ATI LPN
NCLEX Questions Urinary System Questions
Question 1 of 5
A 78-yr-old patient has been admitted with benign prostatic hyperplasia. What is most appropriate to include in the nursing plan of care?
Correct Answer: B
Rationale: The patient's age and diagnosis indicate a likelihood of nocturia, so leaving the light on in the bathroom is appropriate. Fluids should be encouraged because dehydration is more common in older patients. The information in the question does not indicate that measurement of the patient's output is necessary or that the patient has overflow incontinence.
Question 2 of 5
Which of these, if stated by a patient, indicates to the nurse correct understanding of how to obtain a midstream urine specimen for culture and sensitivity for a female patient?
Correct Answer: B
Rationale: Keeping labia separated (B) and cleaning with towelettes (E) prevent contamination, but B is a clear single indicator. Second void (A), immediate collection (C), and 24-hour (D) are incorrect, making B a correct understanding.
Question 3 of 5
The nurse is collecting data for a patient who has returned from a dialysis session. After dialysis the nurse anticipates which of these patient findings?
Correct Answer: B
Rationale: Based on the fluid pulled off during dialysis weight will be lost.
Question 4 of 5
The nurse is caring for a patient suspected of having renal dysfunction. When reviewing laboratory results for this patient, the nurse interprets the presence of which substances in the urine as most suggestive of pathology?
Correct Answer: C
Rationale: Glucose and protein (C) in urine suggest pathology (e.g., diabetes, glomerular damage), as they're normally reabsorbed. Potassium/sodium (A), bicarbonate/urea (B), and creatinine/chloride (D) are typically present, making C the most abnormal finding.
Question 5 of 5
A patient is scheduled for diagnostic testing to address prolonged signs and symptoms of genitourinary dysfunction. What signs and symptoms are particularly suggestive of urinary tract disease?
Correct Answer: B
Rationale: Pain (B), voiding changes (D), and GI symptoms (C) suggest urinary disease, but B is a key single symptom. Petechiae (A) and jaundice (E) aren't linked, making B a primary indicator.