ATI LPN
Urinary System Questions Questions
Question 1 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.
Question 2 of 5
Which factor does NOT affect GFR?
Correct Answer: D
Rationale: Small neutral molecules do not significantly impact GFR.
Question 3 of 5
Which of the following statements about medullary sponge kidney is NOT true?
Correct Answer: B
Rationale: Medullary sponge kidney is typically diagnosed in adulthood, not childhood.
Question 4 of 5
A nurse cares for a postmenopausal client who has had two episodes of bacterial urethritis in the last 6 months. The client asks, 'I never have urinary tract infections. Why is this happening now?' How should the nurse respond?
Correct Answer: B
Rationale: Low estrogen increases infection risk by altering perineal tissue.
Question 5 of 5
A client has a serum potassium level of 6.5 mmol/L, a serum creatinine level of 2 mg/dL, and a urine output of 350 mL/day. What is the best action by the nurse?
Correct Answer: A
Rationale: High potassium risks dysrhythmias; cardiac monitoring is the immediate priority.