ATI LPN
NCLEX Questions Urinary System Questions
Question 1 of 5
A patient admitted with nephrotic syndrome is being cared for on the medical unit. When writing this patients care plan, based on the major clinical manifestation of nephrotic syndrome, what nursing diagnosis should the nurse include?
Correct Answer: D
Rationale: The major clinical manifestation of nephrotic syndrome is edema, so the appropriate nursing diagnosis is Excess fluid volume related to generalized edema. Edema is usually soft, pitting, and commonly occurs around the eyes, in dependent areas, and in the abdomen.
Question 2 of 5
The nurse is caring for a patient with a nephrostomy tube. What action should the nurse take?
Correct Answer: C
Rationale: Preventing kinking ensures proper drainage of the nephrostomy tube.
Question 3 of 5
What type of epithelium forms the lining of the ureter? A) stratified squamous, B) transitional, C) simple ciliated columnar, D) simple cuboidal
Correct Answer: B
Rationale: The ureter is lined with transitional epithelium (B), accommodating urine passage. Stratified squamous (A) is in skin, ciliated columnar (C) in fallopian tubes, and cuboidal (D) in tubules, making B the lining.
Question 4 of 5
True or False: Glomerular filtration is an ATP-driven process.
Correct Answer: B
Rationale: Glomerular filtration is passive (B), driven by hydrostatic pressure, not ATP (A). Active transport occurs in reabsorption, not filtration, making False the correct answer.
Question 5 of 5
A nurse cares for a client with a urine specific gravity of 1.018. Which action should the nurse take?
Correct Answer: B
Rationale: Specific gravity of 1.018 is normal, so documenting and monitoring is sufficient.