ATI LPN
Urinary System Test Questions and Answers Questions
Question 1 of 5
A 72-year-old who has benign prostatic hyperplasia is admitted to the hospital with chills, fever, and vomiting. Which finding by the nurse will be most helpful in determining whether the patient has an upper urinary tract infection (UTI)?
Correct Answer: D
Rationale: Costovertebral tenderness (D) indicates pyelonephritis (upper UTI), a critical finding with systemic symptoms like fever and chills. Suprapubic pain (A), distention (B), and foul urine (C) suggest lower UTI, less specific for upper tract involvement, making D most diagnostic.
Question 2 of 5
The nurse completing a physical assessment for a newly admitted patient is unable to feel either kidney on palpation. Which action should the nurse take?
Correct Answer: B
Rationale: The kidneys are protected by the abdominal organs, ribs, and muscles of the back and may not be palpable under normal circumstances. No action is needed except to document the assessment information.
Question 3 of 5
The nurse is collecting data for a patient with kidney disease. When reviewing a urinalysis report, what would the nurse recognize as normal specific gravity of urine?
Correct Answer: B
Rationale: Normal urine specific gravity is 1.002-1.035 (B), indicating proper kidney concentration. 0.080-0.100 (A) is impossibly low, and 2.600-3.000 (C) or 4.612-5.030 (D) are far beyond physiological range, making B the correct value.
Question 4 of 5
The nurse is caring for a patient who has a urinary catheter inserted. Which of the following instructions should the nurse provide to help prevent development of a urinary tract infection?
Correct Answer: C
Rationale: Securing the catheter (C), aseptic technique (D), and free flow (E) prevent UTIs, but C is a key single action. Limiting fluids (A) increases risk, and frequent washing (B) isn't standard, making C a critical instruction.
Question 5 of 5
The nurse is reinforcing teaching for a patient who has chronic kidney disease. Which patient statement indicates the need for further teaching?
Correct Answer: C
Rationale: Protein may be restricted when the patient's kidneys are failing but increased if dialysis is started.