ATI LPN
Multiple Choice Questions on Urinary System Questions
Question 1 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.
Question 2 of 5
The nurse is caring for a patient receiving hemodialysis three times weekly. The patient has had surgery to form an arteriovenous fistula. What is most important for the nurse to be aware of when providing care for this patient?
Correct Answer: C
Rationale: When blood flow is reduced through the access for any reason (hypotension, application of BP cuff/tourniquet), the access site can clot. Auscultation of a bruit in the fistula is one way to determine patency. Typically, patients feel fatigued immediately after hemodialysis because of the rapid change in fluid and electrolyte status. Although the area over the fistula may have some decreased sensation, a needle stick is still painful.
Question 3 of 5
The nurse determines that a patient with acute renal failure has prerenal oliguria when
Correct Answer: D
Rationale: Prerenal oliguria is due to decreased perfusion and improves with fluid replacement.
Question 4 of 5
The nurse empties urine from an ileal conduit appliance and notes strands of mucus. What action should the nurse take?
Correct Answer: C
Rationale: Mucus in urine is normal for ileal conduit patients.
Question 5 of 5
What type of epithelium forms the lining of the vagina? A) stratified squamous, B) transitional, C) simple ciliated columnar, D) simple cuboidal
Correct Answer: A
Rationale: The vagina is lined with stratified squamous epithelium (A), protecting against friction. Transitional (B) is in the bladder, ciliated columnar (C) in fallopian tubes, and cuboidal (D) in tubules, making A correct.