ATI LPN
Urinary System Questions Questions
Question 1 of 5
A nurse assesses a client with renal insufficiency and a low red blood cell count. The client asks, 'Is my anemia related to the renal insufficiency?' How should the nurse respond?
Correct Answer: C
Rationale: Kidneys produce erythropoietin to stimulate red blood cell production, linking anemia to renal insufficiency.
Question 2 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 3 of 5
The nurse is caring for a patient who has recurrent urinary tract infections. The patient's current infection is not responding to an antibiotic that has been used successfully several times in the past. The nurse understands that this is most likely due to
Correct Answer: A
Rationale: Repeated exposure leads to acquired resistance, explaining the antibiotic's current failure.
Question 4 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 5 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.