ATI LPN
Urinary System Test Questions and Answers Questions
Question 1 of 5
What does the term 'oliguria' refer to?
Correct Answer: B
Rationale: Oliguria is low urine output, 50-500 ml/day.
Question 2 of 5
Ureters originated from?
Correct Answer: C
Rationale: Ureters begin at the renal pelvis, draining urine.
Question 3 of 5
What's first line for Lower UTI, its mechanism, indication, and dose?
Correct Answer: B
Rationale: Nitrofurantoin is first-line, disrupts bacterial DNA/RNA synthesis, dosed as stated.
Question 4 of 5
The nurse is planning care for an older adult client who experienced a cerebrovascular accident several weeks ago. The client has expressive aphasia and often becomes frustrated with the nursing staff. Which intervention should the nurse implement?
Correct Answer: C
Rationale: For a client with expressive aphasia post-CVA, encouraging the use of picture charts is the most effective intervention. Expressive aphasia impairs the ability to speak or write, but comprehension may remain intact. Picture charts allow the client to communicate needs visually, reducing frustration and enhancing interaction with staff. Sign language requires learning and motor skills that may be compromised, slow speech aids comprehension but not expression, and simple questions don't address the communication barrier as directly as pictures do.
Question 5 of 5
A client with a history of heart failure reports increasing fatigue over the past week. On assessment, the nurse obtains the following vital signs: pulse 158 BPM, BP 122/78 mmHg, and respiratory rate 24 BPM. While waiting for an ECG, which assessment is most important for the nurse to obtain?
Correct Answer: A
Rationale: In a heart failure client with a pulse of 158 BPM, fatigue, and RR 24, the most important assessment while awaiting an ECG is the rhythm of the apical pulse. The elevated rate suggests a tachyarrhythmia (e.g., atrial fibrillation), common in heart failure, which reduces cardiac output and worsens fatigue. Identifying irregularity guides urgent treatment (e.g., rate control). Skin elasticity, pedal pulses, and capillary refill assess perfusion but are less immediate than rhythm, which directly impacts cardiac function and requires prompt intervention.