ATI LPN
Urinary System Multiple Choice Questions and Answers PDF Questions
Question 1 of 5
The nurse is caring for a patient who has an elevated uric acid level. Which of the following could cause this elevated uric acid level?
Correct Answer: B
Rationale: Kidney disease (B), leukemia (D), malnutrition (E), and thiazide diuretics (F) elevate uric acid, but B is a primary cause. GI bleeding (A) and steroids (C) are less direct, making B a significant contributor.
Question 2 of 5
The staff educator is giving a class for a group of nurses new to the renal unit. The educator is discussing renal biopsies. In what patient would the educator tell the new nurses that renal biopsies are contraindicated?
Correct Answer: C
Rationale: Morbid obesity (C) contraindicates renal biopsy due to access and bleeding risks. Glomerulonephritis (A), proteinuria (B), and rejection (D) are indications, making C the exception.
Question 3 of 5
The nurse is reviewing the electronic health record of a patient with a history of incontinence. The nurse reads that the physician assessed the patients deep tendon reflexes. What condition of the urinary/renal system does this assessment address?
Correct Answer: B
Rationale: Deep tendon reflexes (B) test sacral neurologic function, linked to bladder control. Calculi (A), BPH (C), and UTIs (D) aren't neurologic, making B the condition assessed.
Question 4 of 5
A client diagnosed with attention-deficit/hyperactivity disorder (ADHD) is prescribed stimulant medication. The nurse explains that these medications work by:
Correct Answer: B
Rationale: Stimulants improve focus and impulse control in ADHD.
Question 5 of 5
The nurse is caring for a patient in acute kidney injury. Which of the following complications would most clearly warrant the administration of polystyrene sulfonate (Kayexalate)?
Correct Answer: C
Rationale: Hyperkalemia, a common complication of acute kidney injury, is life-threatening if immediate action is not taken to reverse it. The administration of polystyrene sulfonate reduces serum potassium levels.