ATI LPN
Urinary System Test Questions and Answers Questions
Question 1 of 5
The nurse is caring for a patient who has a urinary catheter inserted. Which of the following instructions should the nurse provide to help prevent development of a urinary tract infection?
Correct Answer: C
Rationale: Securing the catheter (C), aseptic technique (D), and free flow (E) prevent UTIs, but C is a key single action. Limiting fluids (A) increases risk, and frequent washing (B) isn't standard, making C a critical instruction.
Question 2 of 5
The nurse caring for a patient with suspected renal dysfunction calculates that the patients weight has increased by 5 pounds in the past 24 hours. The nurse estimates that the patient has retained approximately how much fluid?
Correct Answer: B
Rationale: 5 lbs = 2.27 kg, and 1 kg ≈ 1,000 mL, so ~2,300 mL (B) is retained. 1,300 mL (A) and 3,100 mL (C) miscalculate, and 5,000 mL (D) overestimates, making B the accurate estimate.
Question 3 of 5
A patient asks the nurse why kidney problems can cause gastrointestinal disturbances. What relationship should the nurse describe?
Correct Answer: A
Rationale: The right kidney's proximity to GI organs (A) like the pancreas and liver causes disturbances. Enzymes (B), peritoneum (C), and bile duct (D) aren't the link, making A the relationship.
Question 4 of 5
A client with dissociative identity disorder (DID) is being assessed. The nurse understands that the primary cause of DID is:
Correct Answer: B
Rationale: Dissociative identity disorder is strongly linked to severe childhood trauma.
Question 5 of 5
The nurse coming on shift on the medical unit is taking a report on four patients. What patient does the nurse know is at the greatest risk of developing ESKD?
Correct Answer: B
Rationale: Systemic diseases, such as diabetes mellitus (leading cause); hypertension; chronic glomerulonephritis; pyelonephritis; obstruction of the urinary tract; hereditary lesions, such as in polycystic kidney disease; vascular disorders; infections; medications; or toxic agents may cause ESKD. A patient with more than one of these risk factors is at the greatest risk for developing ESKD. Therefore, the patient with diabetes and hypertension is likely at highest risk for ESKD.