ATI LPN
Renal System Practice Questions Questions
Question 1 of 5
The micturition center is located in the:
Correct Answer: A
Rationale: The micturition center in the pons (A) coordinates the reflex via parasympathetic signals, not medulla (B), cerebellum (C), or basal ganglia (D), making A the control site.
Question 2 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 3 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 4 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.
Question 5 of 5
The nurse contributes to the plan of care for an older patient. The nurse recognizes which of the following occur with aging to plan care?
Correct Answer: C
Rationale: Aging reduces nephrons (D) and detrusor tone (C), but C affects urination frequency directly. Bladder size decreases (not A), and GFR drops (not B), making C a critical change for care planning.