ATI LPN
NCLEX Questions Urinary System Questions
Question 1 of 5
The nurse is caring for a patient suspected of having renal dysfunction. When reviewing laboratory results for this patient, the nurse interprets the presence of which substances in the urine as most suggestive of pathology?
Correct Answer: C
Rationale: Glucose and protein (C) in urine suggest pathology (e.g., diabetes, glomerular damage), as they're normally reabsorbed. Potassium/sodium (A), bicarbonate/urea (B), and creatinine/chloride (D) are typically present, making C the most abnormal finding.
Question 2 of 5
A patient with somatic symptom disorder frequently visits the clinic with physical complaints. The nurse recognizes that these symptoms are primarily related to:
Correct Answer: B
Rationale: Somatic symptoms often stem from unresolved psychological conflicts.
Question 3 of 5
A patient admitted with nephrotic syndrome is being cared for on the medical unit. When writing this patients care plan, based on the major clinical manifestation of nephrotic syndrome, what nursing diagnosis should the nurse include?
Correct Answer: D
Rationale: The major clinical manifestation of nephrotic syndrome is edema, so the appropriate nursing diagnosis is Excess fluid volume related to generalized edema. Edema is usually soft, pitting, and commonly occurs around the eyes, in dependent areas, and in the abdomen.
Question 4 of 5
The nurse evaluates the patency of an AV graft by
Correct Answer: B
Rationale: Auscultating for a bruit confirms AV graft patency.
Question 5 of 5
The nurse is caring for a patient with a nephrostomy tube. What action should the nurse take?
Correct Answer: C
Rationale: Preventing kinking ensures proper drainage of the nephrostomy tube.