ATI LPN
Urinary System Questions Questions
Question 1 of 5
The nurse is caring for a patient who has a fluid volume deficit. When evaluating this patients urinalysis results, what should the nurse anticipate?
Correct Answer: D
Rationale: Fluid volume deficit increases urine specific gravity (D) as kidneys concentrate urine due to low hydration. Fluctuating (A) or fixed (B) SG occurs in renal disease, and decreased SG (C) reflects high fluid intake, making D the expected finding.
Question 2 of 5
A client with post-traumatic stress disorder (PTSD) is experiencing flashbacks. The nurse identifies which intervention as most helpful?
Correct Answer: B
Rationale: Grounding techniques help clients stay connected to the present during flashbacks.
Question 3 of 5
The nurse is caring for a patient with a history of systemic lupus erythematosus who has been recently diagnosed with end-stage kidney disease (ESKD). The patient has an elevated phosphorus level and has been prescribed calcium acetate to bind the phosphorus. The nurse should teach the patient to take the prescribed phosphorus-binding medication at what time?
Correct Answer: D
Rationale: Both calcium carbonate and calcium acetate are medications that bind with the phosphate and assist in excreting the phosphate from the body, in turn lowering the phosphate levels. Phosphate-binding medications must be administered with food to be effective.
Question 4 of 5
The nurse performing the health interview of a patient with a new onset of periorbital edema has completed a genogram, noting the health history of the patients siblings, parents, and grandparents. This assessment addresses the patients risk of what kidney disorder?
Correct Answer: D
Rationale: PKD is a genetic disorder characterized by the growth of numerous cysts in the kidneys. Nephritic syndrome, acute glomerulonephritis, and nephrotic syndrome are not genetic disorders.
Question 5 of 5
The nurse reinforces teaching on the most serious side effect of peritoneal dialysis. Which statement indicates understanding?
Correct Answer: C
Rationale: Peritonitis is a life-threatening complication of peritoneal dialysis.