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Ati: Medical-surgical Nursing

24 Questions
Medical Surgical Nursing Quizzes & Trivia

From the ATI book Adult Medical-Surgical Nursing RN Edition 7. 1

Questions and Answers
  • 1. 
    Which of the following is not a function of dialysis?
    • A. 

      Eliminate waste products

    • B. 

      Replace hormonal functions of the kidney

    • C. 

      Achieve acid-base balance

    • D. 

      Rid the body of excess fluid and electrolytes

    • E. 

      Restore internal homeostasis by osmosis, diffusion, and ultrafiltration

  • 2. 
    Which of the following is NOT a risk factor for dialysis?
    • A. 

      Acute renal failure

    • B. 

      Chronic renal failure

    • C. 

      Persistent hypocalcemia

    • D. 

      Drug overdose

    • E. 

      Unresponsive hypervolemia

  • 3. 
    Prior to hemodialysis, you assess the patency of the access site and hear a bruit. What is the nurse's first action?
    • A. 

      Document as normal

    • B. 

      Notify the healthcare provider

    • C. 

      Administer IV fluids

    • D. 

      Administer diuretics

    • E. 

      None of the above

  • 4. 
    Which of the following is  an expected after hemodialysis?
    • A. 

      Increased weight

    • B. 

      Increase in laboratory values (such as BUN, serum creatinine, lytes, hematocrit)

    • C. 

      Increase in blood pressure

    • D. 

      A and B

    • E. 

      None of the above

  • 5. 
    Which of the following should the nurse assess for following hemodialysis?
    • A. 

      Nausea and vomiting

    • B. 

      Level of consciousness

    • C. 

      Access site bleeding and infection

    • D. 

      Headache

    • E. 

      All of the above

  • 6. 
    • A. 

      Withhold dialyzable medications and medications that lower blood pressure

    • B. 

      Avoid taking blood pressure on the arm with an access site

    • C. 

      Avoid invasive procedures for 8 hours after dialysis

    • D. 

      Teach the client to avoid heavy lifting with the access-site arm

    • E. 

      Elevate the extremity following surgical development of AV fistula to reduce swelling.

  • 7. 
    Which of the following is true of peritoneal dialysis?
    • A. 

      After peritoneal dialysis assess colour (clear, light yellow is expected) and amount (expected to be less than or equal to amount of dialysate inflow) of outflow

    • B. 

      Maintain clean technique during the procedure

    • C. 

      Instill room temperature dialysate

    • D. 

      Keep the outflow bag lower than the client's abdomen

    • E. 

      All of the above are true

  • 8. 
    • A. 

      Hyperglyemia

    • B. 

      Clotting or infection of access site

    • C. 

      Disequilibrium syndrome

    • D. 

      A and B

    • E. 

      B and C

  • 9. 
    Which of the following is NOT true of disequilibrium syndrome?
    • A. 

      Is a potential complication of hemodialysis

    • B. 

      Is a too rapid decrease of creatinine

    • C. 

      Can be avoided with a slow dialysis exchange rate

    • D. 

      Anticonvulsants/barbiturates may be needed

    • E. 

      Signs include nausea, vomiting, chance in LOC, seizures, and agitation

  • 10. 
    You are caring for a hypotensive patient who is undergoing hemodialysis, what is your best action? 
    • A. 

      Discontinue dialysis

    • B. 

      Place the client in the high Fowler position

    • C. 

      Administer erythropoieitin

    • D. 

      Use standard precautions

    • E. 

      Antconvulsants/barbiturates may be needed

  • 11. 
    Which of the following is the major complication of peritoneal dialysis?
    • A. 

      Infection at access site

    • B. 

      Protein loss

    • C. 

      Peritonitis

    • D. 

      Hyperglycemia

    • E. 

      None of the above

  • 12. 
    Which of the following is true of hemodialysis?
    • A. 

      Protein loss will require increased dietary intake of protein

    • B. 

