ATI LPN
Urinary System Questions Questions
Question 1 of 5
A nurse assesses a client who presents with renal calculi. Which question should the nurse ask?
Correct Answer: A
Rationale: Family history strongly correlates with renal stone formation, making it a key question.
Question 2 of 5
The nurse assumes care for a patient who is currently receiving a dose of intravenous vancomycin (Vancocin) infusing at $20 \mathrm{mg} / \mathrm{min}$. The nurse notes red blotches on the patient's face, neck, and chest and assesses a blood pressure of $80 / 55 \mathrm{~mm} \mathrm{Hg}$. Which action will the nurse take?
Correct Answer: B
Rationale: Rapid infusion causes red man syndrome; slowing to $10 \mathrm{mg} / \mathrm{min}$ resolves symptoms.
Question 3 of 5
The nurse is caring for a patient who is taking trimethoprim-sulfamethoxazole (TMP-SMX). The nurse learns that the patient takes an angiotensin-converting enzyme (ACE) inhibitor. To monitor for drug interactions, the nurse will request an order for which laboratory test(s)?
Correct Answer: C
Rationale: TMP-SMX with ACE inhibitors risks hyperkalemia, requiring electrolyte monitoring.
Question 4 of 5
Which factor does NOT affect GFR?
Correct Answer: D
Rationale: Small neutral molecules do not significantly impact GFR.
Question 5 of 5
Which of the following statements about medullary sponge kidney is NOT true?
Correct Answer: B
Rationale: Medullary sponge kidney is typically diagnosed in adulthood, not childhood.