ATI LPN
Urinary System Multiple Choice Questions and Answers PDF Questions
Question 1 of 5
The nurse is reviewing a patient's chart prior to administering gentamycin (Garamycin) and notes that the last serum peak drug level was $9 \mathrm{mcg} / \mathrm{mL}$ and the last trough level was $2 \mathrm{mcg} / \mathrm{mL}$. What action will the nurse take?
Correct Answer: C
Rationale: Peak above 8 suggests toxicity, requiring provider notification before next dose.
Question 2 of 5
Which statement about urea handling in the kidney is true?
Correct Answer: A
Rationale: Urea is freely filtered and partially reabsorbed but not secreted.
Question 3 of 5
A nurse contacts the health care provider after reviewing a client's laboratory results and noting a blood urea nitrogen (BUN) of 35 mg/dL and a creatinine of 1.0 mg/dL. For which action should the nurse recommend a prescription?
Correct Answer: A
Rationale: Elevated BUN with normal creatinine suggests dehydration; IV fluids are appropriate.
Question 4 of 5
A nurse cares for a client who has kidney stones from secondary hyperoxaluria. Which medication should the nurse anticipate administering?
Correct Answer: D
Rationale: Allopurinol reduces oxalate stones in secondary hyperoxaluria effectively.
Question 5 of 5
A client has a long history of hypertension. Which category of medications would the nurse expect to be ordered to avoid chronic kidney disease (CKD)?
Correct Answer: D
Rationale: ACE inhibitors improve renal perfusion, slowing CKD progression in hypertension.