ATI LPN
Renal System Questions and Answers Questions
Question 1 of 5
A 25 year old football player is admitted to the ER for a sudden onset of right lower back pain and frank hematuria. He recalls being aggressively tackled 'from the right' by a linebacker from the opposing team. His past medical history reveals no previous medical complaints besides his childhood routine immunizations. On examination, there is bruising over the right costovertebral angle and tenderness over the right flank. His vitals are: BP 128/70, pulse 94 bpm, T 98°, RR 16, SpO2: 99%. His BUN is 9 mg/dL and his Creatinine is 1.0 mg/dL. What is the best imaging modality to be used if there are no contraindications?
Correct Answer: C
Rationale: Contrast CT excels at detecting renal trauma, lacerations, and hematomas effectively.
Question 2 of 5
A nurse teaches a young female client who is prescribed amoxicillin (Amoxil) for a urinary tract infection. Which statement should the nurse include in this client's teaching?
Correct Answer: A
Rationale: Amoxicillin may reduce contraceptive efficacy, necessitating backup birth control.
Question 3 of 5
The charge nurse is orienting a float nurse to an assigned client with an arteriovenous (AV) fistula for hemodialysis in her left arm. Which action by the float nurse would be considered unsafe?
Correct Answer: C
Rationale: Using the AV fistula for IV fluids risks damage; it's reserved for dialysis.
Question 4 of 5
A patient has elevated blood urea nitrogen (BUN) and serum creatinine levels. Which bowel preparation order would the nurse question for this patient who is scheduled for a renal arteriogram?
Correct Answer: A
Rationale: Fleet enemas are high in phosphate, risky with renal failure as it can't be excreted.
Question 5 of 5
All of the following statements are True related to the urethra of a male except:
Correct Answer: B
Rationale: Male urethra has two sphincters—internal and external—not just one.