ATI LPN
Renal System Questions Questions
Question 1 of 5
Through which structure must the filtrate move to enter the Bowman's capsule from the glomerulus?
Correct Answer: C
Rationale: Filtration membrane includes endothelium, basement, and podocytes.
Question 2 of 5
Pyelo means?
Correct Answer: A
Rationale: Pyelo- refers to the renal pelvis, not bladder.
Question 3 of 5
Which of the following would be a consequence of renal failure?
Correct Answer: D
Rationale: Renal failure impairs erythropoiesis, pH balance, and waste clearance.
Question 4 of 5
The nurse assists a client with Parkinson's disease to ambulate in the hallway. The client appears to freeze and then carefully lifts one leg and steps forward. The client tells the nurse of pretending to step over a crack on the floor. How should the nurse respond?
Correct Answer: A
Rationale: The nurse should confirm that pretending to step over a crack is an effective technique for ambulation in Parkinson's disease. Freezing of gait is common, and visual cues like imagining obstacles can stimulate movement by engaging the brain's motor planning. This compensatory strategy is well-documented in Parkinson's management. Carpet may reduce cues, re-orientation assumes confusion not present, and cognition assessment isn't indicated here, as this is a motor issue, making affirmation the best response.
Question 5 of 5
A client who has been taking finasteride, an enzyme (5-alpha reductase) inhibitor used to shrink the prostate gland, is admitted because of continuing benign prostate hypertrophy (BPH) symptoms. When planning care, which nursing problem should the nurse address first?
Correct Answer: C
Rationale: Urinary retention should be the nurse's first priority for a client with BPH on finasteride with ongoing symptoms. BPH obstructs urine flow, and finasteride aims to reduce prostate size, but persistent symptoms suggest unrelieved obstruction, risking bladder distention, infection, or renal damage. This is a physiological priority per Maslow's hierarchy over pain, infection risk, or sleep, requiring immediate assessment (e.g., residual urine) and intervention (e.g., catheterization) to prevent complications.