ATI LPN
Urinary System Questions and Answers Questions
Question 1 of 5
The nurse is caring for a patient who has metabolic alkalosis and is experiencing fluid overload. The provider orders acetazolamide (Diamox). The patient reports right-sided flank pain after taking this medication. The nurse suspects that this patient has developed which condition?
Correct Answer: D
Rationale: Flank pain suggests renal calculi, a side effect of acetazolamide therapy.
Question 2 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 reflect diet or dehydration; assessing diet is the first step.
Question 3 of 5
A nurse assesses a client who is recovering from extracorporeal shock wave lithotripsy for renal calculi. The nurse notes an ecchymotic area on the client's right lower back. Which action should the nurse take?
Correct Answer: B
Rationale: Ice reduces bruising from lithotripsy, a common post-procedure effect.
Question 4 of 5
A 70-kg adult with chronic renal failure is on a 40-g protein diet. The client has a reduced glomerular filtration rate and is not undergoing dialysis. Which result would give the nurse the most concern?
Correct Answer: A
Rationale: Low albumin suggests inadequate protein intake for metabolic needs.
Question 5 of 5
How will the nurse assess for flank tenderness in a 30-year-old female patient with suspected pyelonephritis?
Correct Answer: B
Rationale: Percussing the CVA effectively checks for flank pain in pyelonephritis.