ATI LPN
Renal System Practice Questions Questions
Question 1 of 5
Which nursing action should the nurse who is caring for a patient who has had an ileal conduit for several years delegate to nursing assistive personnel (NAP)?
Correct Answer: B
Rationale: Changing the ostomy appliance (B) in a stable patient is within NAP scope, a routine task. Assessing UTI (A), selecting bags (C), and monitoring stoma (D) require RN judgment, making B delegable.
Question 2 of 5
A patient is scheduled for an intravenous pyelogram (IVP). The nurse would evaluate the patient as understanding preprocedure teaching if the patient reported that which of these would be restricted as part of the preparation for an IVP?
Correct Answer: D
Rationale: NPO status 8 hours before IVP restricts fluid intake (D) to ensure clear imaging. Tobacco (A), activity (B), and salt (C) aren't restricted for IVP prep, making D the correct understanding.
Question 3 of 5
The nurse contributes to the plan of care for an older patient. The nurse recognizes which of the following occur with aging to plan care?
Correct Answer: C
Rationale: Aging reduces nephrons (D) and detrusor tone (C), but C affects urination frequency directly. Bladder size decreases (not A), and GFR drops (not B), making C a critical change for care planning.
Question 4 of 5
The nurse notes it is time to administer prescribed gentamicin(Garamycin) for a patient with acute kidney injury and suspected streptococcal pneumonia. Which of the following actions would be most appropriate for the nurse to take?
Correct Answer: B
Rationale: The medication should be held until the physician can be consulted about the medication order as this is a nephrotoxic agent.
Question 5 of 5
A patient admitted to the medical unit with impaired renal function is complaining of severe, stabbing pain in the flank and lower abdomen... The nurse recognizes that the stone is most likely in what anatomic location?
Correct Answer: C
Rationale: Severe, stabbing flank pain (C) indicates a ureteral stone, often dull but sharp with a full bladder. Bladder (B), urethra (D), and meatus (A) stones cause different pain, making C the likely site.