ATI LPN
NCLEX Questions and Answers on Renal System Questions
Question 1 of 5
A patient hospitalized for orthopedic surgery had a urinary catheter inserted. The patient later develops a urinary tract infection and asks the nurse what caused it. What is the appropriate response by the nurse?
Correct Answer: A
Rationale: Urinary tract infections are almost always caused by an ascending infection starting at the external urinary meatus.
Question 2 of 5
The nurse is caring for a patient who is going to have an open renal biopsy. What would be an important nursing action in preparing this patient for the procedure?
Correct Answer: D
Rationale: NPO status (D) is critical pre-open biopsy, like any abdominal surgery, to reduce aspiration risk. Family discussion (A), antiseptic wash (B), and antivirals (C) aren't standard prep, making D the key action.
Question 3 of 5
A patient with bipolar disorder is experiencing a manic episode. Which intervention is most appropriate for the nurse to implement?
Correct Answer: B
Rationale: A structured environment helps manage overstimulation during a manic episode.
Question 4 of 5
A patient with delusional disorder believes their neighbor is spying on them. The nurse recognizes this as an example of:
Correct Answer: A
Rationale: Belief of being spied on reflects a persecutory delusion.
Question 5 of 5
A patient is being treated for AKI and the patient daily weights have been ordered. The nurse notes a weight gain of 3 pounds over the past 48 hours. What nursing diagnosis is suggested by this assessment finding?
Correct Answer: B
Rationale: If the patient with AKI gains or does not lose weight, fluid retention should be suspected. Short-term weight gain is not associated with excessive caloric intake or a sedentary lifestyle. Failure to thrive is not associated with weight gain.