ATI LPN
Multiple Choice Questions on Urinary System Questions
Question 1 of 5
A nurse is preparing a patient diagnosed with benign prostatic hypertrophy (BPH) for a lower urinary tract cystoscopic examination. The nurse informs the patient that the most common temporary complication experienced after this procedure is what?
Correct Answer: A
Rationale: Urinary retention (A) is common post-cystoscopy in BPH due to edema from instrumentation. Hematuria occurs but not hemorrhage (C), perforation (B) is rare, and nausea (D) isn't typical, making A the most likely complication.
Question 2 of 5
A client with borderline personality disorder exhibits splitting behavior. The nurse understands this behavior involves:
Correct Answer: A
Rationale: Splitting involves seeing others as all good or all bad, alternating between idealization and devaluation.
Question 3 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 4 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 5 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.