ATI LPN
Renal System Practice Questions Questions
Question 1 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.
Question 2 of 5
A patient admitted to the medical unit with impaired renal function is complaining of severe, stabbing pain in the flank and lower abdomen... The nurse recognizes that the stone is most likely in what anatomic location?
Correct Answer: C
Rationale: Severe, stabbing flank pain (C) indicates a ureteral stone, often dull but sharp with a full bladder. Bladder (B), urethra (D), and meatus (A) stones cause different pain, making C the likely site.
Question 3 of 5
What nursing action should the nurse perform when caring for a patient undergoing diagnostic testing of the renal-urologic system?
Correct Answer: D
Rationale: Assessing understanding (D) ensures the patient grasps results, a nursing role. Withholding meds (A) or fluids (B) isn't standard, and diagnosis (C) is the physician's job, making D the action.
Question 4 of 5
A patient with bipolar disorder is prescribed lithium. The nurse teaches the patient to monitor for which potential side effect?
Correct Answer: B
Rationale: Lithium can cause polyuria and polydipsia as side effects.
Question 5 of 5
A patient on the critical care unit is postoperative day 1 following kidney transplantation from a living donor. The nurses most recent assessments indicate that the patient is producing copious quantities of dilute urine. What is the nurses most appropriate response?
Correct Answer: B
Rationale: A kidney from a living donor related to the patient usually begins to function immediately after surgery and may produce large quantities of dilute urine. This is not suggestive of rejection and treatment is not warranted. There is no obvious need to report this finding.