ATI LPN
Multiple Choice Questions on Urinary System Questions
Question 1 of 5
The nurse contributes to the plan of care for a patient who has had radiological studies of the renal system and has a nursing diagnosis of Impaired Urinary Elimination. Which outcome indicates that the nursing interventions have been effective?
Correct Answer: D
Rationale: Voiding 35 mL/hour of clear urine (D) meets the >30 mL/hour goal, indicating effective interventions. Lower outputs (A, B) suggest impairment, and cloudy urine (C) may indicate infection, making D the successful outcome.
Question 2 of 5
A nurse is preparing a patient diagnosed with benign prostatic hypertrophy (BPH) for a lower urinary tract cystoscopic examination. The nurse informs the patient that the most common temporary complication experienced after this procedure is what?
Correct Answer: A
Rationale: Urinary retention (A) is common post-cystoscopy in BPH due to edema from instrumentation. Hematuria occurs but not hemorrhage (C), perforation (B) is rare, and nausea (D) isn't typical, making A the most likely complication.
Question 3 of 5
A nurse is aware of the high incidence and prevalence of fluid volume deficit among older adults. What related health education should the nurse provide to an older adult?
Correct Answer: C
Rationale: Older adults have reduced thirst, so drinking frequently despite no thirst (C) prevents deficit. 4L (A) is excessive, other fluids (B) are fine, and salt (D) isn't advised, making C the education.
Question 4 of 5
A client with borderline personality disorder exhibits splitting behavior. The nurse understands this behavior involves:
Correct Answer: A
Rationale: Splitting involves seeing others as all good or all bad, alternating between idealization and devaluation.
Question 5 of 5
The nurse is caring for a patient receiving hemodialysis three times weekly. The patient has had surgery to form an arteriovenous fistula. What is most important for the nurse to be aware of when providing care for this patient?
Correct Answer: C
Rationale: When blood flow is reduced through the access for any reason (hypotension, application of BP cuff/tourniquet), the access site can clot. Auscultation of a bruit in the fistula is one way to determine patency. Typically, patients feel fatigued immediately after hemodialysis because of the rapid change in fluid and electrolyte status. Although the area over the fistula may have some decreased sensation, a needle stick is still painful.