ATI LPN
Urinary System Questions Questions
Question 1 of 5
A patient in the hospital has a history of functional urinary incontinence. Which nursing action will be included in the plan of care?
Correct Answer: A
Rationale: Functional incontinence from mobility/cognitive issues improves with a bedside commode (A) for easier access. Credé (B) and residuals (C) are for overflow, and Kegel (D) is for stress incontinence, making A the best action.
Question 2 of 5
When working in the urology/nephrology clinic, which patient's care could the nurse delegate to an experienced licensed practical/vocational nurse (LPN/VN)?
Correct Answer: D
Rationale: LPN/VN education includes common procedures such as catheterization of stable patients. The other patients require complex assessments or patient teaching that are included in registered nurse (RN) education and scope of practice.
Question 3 of 5
The nurse is helping to prepare a patient for a renal biopsy. What position should the nurse help the patient assume?
Correct Answer: D
Rationale: Prone position (D) with a sandbag under the abdomen allows flank access for renal biopsy. Sims (A) is lateral, Fowler's (B) is semi-sitting, and supine (C) is face-up, making D the required position.
Question 4 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 5 of 5
The nurse is caring for a patient who has a fluid volume deficit. When evaluating this patients urinalysis results, what should the nurse anticipate?
Correct Answer: D
Rationale: Fluid volume deficit increases urine specific gravity (D) as kidneys concentrate urine due to low hydration. Fluctuating (A) or fixed (B) SG occurs in renal disease, and decreased SG (C) reflects high fluid intake, making D the expected finding.