ATI LPN
Test Questions Renal System Questions
Question 1 of 5
The nurse is preparing to give trimethoprim-sulfamethoxazole (TMP-SMX) to a patient and notes a petechial rash on the patient's extremities. The nurse will perform which action?
Correct Answer: A
Rationale: Petechial rash suggests a severe reaction, so hold and notify provider immediately.
Question 2 of 5
What is the arrow pointing to on this CT scan?
Correct Answer: C
Rationale: The arrow indicates a calcified stone at the ureterovesical junction clearly.
Question 3 of 5
A nurse reviews the laboratory findings of a client with a urinary tract infection. The laboratory report notes a 'shift to the left' in a client's white blood cell count. Which action should the nurse take?
Correct Answer: B
Rationale: A left shift suggests urosepsis; IV antibiotics are urgent after notifying the provider.
Question 4 of 5
A client with acute kidney injury has a blood pressure of 76/55 mm Hg. The health care provider ordered 1000 mL of normal saline to be infused over 1 hour to maintain perfusion. The client is starting to develop shortness of breath. What is the nurse's priority action?
Correct Answer: D
Rationale: Shortness of breath suggests fluid overload; slowing the infusion is urgent.
Question 5 of 5
A client with chronic kidney disease states, 'I feel chained to the hemodialysis machine.' What is the nurse's best response to the client's statement?
Correct Answer: D
Rationale: Exploring feelings helps address coping and acceptance, the best initial response.