ATI LPN
Renal System Questions and Answers Questions
Question 1 of 5
Incontinence refers to the inability to control micturition
Correct Answer: A
Rationale: Incontinence is the involuntary loss of bladder control (A), impairing micturition regulation, a true clinical definition. False (B) would deny this standard meaning, making A correct.
Question 2 of 5
A 32-year-old patient is diagnosed with polycystic kidney disease. Which information is most appropriate for the nurse to include in teaching at this time?
Correct Answer: A
Rationale: At 32, genetic counseling (A) is vital for polycystic kidney disease (autosomal dominant) due to reproductive implications. Transplantation (B), pain (C), and dialysis (D) are later concerns, making A most relevant now.
Question 3 of 5
Following an open loop resection and fulguration of the bladder, a patient is unable to void. Which nursing action should be implemented first?
Correct Answer: B
Rationale: A sitz bath (B) relaxes perineal muscles post-surgery, promoting voiding as the first non-invasive step. Catheterization (A) risks UTI, fluids (C) don't address retention, and exercises (D) are preventive, making B the initial action.
Question 4 of 5
The nurse is caring for a hospitalized patient with a decreased glomerular filtration rate who is scheduled for an intravenous pyelogram (IVP). Which action will be included in the plan of care?
Correct Answer: A
Rationale: Patients with impaired renal function are at risk for decreased renal function after IVP because the contrast medium used is nephrotoxic, so the nurse should monitor the patient's urine output. MAC sedation and retention catheterization are not required for the procedure. The contrast medium is given IV, not orally.
Question 5 of 5
The nurse contributes to the plan of care for a patient who has edema. Which of the following is the best indicator of a patient's fluid volume status?
Correct Answer: C
Rationale: Daily weight (C) is the best fluid volume indicator, reflecting gains/losses precisely (1 kg = 1 L). I&O (A) is less accurate, vital signs (B) are indirect, and turgor (D) is unreliable with edema, making C the top measure.