ATI LPN
Renal System Questions and Answers Questions
Question 1 of 5
The nurse is caring for a hospitalized patient with a decreased glomerular filtration rate who is scheduled for an intravenous pyelogram (IVP). Which action will be included in the plan of care?
Correct Answer: A
Rationale: Patients with impaired renal function are at risk for decreased renal function after IVP because the contrast medium used is nephrotoxic, so the nurse should monitor the patient's urine output. MAC sedation and retention catheterization are not required for the procedure. The contrast medium is given IV, not orally.
Question 2 of 5
Normal urinary output is ___ to 2,000 mL per 24 hours.
Correct Answer: B
Rationale: Normal urinary output is 1,000-2,000 mL/24 hours (B), balancing fluid intake. 500 mL (A) is oliguria, and 1,500-2,500 mL (C, D) fit within but aren't the lower bound, making B the standard.
Question 3 of 5
The nurse is contributing to the plan of care for a patient who has chronic kidney disease. What are possible effects of this condition the nurse should consider?
Correct Answer: F
Rationale: All but B and F occur due to the loss of function and resulting effects of the failed kidneys.
Question 4 of 5
A patient with recurrent urinary tract infections has just undergone a cystoscopy and complains of slight hematuria during the first void after the procedure. What is the nurses most appropriate action?
Correct Answer: B
Rationale: Slight hematuria post-cystoscopy (B) is normal due to mucosal trauma, requiring reassurance and monitoring. Vitamin K (A), physician report (C), or catheterization (D) aren't needed, making B the best action.
Question 5 of 5
A client diagnosed with major depressive disorder is being assessed for treatment options. Which statement by the nurse best explains the use of electroconvulsive therapy (ECT)?
Correct Answer: A
Rationale: ECT is indicated when rapid symptom relief is necessary, especially in severe depression.