ATI LPN
Renal System Practice Questions Questions
Question 1 of 5
A patient is scheduled for an intravenous pyelogram (IVP). The nurse would evaluate the patient as understanding preprocedure teaching if the patient reported that which of these would be restricted as part of the preparation for an IVP?
Correct Answer: D
Rationale: NPO status 8 hours before IVP restricts fluid intake (D) to ensure clear imaging. Tobacco (A), activity (B), and salt (C) aren't restricted for IVP prep, making D the correct understanding.
Question 2 of 5
The nurse notes it is time to administer prescribed gentamicin(Garamycin) for a patient with acute kidney injury and suspected streptococcal pneumonia. Which of the following actions would be most appropriate for the nurse to take?
Correct Answer: B
Rationale: The medication should be held until the physician can be consulted about the medication order as this is a nephrotoxic agent.
Question 3 of 5
A patient admitted to the medical unit with impaired renal function is complaining of severe, stabbing pain in the flank and lower abdomen... The nurse recognizes that the stone is most likely in what anatomic location?
Correct Answer: C
Rationale: Severe, stabbing flank pain (C) indicates a ureteral stone, often dull but sharp with a full bladder. Bladder (B), urethra (D), and meatus (A) stones cause different pain, making C the likely site.
Question 4 of 5
What nursing action should the nurse perform when caring for a patient undergoing diagnostic testing of the renal-urologic system?
Correct Answer: D
Rationale: Assessing understanding (D) ensures the patient grasps results, a nursing role. Withholding meds (A) or fluids (B) isn't standard, and diagnosis (C) is the physician's job, making D the action.
Question 5 of 5
A patient with bipolar disorder is prescribed lithium. The nurse teaches the patient to monitor for which potential side effect?
Correct Answer: B
Rationale: Lithium can cause polyuria and polydipsia as side effects.