ATI LPN
Renal System Questions Questions
Question 1 of 5
A 54 year old woman presents with a 5 day history of constant pain in her left flank and anuria for the past 24 hours. Her past medical history reveals that she just finished her 4th out of 6 cycles of radiation therapy to the right chest wall following a mastectomy for Stage 4 invasive ductal carcinoma of the right breast. Her vitals are: BP 140/78, Pulse: 80 bpm Sinus rhythm, Temperature: 99°F, RR 18/min. Her radiation oncologist has specifically requested that any imaging used to investigate her symptoms NOT utilize ionizing radiation. Which of the following imaging modalities below would be appropriate?
Correct Answer: E
Rationale: MRI and ultrasound use no ionizing radiation, meeting the oncologist's request safely.
Question 2 of 5
A nurse cares for a client who is scheduled for the surgical creation of an ileal conduit. The client states, 'I am anxious about having an ileal conduit. What is it like to have this drainage tube?' How should the nurse respond?
Correct Answer: D
Rationale: Talking to someone with experience fosters a positive attitude and reduces anxiety.
Question 3 of 5
The nurse is teaching the main principles of hemodialysis to a client with chronic kidney disease. Which statement by the client indicates a need for further teaching by the nurse?
Correct Answer: B
Rationale: Dialysis uses diffusion, moving wastes from higher to lower concentration; reteaching is needed.
Question 4 of 5
The nurse caring for a patient after cystoscopy plans that the patient
Correct Answer: B
Rationale: Pink-tinged urine is normal post-cystoscopy; patients should be informed.
Question 5 of 5
The micturition reflex center is located in the:
Correct Answer: C
Rationale: Sacral spinal cord controls the micturition reflex, triggering bladder emptying.