ATI LPN
Multiple Choice Questions on Urinary System Questions
Question 1 of 5
A patient who has diabetic nephropathy asks the nurse Why am I using smaller doses of insulin than I used to? What would be the best explanation by the nurse?
Correct Answer: A
Rationale: As renal function decreases the patient needs smaller doses of insulin because the kidney normally degrades insulin.
Question 2 of 5
A nurse is aware of the high incidence and prevalence of fluid volume deficit among older adults. What related health education should the nurse provide to an older adult?
Correct Answer: C
Rationale: Older adults have reduced thirst, so drinking frequently despite no thirst (C) prevents deficit. 4L (A) is excessive, other fluids (B) are fine, and salt (D) isn't advised, making C the education.
Question 3 of 5
A client with borderline personality disorder exhibits splitting behavior. The nurse understands this behavior involves:
Correct Answer: A
Rationale: Splitting involves seeing others as all good or all bad, alternating between idealization and devaluation.
Question 4 of 5
The nurse is caring for a patient receiving hemodialysis three times weekly. The patient has had surgery to form an arteriovenous fistula. What is most important for the nurse to be aware of when providing care for this patient?
Correct Answer: C
Rationale: When blood flow is reduced through the access for any reason (hypotension, application of BP cuff/tourniquet), the access site can clot. Auscultation of a bruit in the fistula is one way to determine patency. Typically, patients feel fatigued immediately after hemodialysis because of the rapid change in fluid and electrolyte status. Although the area over the fistula may have some decreased sensation, a needle stick is still painful.
Question 5 of 5
The nurse determines that a patient with acute renal failure has prerenal oliguria when
Correct Answer: D
Rationale: Prerenal oliguria is due to decreased perfusion and improves with fluid replacement.