ATI LPN
Multiple Choice Questions on Urinary System Questions
Question 1 of 5
A nurse cares for a client with an increased blood urea nitrogen (BUN)/creatinine ratio. Which action should the nurse take first?
Correct Answer: A
Rationale: High BUN/creatinine ratio may indicate dehydration or high-protein diet, so assess diet first.
Question 2 of 5
A nurse cares for a client with urinary incontinence. The client states, 'I am so embarrassed. My bladder leaks like a young child's bladder.' How should the nurse respond?
Correct Answer: C
Rationale: Teaching control strategies addresses embarrassment and empowers the client effectively.
Question 3 of 5
The nurse is preparing to administer an antibiotic to a patient who has been receiving the antibiotic for 2 days after a culture was obtained. The nurse notes increased erythema and swelling, and the patient has a persistent high fever of $39^{\circ} \mathrm{C}$. What is the nurse's next action?
Correct Answer: D
Rationale: Persistent symptoms suggest resistance, so reviewing sensitivity guides next steps.
Question 4 of 5
The nurse is caring for a 7-year-old patient who will receive oral antibiotics. Which antibiotic order will the nurse question for this patient?
Correct Answer: D
Rationale: Tetracycline discolors teeth in children under 8, making it inappropriate.
Question 5 of 5
The nurse is preparing to administer the first dose of hydrochlorothiazide (HydroDIURIL) $50 \mathrm{mg}$ to a patient who has a blood pressure of $160 / 95 \mathrm{~mm} \mathrm{Hg}$. The nurse notes that the patient had a urine output of $200 \mathrm{~mL}$ in the past 12 hours. The nurse will perform which action?
Correct Answer: C
Rationale: Low urine output suggests renal failure, so hold and check renal function first.