ATI LPN
Renal System Questions and Answers Questions
Question 1 of 5
A 32-year-old patient is diagnosed with polycystic kidney disease. Which information is most appropriate for the nurse to include in teaching at this time?
Correct Answer: A
Rationale: At 32, genetic counseling (A) is vital for polycystic kidney disease (autosomal dominant) due to reproductive implications. Transplantation (B), pain (C), and dialysis (D) are later concerns, making A most relevant now.
Question 2 of 5
The nurse is caring for a hospitalized patient with a decreased glomerular filtration rate who is scheduled for an intravenous pyelogram (IVP). Which action will be included in the plan of care?
Correct Answer: A
Rationale: Patients with impaired renal function are at risk for decreased renal function after IVP because the contrast medium used is nephrotoxic, so the nurse should monitor the patient's urine output. MAC sedation and retention catheterization are not required for the procedure. The contrast medium is given IV, not orally.
Question 3 of 5
The nurse contributes to the plan of care for a patient who has edema. Which of the following is the best indicator of a patient's fluid volume status?
Correct Answer: C
Rationale: Daily weight (C) is the best fluid volume indicator, reflecting gains/losses precisely (1 kg = 1 L). I&O (A) is less accurate, vital signs (B) are indirect, and turgor (D) is unreliable with edema, making C the top measure.
Question 4 of 5
Normal urinary output is ___ to 2,000 mL per 24 hours.
Correct Answer: B
Rationale: Normal urinary output is 1,000-2,000 mL/24 hours (B), balancing fluid intake. 500 mL (A) is oliguria, and 1,500-2,500 mL (C, D) fit within but aren't the lower bound, making B the standard.
Question 5 of 5
The nurse is contributing to the plan of care for a patient who has chronic kidney disease. What are possible effects of this condition the nurse should consider?
Correct Answer: F
Rationale: All but B and F occur due to the loss of function and resulting effects of the failed kidneys.