ATI LPN
Urinary System Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A client has a serum potassium level of 6.5 mmol/L, a serum creatinine level of 2 mg/dL, and a urine output of 350 mL/day. What is the best action by the nurse?
Correct Answer: A
Rationale: High potassium risks dysrhythmias; cardiac monitoring is the immediate priority.
Question 5 of 5
A client is recovering from a kidney transplant. The client's urine output was 1500 mL over the last 12-hour period since transplantation. What is the priority assessment by the nurse?
Correct Answer: B
Rationale: Blood pressure checks perfusion to the new kidney, critical post-transplant.