ATI LPN
Questions on the Urinary System Questions
Question 1 of 4
What could be concluded of a person who (during the previous three hours) has produced a total of $100 \mathrm{ml}$ of urine that is bright yellow and has a strong (but not unpleasant) odour?
Correct Answer: B
Rationale: Low volume and concentrated urine suggest high specific gravity.
Question 2 of 4
Which tends to be more complicated, upper or lower UTI?
Correct Answer: B
Rationale: Upper UTIs (kidney/ureter) are more complicated due to severity and risk.
Question 3 of 4
An older client has been diagnosed with chronic venous insufficiency. To promote venous return, the nurse encourages the client to take which action?
Correct Answer: A
Rationale: Sitting at the side of the bed for 15 minutes before standing promotes venous return in chronic venous insufficiency (CVI) by allowing gradual adjustment to upright posture, reducing venous pooling. CVI impairs vein valves, causing blood to stagnate in the legs. This technique, part of dependent positioning, helps the circulatory system adapt, minimizing edema and discomfort. While leg elevation is ideal, it wasn't an option; socks/shoes aid skin protection but not return directly, and warm compresses could worsen dilation, making sitting the best choice.
Question 4 of 4
The nurse determines that an adult client who is admitted to the post-anesthesia care unit following abdominal surgery has a tympanic temperature of 94.6°F, pulse rate 88 beats/min, RR of 14 breaths/min, and BP of 94/68 mmHg. What action should the nurse implement?
Correct Answer: A
Rationale: A tympanic temperature of 94.6°F post-abdominal surgery suggests hypothermia, so the nurse should take the temperature using another method (e.g., rectal, oral) to confirm accuracy. Tympanic readings can be unreliable post-op due to earwax or technique, and hypothermia (common after anesthesia) requires warming interventions if verified. Frequent BP checks, elevating the bed, or breathing exercises address other issues but not the primary concern of temperature validation, making re-measurement the best action.