ATI LPN
Urinary System Questions Questions
Question 1 of 5
When working in the urology/nephrology clinic, which patient's care could the nurse delegate to an experienced licensed practical/vocational nurse (LPN/VN)?
Correct Answer: D
Rationale: LPN/VN education includes common procedures such as catheterization of stable patients. The other patients require complex assessments or patient teaching that are included in registered nurse (RN) education and scope of practice.
Question 2 of 5
A patient hourly urine output is recorded. Which of the following output rates should be brought to the attention of the registered nurse immediately?
Correct Answer: A
Rationale: Urine output should be 30 mL/hr so 15 mL/hr should be reported.
Question 3 of 5
The nurse is caring for a patient who has a fluid volume deficit. When evaluating this patients urinalysis results, what should the nurse anticipate?
Correct Answer: D
Rationale: Fluid volume deficit increases urine specific gravity (D) as kidneys concentrate urine due to low hydration. Fluctuating (A) or fixed (B) SG occurs in renal disease, and decreased SG (C) reflects high fluid intake, making D the expected finding.
Question 4 of 5
A patients most recent laboratory findings indicate a glomerular filtration rate (GFR) of 58 mL/min. The nurse should recognize what implication of this diagnostic finding?
Correct Answer: D
Rationale: GFR of 58 mL/min (normal ~125 mL/min) indicates reduced filtration, raising serum creatinine (D). BUN increases, not decreases (A), potassium rises (not hypo, B), and voiding (C) isn't directly tied, making D the implication.
Question 5 of 5
A client with post-traumatic stress disorder (PTSD) is experiencing flashbacks. The nurse identifies which intervention as most helpful?
Correct Answer: B
Rationale: Grounding techniques help clients stay connected to the present during flashbacks.