ATI LPN
Multiple Choice Questions on Urinary System Questions
Question 1 of 5
To prepare a patient on the unit for a bronchoscopic procedure, the medical-surgical nurse administers an IV sedative. The nurse then instructs the licensed practical nurse to:
Correct Answer: C
Rationale: After IV sedation for a bronchoscopy, monitoring vital signs like blood pressure and heart rate (C) is critical to assess sedation effects and ensure stability, a key LPN task. Education (A) is the RN's role pre-sedation, water (B) risks aspiration (NPO status), and bathroom (D) is impractical post-sedation, making C the appropriate instruction.
Question 2 of 5
Concerning the function of the proximal tubule:
Correct Answer: D
Rationale: The proximal tubule reabsorbs ~65% of filtrate iso-osmotically (A), PAH concentration rises as it's secreted (B is false), and glucose/bicarbonate are mostly reabsorbed (C). A and C are true—reabsorption is iso-osmotic, nutrients are reclaimed—while B is incorrect, making D (A and C are correct) the answer.
Question 3 of 5
A patient takes a drug overdose and becomes comatose. His blood pCOâ‚‚ was 40 mmHg ten minutes ago, but you discover it is now 80 mmHg. Which one of the following statements about this patient is correct.
Correct Answer: B
Rationale: Rising pCOâ‚‚ (80 mmHg) from hypoventilation lowers blood pH (acidosis) rapidly. CSF pH falls faster as COâ‚‚ diffuses quickly across the blood-brain barrier, outpacing blood buffering (e.g., HCO₃â»). Blood pH lags due to systemic buffers, making B correct.
Question 4 of 5
The process of micturition or urination:
Correct Answer: C
Rationale: Micturition is a sacral reflex (S2-S4) (C), contracting the detrusor (not relaxing, A) and relaxing sphincters. The external sphincter relaxes, not contracts (B), during voiding, making C the correct process description.
Question 5 of 5
What would happen to the GFR if the hydrostatic pressure exerted by the fluid in the capsular space increased?
Correct Answer: B
Rationale: Increased capsular hydrostatic pressure (B) opposes glomerular filtration pressure, reducing GFR. Increase (A) contradicts this resistance, and no change (C) ignores the balance, making B correct.