ATI LPN
NCLEX Questions on the Renal System Questions
Question 1 of 5
Complete the following sentence correctly. Antidiuretic hormone
Correct Answer: B
Rationale: ADH increases collecting duct water permeability.
Question 2 of 5
A tube connecting the urinary bladder to the genitals?
Correct Answer: B
Rationale: Urethra carries urine from bladder to external genitals.
Question 3 of 5
Which parts/organs of the body do lower and upper UTIs affect?
Correct Answer: B
Rationale: Lower UTIs affect urethra and bladder; upper UTIs involve ureter and kidney.
Question 4 of 5
A client is hospitalized after experiencing a myocardial infarction (MI). To reduce cardiac workload, which intervention should the nurse include in the client's plan of care?
Correct Answer: C
Rationale: Providing a bedside commode reduces cardiac workload in a client post-myocardial infarction (MI) by minimizing physical exertion. After an MI, the heart's oxygen demand must be kept low to prevent further damage, and activities like walking to the bathroom increase energy expenditure and strain. Using a commode allows the client to toilet without ambulating, conserving energy. Active exercises or hallway ambulation increase oxygen demand, while side-lying positioning, though helpful for comfort, doesn't directly address exertion as effectively as the commode.
Question 5 of 5
The nurse observes an increased number of blood clots in the drainage tubing of a client with continuous bladder irrigation following a trans-urethral resection of the prostate (TURP). What is the best initial nursing action?
Correct Answer: B
Rationale: Increased blood clots in the drainage tubing post-TURP require the nurse to increase the flow of the bladder irrigation as the best initial action. Continuous irrigation prevents clot obstruction in the catheter, which could lead to bladder distention or hemorrhage. Adjusting the rate clears clots and maintains patency. Measuring intake/output monitors status but doesn't act, antispasmodics address spasms not clots, and oral fluids don't directly resolve tubing issues, making irrigation adjustment the most effective first step.