ATI LPN
Urinary System Multiple Choice Questions and Answers PDF Questions
Question 1 of 5
A female client with an indwelling urinary catheter is suspected of having a urinary tract infection. Nurse Angel should collect a urine specimen for culture and sensitivity by:
Correct Answer: B
Rationale: Aspirating urine from the self-sealing port with a sterile needle after antiseptic wipe (B) ensures a fresh, uncontaminated sample from the catheter, ideal for accurate culture and sensitivity. Disconnecting tubing (A) risks contamination, drainage bag urine (C) is stagnant and unreliable, and clamping then aspirating (D) is unnecessary and risks backflow, making B the standard, sterile method.
Question 2 of 5
True or False: Glomerular filtration is an ATP-driven process.
Correct Answer: B
Rationale: Glomerular filtration is passive (B), driven by hydrostatic pressure, not ATP (A). Active transport occurs in reabsorption, not filtration, making False the correct answer.
Question 3 of 5
When admitting a patient with acute glomerulonephritis, it is most important that the nurse ask the patient about
Correct Answer: A
Rationale: Acute glomerulonephritis often follows a streptococcal infection like strep throat (A), making this history critical for diagnosis. Hypertension (B) is a symptom, not cause, and UTIs (C) or stones (D) are unrelated, prioritizing A for assessment.
Question 4 of 5
When assessing the patient who has a lower urinary tract infection (UTI), the nurse will initially ask about
Correct Answer: D
Rationale: Dysuria (pain with urination, D) is a hallmark of lower UTI, guiding initial assessment. Nausea (A) and flank pain (B) suggest upper UTI, and poor output (C) isn't typical, making D the priority question.
Question 5 of 5
What glomerular filtration rate (GFR) would the nurse estimate for a 30-yr-old patient with a creatinine clearance result of 60 mL/min?
Correct Answer: A
Rationale: The creatinine clearance approximates the GFR. The other responses are not accurate.