ATI LPN
Urinary System Multiple Choice Questions Questions
Question 1 of 5
Two days after surgery for an ileal conduit, the patient will not look at the stoma or participate in care. The patient insists that no one but the ostomy nurse specialist care for the stoma. The nurse identifies a nursing diagnosis of
Correct Answer: B
Rationale: Avoidance of stoma care (B) suggests disturbed body image from the altered function. Anxiety (A) lacks lifestyle focus evidence, readiness (C) isn't indicated, and denial (D) is absent (patient acknowledges change), making B the diagnosis.
Question 2 of 5
What value represents a normal glomerular filtration rate (GFR)?
Correct Answer: C
Rationale: Normal GFR is 100-125 mL/min (C), reflecting the kidneys' filtrate formation rate. Lower ranges (A, B) suggest impairment, and 150-200 mL/min (D) exceeds typical values, making C the standard healthy range.
Question 3 of 5
The nurse is reviewing data for a patient with acute kidney injury. Which of the following diagnostic test results would the nurse recognize as being indicative of kidney injury?
Correct Answer: B
Rationale: Serum creatinine 4.2 mg/dL (B) far exceeds 1.5 mg/dL, indicating kidney injury. BUN 40 (A), fixed SG 1.010 (E), and output 100 mL/24h (F) also suggest AKI, but creatinine is most specific; uric acid (C) and hematocrit (D) are less direct, making B key.
Question 4 of 5
A patient who is on hemodialysis for chronic kidney disease is given sevelamer hydrochloride(Renagel) with meals. What explanation should be provided to the patient as the primary reason the medication is being given?
Correct Answer: D
Rationale: Associated with a low calcium level is hyperphosphatemia which causes the bones to release calcium making patients prone to fractures.
Question 5 of 5
A kidney biopsy has been scheduled for a patient with a history of acute renal failure. The patient asks the nurse why this test has been scheduled. What is the nurses best response?
Correct Answer: D
Rationale: A biopsy (D) diagnoses and evaluates kidney disease extent, indicated for unexplained failure or proteinuria. It's not routine (A), tied to x-rays (B), or pre-transplant (C), making D the best explanation.