ATI LPN
Renal System Multiple Choice Questions Questions
Question 1 of 5
A patient is admitted to the hospital with new onset nephrotic syndrome. Which assessment data will the nurse expect to find related to this illness?
Correct Answer: C
Rationale: Nephrotic syndrome causes edema from hypoalbuminemia, leading to weight gain (C). Hypertension, not low BP (D), is typical, skin turgor is normal with edema (A), and ketones (B) are unrelated, making C the expected finding.
Question 2 of 5
A patient passing bloody urine has scheduled a cystoscopy with cystogram. Which description of the procedure by the nurse is accurate?
Correct Answer: C
Rationale: In a cystoscope and cystogram procedure, a cystoscope is inserted into the bladder for direct visualization, and then contrast solution is injected through the scope so that x-rays can be taken. The response beginning, “Your doctor will place a catheter†describes a renal arteriogram procedure. The response beginning, “Your doctor will inject a radioactive solution†describes a nuclear scan. The response beginning, “Your doctor will insert a lighted tube into the bladder, and little catheters will be inserted†describes a retrograde pyelogram.
Question 3 of 5
The nurse is to obtain an orthostatic blood pressure measurement for a patient on dialysis for end-stage renal disease. Which of these would the nurse do to obtain this measurement?
Correct Answer: A
Rationale: Orthostatic BP (A) assesses fluid status by measuring lying, sitting, and standing positions for postural hypotension. Frequent checks (B), dialysis timing (C), or medication (D) don't define orthostatic measurement, making A the method.
Question 4 of 5
The nurse is caring for a patient with an indwelling catheter. Which of the following would be included in routine nursing care?
Correct Answer: A
Rationale: Fluid intake (A), securing catheter (C), closed system (D), and removal (F) are routine, but A promotes urine flow. Sterile technique (B) isn't standard (aseptic is), and clamping (E) isn't routine, making A a key action.
Question 5 of 5
The nurse is contributing to the plan of care for a patient who is having an intravenous pyelogram(IVP) done to diagnose possible bladder cancer. Which intervention should the nurse recommend be included for the patient after the procedure?
Correct Answer: B
Rationale: Monitoring creatinine levels to look for renal damage after the IVP due to the dye used is important.