ATI LPN
Multiple Choice Questions on Urinary System Questions
Question 1 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.
Question 2 of 5
The nurse empties urine from an ileal conduit appliance and notes strands of mucus. What action should the nurse take?
Correct Answer: C
Rationale: Mucus in urine is normal for ileal conduit patients.
Question 3 of 5
What type of epithelium forms the lining of the vagina? A) stratified squamous, B) transitional, C) simple ciliated columnar, D) simple cuboidal
Correct Answer: A
Rationale: The vagina is lined with stratified squamous epithelium (A), protecting against friction. Transitional (B) is in the bladder, ciliated columnar (C) in fallopian tubes, and cuboidal (D) in tubules, making A correct.
Question 4 of 5
The ___ artery sits on the boundary between the cortex and the medulla of the kidney.
Correct Answer: C
Rationale: The arcuate artery (C) lies at the cortex-medulla junction, branching from interlobar arteries. Lobar (A) and interlobar (B) are deeper, and segmental (D) is proximal, making C the boundary vessel.
Question 5 of 5
A nurse cares for a client with an increased blood urea nitrogen (BUN)/creatinine ratio. Which action should the nurse take first?
Correct Answer: A
Rationale: High BUN/creatinine ratio may indicate dehydration or high-protein diet, so assess diet first.