      Disequilibrium syndrome, a potential complication, is caused by too rapid a decrease in potassium (hypokalemia)

    • C. 

      For poor dialysate inflow or outflow, rotate catheter to facilitate flow

    • D. 

      For the complication of hypotension, place the client in the high fowler position

    • E. 

      None of the above

  • 13. 
    Which of the following is false? 
    • A. 

      Insulin therapy is used for gycemic control in hyperglycemia related to peritoneal dialysis

    • B. 

      For peritoneal dialysis, strip tubing to break up fibrin clots, which cause poor dialysate inflow or outflow

    • C. 

      Hyperglycemia, in peritoneal dialysis, is related to hypoosmolar dialysate

    • D. 

      Lipid therapy is implemented for triglyceride control, in the peritoneal complication of hyperglycemia

    • E. 

      During peritoneal dialysis, avoid constipation by implementing high fiber foods and stool softeners

  • 14. 
    Which of the following is not a concern related to dialysis in the older patient? 
    • A. 

      Older adult clients are more at risk for dialysis disequilibrium and hypertension due to rapid changes in fluid and electrolytes

    • B. 

      Older adult clients may be unable to care for a peritoneal access site due to cognitive of physical deficits

    • C. 

      The most common cause of death in older adult clients receiving dialysis is cardiovascular disease

    • D. 

      There is a concern about the use of scarce resources in a population with a limited life expectancy

    • E. 

      All of the above are appropriate concerns

  • 15. 
    Which of the following involves body losses of both water and electrolytes from ECF
    • A. 

      Hypovolemia

    • B. 

      Dehydration

    • C. 

      Hypervolemia

    • D. 

      Third spacing

    • E. 

      None of the above

  • 16. 
    True or False: Dehydration is when water is lost from the body but there is no loss of electrolytes. 
    • A. 

      True

    • B. 

      False

  • 17. 
    Abnormal GI losses that causes hypovolemia, does not include
    • A. 

      Vomiting

    • B. 

      NG suctioning

    • C. 

      Diarrhea

    • D. 

      Diaphoresis

    • E. 

      None of the above

  • 18. 
    Renal risk factor/causes of hypovolemia do not include
    • A. 

      Diuretic therapy

    • B. 

      Diabetes insipidus

    • C. 

      Renal disease

    • D. 

      Adrenal insufficiency

    • E. 

      Vomiting

  • 19. 
    • A. 

      Excessive sodium intake

    • B. 

      Heart failure

    • C. 

      Cirrhosis

    • D. 

      Interstitial to plasma fluid shifts

    • E. 

      Third spacing

  • 20. 
    Risk factors/causes of dehydration include
    • A. 

      Hypoventilation

    • B. 

      Diabetes insipidus

    • C. 

      Enteral feeding without sufficient water intake

    • D. 

      All of the above

    • E. 

      None of the above

  • 21. 
    True or False:Compensatory mechanisms for fluid volume deficits include sympathetic nervous system responses of decreased thirst, antidiuretic hormone (ADH) release, and aldosterone release
    • A. 

      True

    • B. 

      False

  • 22. 
    Sympathetic response as a compensatory mechanisms for fluid volume deficits includes which of the following
    • A. 

      ADH release

    • B. 

      Aldosterone release

    • C. 

      None of the above

    • D. 

      All of the above

  • 23. 
    Which of the following is an expected finding with hypovolemia?
    • A. 

      Increased hemoglobin and decreased hematocrit

    • B. 

      Increased hemoglobin and increased hematrocrit

    • C. 

      Decreased hemoglobin and increased hematocrit

    • D. 

      Decreased hemoglobin and decreased hematocrit

  • 24. 
    Which of the following is an expected finding for fluid volume deficits?
    • A. 

      Tachycardia

    • B. 

      Hypotension

    • C. 

      Confusion

    • D. 

      Oliguria

    • E. 

      All of the above