ATI LPN
Multiple Choice Questions on Urinary System Questions
Question 1 of 5
Which action will the nurse include in the plan of care for a patient who has had a ureterolithotomy and has a left ureteral catheter and a urethral catheter in place?
Correct Answer: D
Rationale: Sudden drop in ureteral catheter output (D) may signal obstruction, requiring immediate provider notification to prevent renal damage. Home care (A) isn't typical (ureteral catheters are temporary), tension (B) risks displacement, and clamping (C) increases pressure, making D critical.
Question 2 of 5
What is the structural and functional unit of the kidney?
Correct Answer: D
Rationale: The nephron (D) is the kidney's structural and functional unit, where urine formation occurs across its ~1 million units per kidney. The cortex (A) and medulla (B) are regions, and pyramids (C) are medullary structures, but only the nephron performs filtration, reabsorption, and secretion, making D the correct answer.
Question 3 of 5
The nurse contributes to the plan of care for a patient who has had radiological studies of the renal system and has a nursing diagnosis of Impaired Urinary Elimination. Which outcome indicates that the nursing interventions have been effective?
Correct Answer: D
Rationale: Voiding 35 mL/hour of clear urine (D) meets the >30 mL/hour goal, indicating effective interventions. Lower outputs (A, B) suggest impairment, and cloudy urine (C) may indicate infection, making D the successful outcome.
Question 4 of 5
A patient who has diabetic nephropathy asks the nurse Why am I using smaller doses of insulin than I used to? What would be the best explanation by the nurse?
Correct Answer: A
Rationale: As renal function decreases the patient needs smaller doses of insulin because the kidney normally degrades insulin.
Question 5 of 5
A nurse is preparing a patient diagnosed with benign prostatic hypertrophy (BPH) for a lower urinary tract cystoscopic examination. The nurse informs the patient that the most common temporary complication experienced after this procedure is what?
Correct Answer: A
Rationale: Urinary retention (A) is common post-cystoscopy in BPH due to edema from instrumentation. Hematuria occurs but not hemorrhage (C), perforation (B) is rare, and nausea (D) isn't typical, making A the most likely complication.