ATI LPN
Multiple Choice Questions on Urinary System Questions
Question 1 of 5
A hospitalized patient who has possible renal insufficiency after coronary artery bypass surgery will have a creatinine clearance test. Which item will the nurse need to obtain?
Correct Answer: D
Rationale: Because creatinine clearance testing involves a 24-hour urine specimen, the nurse should obtain a large container for the urine collection. Catheterization, cleaning of the perineum with antiseptic towelettes, and a sterile specimen cup are not needed for this test.
Question 2 of 5
The nurse contributes to the plan of care for a patient who has had radiological studies of the renal system and has a nursing diagnosis of Impaired Urinary Elimination. Which outcome indicates that the nursing interventions have been effective?
Correct Answer: D
Rationale: Voiding 35 mL/hour of clear urine (D) meets the >30 mL/hour goal, indicating effective interventions. Lower outputs (A, B) suggest impairment, and cloudy urine (C) may indicate infection, making D the successful outcome.
Question 3 of 5
A patient who has diabetic nephropathy asks the nurse Why am I using smaller doses of insulin than I used to? What would be the best explanation by the nurse?
Correct Answer: A
Rationale: As renal function decreases the patient needs smaller doses of insulin because the kidney normally degrades insulin.
Question 4 of 5
A nurse is preparing a patient diagnosed with benign prostatic hypertrophy (BPH) for a lower urinary tract cystoscopic examination. The nurse informs the patient that the most common temporary complication experienced after this procedure is what?
Correct Answer: A
Rationale: Urinary retention (A) is common post-cystoscopy in BPH due to edema from instrumentation. Hematuria occurs but not hemorrhage (C), perforation (B) is rare, and nausea (D) isn't typical, making A the most likely complication.
Question 5 of 5
A nurse is aware of the high incidence and prevalence of fluid volume deficit among older adults. What related health education should the nurse provide to an older adult?
Correct Answer: C
Rationale: Older adults have reduced thirst, so drinking frequently despite no thirst (C) prevents deficit. 4L (A) is excessive, other fluids (B) are fine, and salt (D) isn't advised, making C the education.