ATI LPN
NCLEX Questions and Answers on Renal System Questions
Question 1 of 5
A male patient in the clinic provides a urine sample that is red-orange in color. Which action should the nurse take?
Correct Answer: C
Rationale: A red-orange color in the urine is normal with some over-the-counter (OTC) medications such as phenazopyridine. The color is not expected with urinary tract infection, is not a sign that poor technique was used in obtaining the specimen and does not need to be communicated to the health care provider until further assessment is done.
Question 2 of 5
A patient hospitalized for orthopedic surgery had a urinary catheter inserted. The patient later develops a urinary tract infection and asks the nurse what caused it. What is the appropriate response by the nurse?
Correct Answer: A
Rationale: Urinary tract infections are almost always caused by an ascending infection starting at the external urinary meatus.
Question 3 of 5
A nurse knows that specific areas in the ureters have a propensity for obstruction. Prompt management of renal calculi is most important when the stone is located where?
Correct Answer: A
Rationale: The ureteropelvic junction (A) is critical for prompt stone management due to its proximity to the kidney, risking dysfunction. The sacroiliac (B) and ureterovesical (C) junctions are also narrowed but less urgent, and the urethra (D) isn't a ureteral site, making A the priority.
Question 4 of 5
The nurse is caring for a patient who is going to have an open renal biopsy. What would be an important nursing action in preparing this patient for the procedure?
Correct Answer: D
Rationale: NPO status (D) is critical pre-open biopsy, like any abdominal surgery, to reduce aspiration risk. Family discussion (A), antiseptic wash (B), and antivirals (C) aren't standard prep, making D the key action.
Question 5 of 5
A patient with bipolar disorder is experiencing a manic episode. Which intervention is most appropriate for the nurse to implement?
Correct Answer: B
Rationale: A structured environment helps manage overstimulation during a manic episode.