ATI LPN
Urinary and Renal System Questions Questions
Question 1 of 5
A patient has begun taking spironolactone (Aldactone) in addition to a thiazide diuretic. With the addition of the spironolactone, the nurse will counsel this patient to
Correct Answer: C
Rationale: Spironolactone risks hyperkalemia with poor renal function, so report low output.
Question 2 of 5
A nurse cares for a client with a urine specific gravity of 1.040. Which action should the nurse take?
Correct Answer: D
Rationale: High specific gravity indicates dehydration; increasing fluids is the best intervention.
Question 3 of 5
A nurse cares for a client who has elevated levels of antidiuretic hormone (ADH). Which disorder should the nurse identify as a trigger for the release of this hormone?
Correct Answer: B
Rationale: ADH rises with dehydration to conserve water by increasing reabsorption.
Question 4 of 5
A nurse cares for a client admitted from a nursing home after several recent falls. What prescription should the nurse complete first?
Correct Answer: A
Rationale: Falls may signal a UTI in older adults; urine culture is the priority.
Question 5 of 5
The nurse is teaching a client with chronic kidney disease (CKD) about the sodium restriction needed in the diet to prevent edema and hypertension. Which statement by the client indicates more teaching is needed?
Correct Answer: A
Rationale: Fast food is high in sodium, contradicting the restriction; more teaching is required.