ATI LPN
Renal System Multiple Choice Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
The nurse is monitoring a patient with chronic kidney disease. Which of the following findings would indicate fluid overload?
Correct Answer: E
Rationale: Neck vein distention periorbital edema and crackles in the lungs are symptoms of fluid overload.
Question 5 of 5
A nurse is caring for a 73-year-old patient with a urethral obstruction related to prostatic enlargement. When planning this patients care, the nurse should be aware of the consequent risk of what complication?
Correct Answer: A
Rationale: Urethral obstruction from BPH increases UTI risk (A) due to urine stasis. Enuresis (B), polyuria (C), and proteinuria (D) aren't directly linked, making A the primary complication.