ATI LPN
Multiple Choice Questions Renal System Questions
Question 1 of 5
The nurse observes nursing assistive personnel (NAP) taking the following actions when caring for a patient with a retention catheter. Which action requires that the nurse intervene?
Correct Answer: D
Rationale: Disconnecting the catheter (D) increases UTI risk by breaking sterility, requiring nurse intervention. Taping (A), cleaning (B), and hand hygiene (C) are appropriate, making D the action to stop.
Question 2 of 5
The nurse is collecting data for a patient who has stress incontinence. Which of these findings would the nurse document?
Correct Answer: B
Rationale: Stress incontinence (B) involves small urine loss with increased abdominal pressure (e.g., coughing), a classic finding. Bathroom access (A) is functional, emotional stress (C) isn't typical, and sensation loss (D) is urge incontinence, making B the documentation.
Question 3 of 5
Normally, the bladder contains less than ___ mL after urination.
Correct Answer: B
Rationale: Post-void residual is normally <50 mL (B), ensuring effective emptying. 25 mL (A) is possible but not the upper limit, and 75-100 mL (C, D) suggest retention, making B the correct amount.
Question 4 of 5
The care team is considering the use of dialysis in a patient whose renal function is progressively declining. Renal replacement therapy is indicated in which of the following situations?
Correct Answer: D
Rationale: Renal replacement therapy like dialysis is indicated when ~80% of nephrons fail (D), reducing function to <20%, causing severe symptoms unmanageable by diet or drugs. Normal creatinine is 0.6-1.2 mg/dL (A is wrong), BUN 15 mg/dL (B) is normal (7-20 mg/dL), and 40% loss (C) is insufficient for dialysis, making D the threshold.
Question 5 of 5
A patient is complaining of genitourinary pain shortly after returning to the unit from a scheduled cystoscopy. What intervention should the nurse perform?
Correct Answer: C
Rationale: Moist heat to the lower abdomen (C) relieves post-cystoscopy pain and relaxes muscles. Mobilization (A), lidocaine (B), or ice (D) aren't recommended, making C the intervention.