ATI LPN
Renal System Practice Questions Questions
Question 1 of 5
The nurse notes it is time to administer prescribed gentamicin(Garamycin) for a patient with acute kidney injury and suspected streptococcal pneumonia. Which of the following actions would be most appropriate for the nurse to take?
Correct Answer: B
Rationale: The medication should be held until the physician can be consulted about the medication order as this is a nephrotoxic agent.
Question 2 of 5
What nursing action should the nurse perform when caring for a patient undergoing diagnostic testing of the renal-urologic system?
Correct Answer: D
Rationale: Assessing understanding (D) ensures the patient grasps results, a nursing role. Withholding meds (A) or fluids (B) isn't standard, and diagnosis (C) is the physician's job, making D the action.
Question 3 of 5
A patient with bipolar disorder is prescribed lithium. The nurse teaches the patient to monitor for which potential side effect?
Correct Answer: B
Rationale: Lithium can cause polyuria and polydipsia as side effects.
Question 4 of 5
A patient on the critical care unit is postoperative day 1 following kidney transplantation from a living donor. The nurses most recent assessments indicate that the patient is producing copious quantities of dilute urine. What is the nurses most appropriate response?
Correct Answer: B
Rationale: A kidney from a living donor related to the patient usually begins to function immediately after surgery and may produce large quantities of dilute urine. This is not suggestive of rejection and treatment is not warranted. There is no obvious need to report this finding.
Question 5 of 5
The nurse reinforces teaching on risk factors for prerenal injury. Which statement indicates understanding?
Correct Answer: A
Rationale: NSAIDs reduce kidney perfusion, causing prerenal injury.