Create 100 ATI NCLEX Scenarios Based Questions and Answers with Rationale in Fundamentals of Nursing From Chapter 10 to 15 Renal Exam Ard Standards Questions

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Sample questions from Create 100 ATI NCLEX Scenarios Based Questions and Answers with Rationale in Fundamentals of Nursing From Chapter 10 to 15 Renal Exam Ard Standards Questions

This material has 150 questions with answers and rationales. Here are the first 5.

1. 1.During a home visit, a client receiving peritoneal dialysis reports cloudy drainage and new abdominal tenderness. The client is afebrile and asks whether to wait until the next scheduled appointment. Which response is the nurse's priority?

   • A.Advise the client to discard the drainage and perform the next exchange using the usual routine.
   • B.Reassure the client that cloudy drainage is expected after a large meal.
   • C.Teach the client to increase oral fluids and reassess the drainage tomorrow.
   • D.Arrange prompt evaluation by the dialysis team and instruct the client to save the drainage for assessment.

   Rationale: Cloudy peritoneal effluent with abdominal tenderness is concerning for peritonitis and requires prompt evaluation; saving the drainage may support diagnostic testing. Waiting until a routine appointment or reassessing tomorrow risks delaying treatment. Increasing oral fluids does not address a possible infection, and discarding the effluent removes useful assessment material.

2. 2.In a long-term care facility, an older adult with suspected Clostridioides difficile infection has frequent unformed stools. Which actions should staff take to reduce transmission? Select all that apply.

   • A.Wear a gown and gloves when entering the room for direct care.
   • B.Use soap and water for hand hygiene after providing care.
   • C.Place the resident in a private room with contact precautions when available.
   • D.Stop contact precautions as soon as the resident has one formed stool.
   • E.Dedicate equipment such as a blood pressure cuff to the resident.
   • F.Use alcohol-based hand rub as the preferred method after contact with stool.

   Rationale: Contact precautions, gown and glove use, and dedicated equipment help limit spread of C. difficile spores. Soap and water is preferred after care because alcohol-based hand rub does not reliably remove spores. Alcohol-based hand rub is therefore not the preferred method after stool exposure, and precautions should not be discontinued based on a single formed stool; follow facility policy and infection-control guidance.

3. 3.A client's potassium is 6.3 mEq/L, and the client has chronic kidney disease. The provider prescribes a medication that must be administered intravenously. Which action best reduces the risk of a medication-related safety event?

   • A.Document the medication as given before obtaining the medication from the dispensing system.
   • B.Ask the client to confirm that the medication is the same one taken at home.
   • C.Ask a second qualified clinician to independently verify the medication, dose, concentration, and infusion rate before administration.
   • D.Administer the medication rapidly to reduce the time the potassium remains elevated.

   Rationale: A high-risk intravenous medication in a client with renal impairment warrants careful verification, including the dose, concentration, and rate, according to policy. The client's report cannot replace medication checks, and rapid administration may cause serious harm. Documentation must occur after administration, not before.

4. 4.At change of shift, the nurse receives report on four clients. Which client should the nurse assess first?

   • A.A client with a urinary catheter who has a temperature of 38.1 C and new confusion
   • B.A client recovering from a urinary tract infection who asks when the next antibiotic dose is due
   • C.A client with chronic kidney disease who reports fatigue unchanged from yesterday
   • D.A client with a dialysis fistula who reports mild itching without a rash

   Answer and rationale are in the full material.

5. 5.The parent of a 4-year-old with a newly inserted urinary catheter asks how to prevent infection at home. Which instruction is most appropriate?

   • A.Apply antibiotic ointment to the catheter insertion site every morning.
   • B.Keep the drainage bag below bladder level and prevent the tubing from being kinked.
   • C.Place the drainage bag on the bed beside the child during sleep.
   • D.Disconnect the tubing daily to rinse the inside of the catheter with tap water.

   Answer and rationale are in the full material.