ATI LPN
Urinary System Test Questions and Answers Questions
Question 1 of 5
The nurse completing a physical assessment for a newly admitted patient is unable to feel either kidney on palpation. Which action should the nurse take?
Correct Answer: B
Rationale: The kidneys are protected by the abdominal organs, ribs, and muscles of the back and may not be palpable under normal circumstances. No action is needed except to document the assessment information.
Question 2 of 5
The nurse is caring for a patient who has a urinary catheter inserted. Which of the following instructions should the nurse provide to help prevent development of a urinary tract infection?
Correct Answer: C
Rationale: Securing the catheter (C), aseptic technique (D), and free flow (E) prevent UTIs, but C is a key single action. Limiting fluids (A) increases risk, and frequent washing (B) isn't standard, making C a critical instruction.
Question 3 of 5
The nurse is reinforcing teaching for a patient who has chronic kidney disease. Which patient statement indicates the need for further teaching?
Correct Answer: C
Rationale: Protein may be restricted when the patient's kidneys are failing but increased if dialysis is started.
Question 4 of 5
The nurse caring for a patient with suspected renal dysfunction calculates that the patients weight has increased by 5 pounds in the past 24 hours. The nurse estimates that the patient has retained approximately how much fluid?
Correct Answer: B
Rationale: 5 lbs = 2.27 kg, and 1 kg ≈ 1,000 mL, so ~2,300 mL (B) is retained. 1,300 mL (A) and 3,100 mL (C) miscalculate, and 5,000 mL (D) overestimates, making B the accurate estimate.
Question 5 of 5
A patient asks the nurse why kidney problems can cause gastrointestinal disturbances. What relationship should the nurse describe?
Correct Answer: A
Rationale: The right kidney's proximity to GI organs (A) like the pancreas and liver causes disturbances. Enzymes (B), peritoneum (C), and bile duct (D) aren't the link, making A the relationship.