ATI LPN
Urinary System Questions Questions
Question 1 of 5
A patient hourly urine output is recorded. Which of the following output rates should be brought to the attention of the registered nurse immediately?
Correct Answer: A
Rationale: Urine output should be 30 mL/hr so 15 mL/hr should be reported.
Question 2 of 5
A patients most recent laboratory findings indicate a glomerular filtration rate (GFR) of 58 mL/min. The nurse should recognize what implication of this diagnostic finding?
Correct Answer: D
Rationale: GFR of 58 mL/min (normal ~125 mL/min) indicates reduced filtration, raising serum creatinine (D). BUN increases, not decreases (A), potassium rises (not hypo, B), and voiding (C) isn't directly tied, making D the implication.
Question 3 of 5
A client with post-traumatic stress disorder (PTSD) is experiencing flashbacks. The nurse identifies which intervention as most helpful?
Correct Answer: B
Rationale: Grounding techniques help clients stay connected to the present during flashbacks.
Question 4 of 5
The nurse is caring for a patient with a history of systemic lupus erythematosus who has been recently diagnosed with end-stage kidney disease (ESKD). The patient has an elevated phosphorus level and has been prescribed calcium acetate to bind the phosphorus. The nurse should teach the patient to take the prescribed phosphorus-binding medication at what time?
Correct Answer: D
Rationale: Both calcium carbonate and calcium acetate are medications that bind with the phosphate and assist in excreting the phosphate from the body, in turn lowering the phosphate levels. Phosphate-binding medications must be administered with food to be effective.
Question 5 of 5
The nurse performing the health interview of a patient with a new onset of periorbital edema has completed a genogram, noting the health history of the patients siblings, parents, and grandparents. This assessment addresses the patients risk of what kidney disorder?
Correct Answer: D
Rationale: PKD is a genetic disorder characterized by the growth of numerous cysts in the kidneys. Nephritic syndrome, acute glomerulonephritis, and nephrotic syndrome are not genetic disorders.