ATI LPN
Renal System Practice Questions Questions
Question 1 of 5
In the female urinary system, the urethral orifice is situated posterior to the vaginal orifice
Correct Answer: B
Rationale: In females, the urethral orifice is anterior to the vaginal orifice (B), not posterior, due to anatomical positioning (urethra above vagina). True (A) reverses this, making B correct.
Question 2 of 5
To prevent the recurrence of renal calculi, the nurse teaches the patient to
Correct Answer: D
Rationale: High fluid intake (2000-3000 mL/day, D) dilutes urine, preventing stone formation. Straining urine (A) monitors, not prevents, calcium restriction (B) is selective, and coffee (C) may increase risk, making D the best prevention.
Question 3 of 5
Which nursing action should the nurse who is caring for a patient who has had an ileal conduit for several years delegate to nursing assistive personnel (NAP)?
Correct Answer: B
Rationale: Changing the ostomy appliance (B) in a stable patient is within NAP scope, a routine task. Assessing UTI (A), selecting bags (C), and monitoring stoma (D) require RN judgment, making B delegable.
Question 4 of 5
A patient who has increased blood urea nitrogen (BUN) and serum creatinine levels is scheduled for a renal arteriogram. Which bowel preparation order would the nurse question for this patient?
Correct Answer: A
Rationale: High-phosphate enemas, such as Fleet enemas, should be avoided in patients with elevated BUN and creatinine because phosphate cannot be excreted by patients with renal failure. The other medications for bowel evacuation are more appropriate.
Question 5 of 5
A patient is scheduled for an intravenous pyelogram (IVP). The nurse would evaluate the patient as understanding preprocedure teaching if the patient reported that which of these would be restricted as part of the preparation for an IVP?
Correct Answer: D
Rationale: NPO status 8 hours before IVP restricts fluid intake (D) to ensure clear imaging. Tobacco (A), activity (B), and salt (C) aren't restricted for IVP prep, making D the correct understanding.