ATI LPN
Renal System Multiple Choice Questions Questions
Question 1 of 5
The nurse is contributing to the plan of care for a patient who is having an intravenous pyelogram(IVP) done to diagnose possible bladder cancer. Which intervention should the nurse recommend be included for the patient after the procedure?
Correct Answer: B
Rationale: Monitoring creatinine levels to look for renal damage after the IVP due to the dye used is important.
Question 2 of 5
A nurse is caring for a 73-year-old patient with a urethral obstruction related to prostatic enlargement. When planning this patients care, the nurse should be aware of the consequent risk of what complication?
Correct Answer: A
Rationale: Urethral obstruction from BPH increases UTI risk (A) due to urine stasis. Enuresis (B), polyuria (C), and proteinuria (D) aren't directly linked, making A the primary complication.
Question 3 of 5
The nurse is preparing to collect an ordered urine sample for urinalysis. The nurse should be aware that this test will include what assessment parameters?
Correct Answer: A
Rationale: Urinalysis includes specific gravity (A), glucose (B), RBCs (C), and casts (D), but A is a key single parameter. BUN/creatinine (E) are serum tests, making A a core component.
Question 4 of 5
A patient with substance use disorder is in withdrawal. The nurse prioritizes which intervention?
Correct Answer: A
Rationale: Managing withdrawal symptoms is critical to ensure safety during detoxification.
Question 5 of 5
A patient with ESKD receives continuous ambulatory peritoneal dialysis. The nurse observes that the dialysate drainage fluid is cloudy. What is the nurses most appropriate action?
Correct Answer: A
Rationale: Peritonitis is the most common and serious complication of peritoneal dialysis. The first sign of peritonitis is cloudy dialysate drainage fluid, so prompt reporting to the primary care provider and rapid assessment for other signs of infection are warranted. Administration of an IV bolus is not necessary or appropriate and the physician would determine whether removal of the catheter is required. Flushing the catheter does not address the risk for infection.