ATI LPN
Urinary System Questions Questions
Question 1 of 5
Place the following in the correct sequence from the initial formation of urine to its elimination from the body: 1) Major calyx, 2) Minor calyx, 3) Nephron, 4) Urethra, 5) Ureter, 6) Collecting duct
Correct Answer: A
Rationale: Urine forms in the nephron (3), flows to the collecting duct (6), minor calyx (2), major calyx (1), ureter (5), and urethra (4) (A). This sequence (3,6,2,1,5,4) traces filtrate from filtration to excretion, making A correct.
Question 2 of 5
A nurse reviews the laboratory findings of a client with a urinary tract infection. The laboratory report notes a 'shift to the left' in a client's white blood cell count. Which action should the nurse take?
Correct Answer: B
Rationale: Shift to the left indicates urosepsis, needing urgent IV antibiotics after notifying provider.
Question 3 of 5
A nurse assesses a client who presents with renal calculi. Which question should the nurse ask?
Correct Answer: A
Rationale: Family history strongly correlates with renal stone formation, making it a key question.
Question 4 of 5
The nurse is caring for a patient who has recurrent urinary tract infections. The patient's current infection is not responding to an antibiotic that has been used successfully several times in the past. The nurse understands that this is most likely due to
Correct Answer: A
Rationale: Repeated exposure leads to acquired resistance, explaining the antibiotic's current failure.
Question 5 of 5
The nurse assumes care for a patient who is currently receiving a dose of intravenous vancomycin (Vancocin) infusing at $20 \mathrm{mg} / \mathrm{min}$. The nurse notes red blotches on the patient's face, neck, and chest and assesses a blood pressure of $80 / 55 \mathrm{~mm} \mathrm{Hg}$. Which action will the nurse take?
Correct Answer: B
Rationale: Rapid infusion causes red man syndrome; slowing to $10 \mathrm{mg} / \mathrm{min}$ resolves symptoms.