone-is-in-which-of-the-following-structures?
A.
Ureter
B.
Bladder
,C.
Renal-pelvis
D.
Renal-tubules---Correct-Answer--Correct-Answer:-A.
Ureter
When-stones-are-in-the-ureters,-pain-radiates-to-the-genitalia-and-to-the-
thighs.
Incorrect-Answers:B.-Stones-in-the-bladder-produce-manifestations-of-
irritation-that-resemble-a-urinary-tract-infection.-They-can-also-cause-pain-in-
the-vulva-and-scrotal-areas.
C.-The-renal-pelvis-is-part-of-the-kidney.-Stones-in-the-kidneys-cause-pain-in-
the-costovertebral-region.
D.-The-renal-tubules-are-within-the-nephron,-which-is-part-of-the-kidney.-
Stones-in-the-kidneys-cause-flank-pain
A-nurse-is-reviewing-the-laboratory-report-of-a-client-who-has-chronic-kidney-
disease-(CKD).-The-nurse-finds-the-following-laboratory-test-results:-
potassium-6.8-mEq/L,-calcium-7.4-mg/dL,-hemoglobin-10.2-g/dL,-and-
, phosphate-4.8-mg/dL.-Which-finding-is-the-priority-for-the-nurse-to-report-to-
the-provider?
A.
Hypocalcemia
B.
Hyperkalemia
C.
Anemia
D.
Hypoalbuminemia---Correct-Answer--Correct-Answer:-B.
Hyperkalemia
The-nurse-should-apply-the-urgent-versus-nonurgent-priority-setting-
framework-when-caring-for-this-client.-Using-this-framework,-the-nurse-should-
consider-urgent-needs-the-priority-need-because-they-pose-more-of-a-threat-
to-the-client.-The-nurse-may-also-need-to-use-Maslow's-hierarchy-of-needs,-
the-ABC-priority-setting-framework,-and/or-nursing-knowledge-to-identify-
which-finding-is-the-most-urgent.-Hyperkalemia,-which-can-cause-life-
A-nurse-is-caring-for-a-client-who-is-in-the-oliguric-anuric-stage-of-acute-kidney-
injury.-The-client-reports-diarrhea,-a-dull-headache,-palpitations,-and-muscle-
tingling-and-weakness.-Which-of-the-following-actions-should-the-nurse-take-
first?
A.
Administer-an-analgesic-to-the-client
B.
Check-the-client's-electrolyte-values
C.
Measure-the-client's-weight
D.
Restrict-the-client's-protein-intake---Correct-Answer--Correct-Answer:-B.
Check-the-client's-electrolyte-values
The-nurse-should-apply-the-urgent-versus-nonurgent-priority-setting-
framework-when-caring-for-the-client.-Using-this-framework,-the-nurse-should-
consider-urgent-needs-to-be-the-priority-because-they-pose-a-greater-threat-to-
the-client.-The-nurse-might-also-need-to-use-Maslow's-hierarchy-of-needs,-the-
,ABC-priority-setting-framework,-and/or-nursing-knowledge-to-identify-which-
finding-is-the-most-urgent.-The-nurse-should-check-the-client's-most-recent-
potassium-value-because-these-findings-are-manifestations-of-hyperkalemia,-
which-can-lead-to-cardiac-dysrhythmias.
Incorrect-Answers:A.-Administering-an-analgesic-for-a-dull-headache-is-
important-to-manage-the-client's-pain;-however,-there-is-another-action-that-
the-nurse-should-take-first.
C.-Measuring-the-client's-weight-is-important-to-monitor-the-client's-fluid-
balance;-however,-there-is-another-action-the-nurse-should-take-first.
D.-Restricting-the-client's-protein-intake-is-important-to-manage-the-client's-
acute-kidney-injury;-however,-there-is-another-action-the-nurse-should-take-
first.
A-nurse-is-assessing-a-client-who-has-urolithiasis-and-reports-pain-in-his-thigh.-
This-finding-indicates-the-stone-is-in-which-of-the-following-structures?
A.
Ureter
B.
Bladder
,C.
Renal-pelvis
D.
Renal-tubules---Correct-Answer--Correct-Answer:-A.
Ureter
When-stones-are-in-the-ureters,-pain-radiates-to-the-genitalia-and-to-the-
thighs.
Incorrect-Answers:B.-Stones-in-the-bladder-produce-manifestations-of-
irritation-that-resemble-a-urinary-tract-infection.-They-can-also-cause-pain-in-
the-vulva-and-scrotal-areas.
C.-The-renal-pelvis-is-part-of-the-kidney.-Stones-in-the-kidneys-cause-pain-in-
the-costovertebral-region.
D.-The-renal-tubules-are-within-the-nephron,-which-is-part-of-the-kidney.-
Stones-in-the-kidneys-cause-flank-pain
A-nurse-is-reviewing-the-laboratory-report-of-a-client-who-has-chronic-kidney-
disease-(CKD).-The-nurse-finds-the-following-laboratory-test-results:-
potassium-6.8-mEq/L,-calcium-7.4-mg/dL,-hemoglobin-10.2-g/dL,-and-
, phosphate-4.8-mg/dL.-Which-finding-is-the-priority-for-the-nurse-to-report-to-
the-provider?
A.
Hypocalcemia
B.
Hyperkalemia
C.
Anemia
D.
Hypoalbuminemia---Correct-Answer--Correct-Answer:-B.
Hyperkalemia
The-nurse-should-apply-the-urgent-versus-nonurgent-priority-setting-
framework-when-caring-for-this-client.-Using-this-framework,-the-nurse-should-
consider-urgent-needs-the-priority-need-because-they-pose-more-of-a-threat-
to-the-client.-The-nurse-may-also-need-to-use-Maslow's-hierarchy-of-needs,-
the-ABC-priority-setting-framework,-and/or-nursing-knowledge-to-identify-
which-finding-is-the-most-urgent.-Hyperkalemia,-which-can-cause-life-
