ATI RN
Urinary System Multiple Choice Questions Questions
Question 1 of 5
The hypothalamic thirst center is stimulated by:
Correct Answer: A
Rationale: Thirst center activates with 10-15% plasma volume drop or 1-2% osmolarity rise sensitive triggers (e.g., hypothalamus). 1-2% volume or 10-15% osmolarity reverses thresholds incorrect. Thirst is result not stimulus. ADH is parallel not cause. Precise thresholds distinguish it, key to thirst drive, unlike reversed or effect-based options.
Question 2 of 5
Important source of buffer in chronic metabolic acidosis?
Correct Answer: D
Rationale: Bone buffers in chronic metabolic acidosis releases CaCO₃ (e.g., weeks-long compensation). Phosphate is tubular less chronic. Proteins assist limited capacity. Bicarbonate depletes overwhelmed. Bone's role distinguishes it, key to chronic buffering, unlike acute or depleted systems.
Question 3 of 5
A comatose woman with pH 6.90, HCO₃⻠13 mEq/L, PaCO₂ 68 mmHg has what acid-base status?
Correct Answer: C
Rationale: Simultaneous respiratory (PCO₂ 68, high) and metabolic acidosis (HCO₃⻠13, low) match pH 6.90 severe drop (e.g., overdose hypoventilation, lactic acidosis). Uncompensated metabolic lacks PCO₂ rise partial. Uncompensated respiratory misses HCO₃⻠drop sole. Renal compensation raises HCO₃⻠not here. Dual acidosis distinguishes it, key to mixed disorder, unlike single or compensated states.
Question 4 of 5
The process of urine formation includes:
Correct Answer: A
Rationale: Urine forms via filtration (glomerulus), reabsorption (tubules), and secretion (tubules) not digestive or GI processes. This outlines nephron function, critical for waste removal, contrasting with unrelated mechanisms.
Question 5 of 5
The normal pH of urine is:
Correct Answer: A
Rationale: Normal urine pH is ~6.0 (slightly acidic) not neutral, alkaline, or strongly acidic (pathological). This defines typical acidity, critical for urinalysis, contrasting with abnormal ranges.