ATI LPN
Test Questions Renal System Questions
Question 1 of 5
Glucose is:
Correct Answer: B
Rationale: Glucose is filtered at the glomerulus and fully reabsorbed in the PCT (B), not secreted, under normal conditions. Secretion (A, C) or no reabsorption (D) occurs only in pathology (e.g., diabetes), making B correct.
Question 2 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 3 of 5
Which information noted by the nurse when caring for a patient with a bladder infection is most important to report to the health care provider?
Correct Answer: C
Rationale: Flank pain (C) in a bladder infection suggests pyelonephritis, a complication needing prompt reporting. Dysuria (A), hematuria (B), and mild fever (D) are typical, but upper tract involvement is urgent, making C most important.
Question 4 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 5 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.