ATI LPN
ATILPN Med Surg Urinary Exam Questions
Question 1 of 5
A nurse is caring for a patient with an atrioventricular (AV) fistula in the forearm and assesses that a trill is absent when palpating the venous side of the fistula. What action should the nurse implement?
Correct Answer: D
Rationale: An absent trill suggests fistula occlusion, requiring urgent reporting for evaluation and intervention to restore patency.
Question 2 of 5
A nurse is assessing a patient with renal impairment. Which facial characteristic is a sign of fluid retention?
Correct Answer: B
Rationale: Periorbital edema is a common sign of fluid retention in renal impairment, indicating excess fluid accumulation.
Question 3 of 5
A nurse is caring for a patient after urinary diversion surgery. What postoperative nursing assessment is the priority?
Correct Answer: D
Rationale: Monitoring bowel sounds is critical post-surgery to detect complications like paralytic ileus.
Question 4 of 5
A nurse is planning the care for an older adult patient. Which age-related changes in kidney function should the nurse consider when providing care to this patient? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: Age-related kidney changes include reduced urine concentration ability, decreased erythropoietin production, vascular sclerosis, and declining glomerular filtration rate, impacting overall kidney function.
Question 5 of 5
Which organism causes most UTIs?
Correct Answer: D
Rationale: E. coli is the most common cause of community-acquired UTIs, responsible for 80-90% of cases due to its prevalence in the gastrointestinal tract.