ATI LPN
Urinary System Questions Questions
Question 1 of 5
The nurse is caring for a patient who has recurrent urinary tract infections. The patient's current infection is not responding to an antibiotic that has been used successfully several times in the past. The nurse understands that this is most likely due to
Correct Answer: A
Rationale: Repeated exposure leads to acquired resistance, explaining the antibiotic's current failure.
Question 2 of 5
The nurse is caring for a patient who is taking trimethoprim-sulfamethoxazole (TMP-SMX). The nurse learns that the patient takes an angiotensin-converting enzyme (ACE) inhibitor. To monitor for drug interactions, the nurse will request an order for which laboratory test(s)?
Correct Answer: C
Rationale: TMP-SMX with ACE inhibitors risks hyperkalemia, requiring electrolyte monitoring.
Question 3 of 5
Which factor does NOT affect GFR?
Correct Answer: D
Rationale: Small neutral molecules do not significantly impact GFR.
Question 4 of 5
Which of the following statements about medullary sponge kidney is NOT true?
Correct Answer: B
Rationale: Medullary sponge kidney is typically diagnosed in adulthood, not childhood.
Question 5 of 5
A nurse cares for a postmenopausal client who has had two episodes of bacterial urethritis in the last 6 months. The client asks, 'I never have urinary tract infections. Why is this happening now?' How should the nurse respond?
Correct Answer: B
Rationale: Low estrogen increases infection risk by altering perineal tissue.