ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 31 : Urinary Elimination and Care Questions
Question 1 of 5
Contraction of which muscle causes the bladder to empty?
Correct Answer: B
Rationale: The detrusor muscle contracts to expel urine from the bladder during voiding.
Question 2 of 5
Urinary sepsis is a potential complication of any UTI because
Correct Answer: B,D
Rationale: Bacteria can ascend from the urethra to the kidneys, and the kidneys' filtration of blood allows bacteria to enter the bloodstream, leading to sepsis.
Question 3 of 5
You are delegating the task of monitoring the output of an elderly male patient at risk for oliguria. He has an indwelling catheter in place. Which is the most appropriate direction for you to give to an unlicensed assistant?
Correct Answer: D
Rationale: Specific instructions to check output every 2 hours and report if it falls below 60 mL ensure timely detection of oliguria, which requires immediate attention.
Question 4 of 5
If a patient had an order to discontinue a catheter the day after surgery, under what circumstances might you consider delaying doing so until you talk with the physician?
Correct Answer: C,D
Rationale: Low urine output (<30 mL/hr) or dark amber urine may indicate inadequate kidney function or dehydration, warranting consultation before catheter removal.
Question 5 of 5
Which two tests are most important in assessing kidney function?
Correct Answer: A
Rationale: Creatinine and eGFR are key indicators of kidney function, reflecting waste clearance and filtration rate.