ATI LPN
Questions on the Urinary System Questions
Question 1 of 5
After the home health nurse teaches a patient with a neurogenic bladder how to use intermittent catheterization for bladder emptying, which patient statement indicates that the teaching has been effective?
Correct Answer: B
Rationale: Cleaning the catheter before/after use (B) reflects correct home clean technique for intermittent catheterization. Sterile technique (A) is hospital-based, daily new catheters (C) are unnecessary (weekly is fine), and antibiotics (D) aren't routine, making B the effective learning sign.
Question 2 of 5
In the accompanying figure, what is the nurse assessing via percussion?
Correct Answer: D
Rationale: The nurse in the photo is using indirect percussion to determine the presence or absence of costovertebral angle (CVA) tenderness, which suggests pyelonephritis or polycystic kidney disease. The liver size would be percussed from the anterior direction with the patient positioned supine. Chest stability and excursion are determined by palpating and observing for symmetry of expansion. Pulmonary tissue density would be determined by tapping the interphalangeal joint over the lung fields and listening for resonance.
Question 3 of 5
The nurse is caring for a patient who has a renal biopsy. For which complication would the nurse monitor the patient during the 24 hours after the procedure?
Correct Answer: A
Rationale: Bleeding (A) is the primary post-biopsy risk, indicated by bloody urine or vital sign changes, requiring immediate monitoring. Infection (B), obstruction (C), and polyuria (D) are less urgent, making A the key complication.
Question 4 of 5
The nurse is caring for a patient who has acute kidney injury. Which diagnostic test result would most support this diagnosis?
Correct Answer: B
Rationale: A normal 24-hour creatinine clearance of 100 mL/min is the most accurate test for renal function.
Question 5 of 5
A geriatric nurse is performing an assessment of body systems on an 85-year-old patient. The nurse should be aware of what age-related change affecting the renal or urinary system?
Correct Answer: D
Rationale: Aging decreases GFR (D) due to reduced glomerular surface area, a key renal change. Urine concentration (A) and bladder capacity (B) decrease, and incontinence (C) isn't normal but common, making D the primary age-related change.