ATI LPN
Urinary System Test Questions and Answers Questions
Question 1 of 5
A patient with bladder cancer is scheduled for intravesical chemotherapy. In preparation for the treatment the nurse will teach the patient about
Correct Answer: D
Rationale: Emptying the bladder before intravesical chemotherapy (D) ensures direct drug contact with the bladder wall. Systemic effects like nausea (A), hair loss (B), or oral issues (C) don't occur with this local treatment, making D the key preparation.
Question 2 of 5
The nurse is collecting data for a patient with kidney disease. When reviewing a urinalysis report, what would the nurse recognize as normal specific gravity of urine?
Correct Answer: B
Rationale: Normal urine specific gravity is 1.002-1.035 (B), indicating proper kidney concentration. 0.080-0.100 (A) is impossibly low, and 2.600-3.000 (C) or 4.612-5.030 (D) are far beyond physiological range, making B the correct value.
Question 3 of 5
The nurse is caring for a patient who has a urinary catheter inserted. Which of the following instructions should the nurse provide to help prevent development of a urinary tract infection?
Correct Answer: C
Rationale: Securing the catheter (C), aseptic technique (D), and free flow (E) prevent UTIs, but C is a key single action. Limiting fluids (A) increases risk, and frequent washing (B) isn't standard, making C a critical instruction.
Question 4 of 5
The nurse is reinforcing teaching for a patient who has chronic kidney disease. Which patient statement indicates the need for further teaching?
Correct Answer: C
Rationale: Protein may be restricted when the patient's kidneys are failing but increased if dialysis is started.
Question 5 of 5
The nurse caring for a patient with suspected renal dysfunction calculates that the patients weight has increased by 5 pounds in the past 24 hours. The nurse estimates that the patient has retained approximately how much fluid?
Correct Answer: B
Rationale: 5 lbs = 2.27 kg, and 1 kg ≈ 1,000 mL, so ~2,300 mL (B) is retained. 1,300 mL (A) and 3,100 mL (C) miscalculate, and 5,000 mL (D) overestimates, making B the accurate estimate.