ATI LPN
Test Questions Renal System Questions
Question 1 of 5
Following rectal surgery, a patient voids about 50 mL of urine every 30 to 60 minutes. Which nursing action is most appropriate?
Correct Answer: A
Rationale: Frequent small voids suggest overflow incontinence post-surgery, so checking residual urine with ultrasound (A) assesses bladder emptying. Monitoring I&O (B) delays intervention, fluids (C) don't address retention, and reassurance (D) ignores the issue, making A most appropriate.
Question 2 of 5
Which statement by a patient who had a cystoscopy the previous day should the nurse report immediately to the health care provider?
Correct Answer: D
Rationale: The patient's elevated temperature may indicate a bladder infection, a possible complication of cystoscopy. The health care provider should be notified so that antibiotic therapy can be started. Pink-tinged urine is expected after a cystoscopy. The insomnia and bruising should be discussed further with the patient but do not indicate a need to notify the health care provider.
Question 3 of 5
The nurse is caring for a patient who has kidney disease. How does the nurse end a 24-hour urine test at the end of the 24 hours?
Correct Answer: A
Rationale: The final void at 24 hours (A) completes the 24-hour collection, added to the container. Discarding (B) loses data, 100 mL (C) isn't standard, and first/last (D) isn't the protocol, making A the correct step.
Question 4 of 5
The nurse is reinforcing teaching on antibiotic use for a urinary tract infection(UTI). Which of the following statements by the patient would indicate a correct understanding of the teaching?
Correct Answer: D
Rationale: Take prescribed medication for a UTI until it is all gone.
Question 5 of 5
The nurse is providing pre-procedure teaching about an ultrasound. The nurse informs the patient that in preparation for an ultrasound of the lower urinary tract the patient will require what?
Correct Answer: A
Rationale: Ultrasound of the lower urinary tract requires a full bladder (A) via increased fluid intake for clear imaging. Contrast (B) is for IV urography, sedation (C) isn't needed, and radioisotopes (D) are for nuclear scans, making A the preparation.