ATI-RENAL EXAM COMPREHENSIVE SCRIPT
2026 QUESTIONS AND SOLUTIONS
◉ Serum creatinine. Answer: This will be elevated in the event of
kidney disease. Kidney function loss has to be at least 50%.
◉ BUN. Answer: Blood urea nitrogen. Results from breakdown of
protein in the liver
◉ BUN. Answer: Factors that affect this are:
- dehydration
- infection
- chemotherapy
- steroid therapy
- reabsorption of blood in the liver from damaged tissue
◉ Urinalysis. Answer: Collection of early morning specimen
provides a more concentrated sample
◉ Urine. Answer: Analyzed for color, clarity, concentration or
dilution, specific gravity and presence of drug metabolites, glucose,
ketone bodies and protein
,◉ Urine. Answer: This is collected for 24 hours to measure levels of
creatinine or urea nitrogen, sodium, chloride, calcium,
catecholamines and proteins.
◉ Urine creatinine clearance. Answer: Urine collection for 24 hours
that measures glomerular filtration rates for clients who have
suspected renal dysfunction
◉ KUB. Answer: An x ray of the kidneys, ureters and bladder
◉ KUB. Answer: Can identify renal calculi, strictures, calcium
deposits or obstructions.
◉ Hemorrhage. Answer: The most immediate client risk following a
kidney biopsy if clotting does not occur at the puncture site
◉ Urinalysis. Answer: Clean catch specimen recommended for
culture and sensitivity.
◉ Excretory urography. Answer: Watch for these in clients with type
2 diabetes:
, - seafood allergies because they are at a higher risk for an allergic
reaction to the contrast dye
- clients who take metformin because they are at risk of lactic
acidosis from the contrast dye with iodine. This must be held for 24
hours prior to procedure.
- Clients with asthma as they have a higher risk of having an asthma
attack due to an allergic response to the contrast dye.
Administer an enema to remove fecal contents, fluid and gas from
the colon.
◉ Captopril. Answer: Monitor for orthostatic hypotension because
the antihypertensive effect results in a change of blood flow to the
kidneys when an initial dose is administered.
◉ Dialysis. Answer: -Rids the body of excess fluid and electrolytes
- Achieves acid base balance
- Eliminates waste products
◉ Dialysis. Answer: Two types are:
- hemodialysis
- peritoneal
2026 QUESTIONS AND SOLUTIONS
◉ Serum creatinine. Answer: This will be elevated in the event of
kidney disease. Kidney function loss has to be at least 50%.
◉ BUN. Answer: Blood urea nitrogen. Results from breakdown of
protein in the liver
◉ BUN. Answer: Factors that affect this are:
- dehydration
- infection
- chemotherapy
- steroid therapy
- reabsorption of blood in the liver from damaged tissue
◉ Urinalysis. Answer: Collection of early morning specimen
provides a more concentrated sample
◉ Urine. Answer: Analyzed for color, clarity, concentration or
dilution, specific gravity and presence of drug metabolites, glucose,
ketone bodies and protein
,◉ Urine. Answer: This is collected for 24 hours to measure levels of
creatinine or urea nitrogen, sodium, chloride, calcium,
catecholamines and proteins.
◉ Urine creatinine clearance. Answer: Urine collection for 24 hours
that measures glomerular filtration rates for clients who have
suspected renal dysfunction
◉ KUB. Answer: An x ray of the kidneys, ureters and bladder
◉ KUB. Answer: Can identify renal calculi, strictures, calcium
deposits or obstructions.
◉ Hemorrhage. Answer: The most immediate client risk following a
kidney biopsy if clotting does not occur at the puncture site
◉ Urinalysis. Answer: Clean catch specimen recommended for
culture and sensitivity.
◉ Excretory urography. Answer: Watch for these in clients with type
2 diabetes:
, - seafood allergies because they are at a higher risk for an allergic
reaction to the contrast dye
- clients who take metformin because they are at risk of lactic
acidosis from the contrast dye with iodine. This must be held for 24
hours prior to procedure.
- Clients with asthma as they have a higher risk of having an asthma
attack due to an allergic response to the contrast dye.
Administer an enema to remove fecal contents, fluid and gas from
the colon.
◉ Captopril. Answer: Monitor for orthostatic hypotension because
the antihypertensive effect results in a change of blood flow to the
kidneys when an initial dose is administered.
◉ Dialysis. Answer: -Rids the body of excess fluid and electrolytes
- Achieves acid base balance
- Eliminates waste products
◉ Dialysis. Answer: Two types are:
- hemodialysis
- peritoneal
