ATI LPN
Renal System Multiple Choice Questions Questions
Question 1 of 5
An 88-year-old with benign prostatic hyperplasia (BPH) has a markedly distended bladder and is agitated and confused. Which of the following interventions prescribed by the health care provider should the nurse implement first?
Correct Answer: A
Rationale: Acute urinary retention (A) with distension and agitation requires immediate catheterization to relieve pressure and symptoms. IVP (B), sedation (C), and labs (D) follow, but relieving retention is the urgent first step, making A the priority.
Question 2 of 5
The nurse is to obtain an orthostatic blood pressure measurement for a patient on dialysis for end-stage renal disease. Which of these would the nurse do to obtain this measurement?
Correct Answer: A
Rationale: Orthostatic BP (A) assesses fluid status by measuring lying, sitting, and standing positions for postural hypotension. Frequent checks (B), dialysis timing (C), or medication (D) don't define orthostatic measurement, making A the method.
Question 3 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 4 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 5 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.