ATI LPN
NCLEX Questions for Urinary System Questions
Question 1 of 5
Which of the following is caused by ADH:
Correct Answer: A
Rationale: Antidiuretic hormone (ADH) increases water permeability in the distal tubule and collecting duct by inserting aquaporin-2 channels, allowing water reabsorption to concentrate urine. It doesn't affect urea in the PCT (B), all nephron parts (C), or NaCl in the descending limb (D), which is water-permeable, making A correct.
Question 2 of 5
What is primarily a developmental task of middle age?
Correct Answer: B
Rationale: Middle age (roughly 40-65) involves reevaluating life, often rediscovering satisfaction in relationships (B), per Erikson's generativity vs. stagnation stage, focusing on legacy and connection. Learning (A) is earlier, spirituality (C) varies, and risk-taking (D) is more adolescent, making B the primary task.
Question 3 of 5
What age group may experience challenges related to the impact of peer influences and busy schedules on voiding patterns?
Correct Answer: B
Rationale: Adolescents (B) face peer pressure and busy schedules (e.g., school, sports), delaying voiding and risking habits like holding urine. Infants/toddlers (A) lack control, middle-aged adults (C) focus on work/health, and older adults (D) face physical issues, making B the group affected by these social factors.
Question 4 of 5
Concerning the transport of urea in the different segments of the nephron:
Correct Answer: D
Rationale: Urea enters via filtrate (A), concentrates in cortical collecting ducts as water exits (B), and thin loops/medullary ducts allow urea recycling (C). All are true—filtrate supplies urea, water reabsorption concentrates it, permeable segments recycle it—making E (all are correct), reassigned as D, correct.
Question 5 of 5
Nurse Jeanne is inserting a urinary catheter into a client who is extremely anxious about the procedure. The nurse can facilitate the insertion by asking the client to:
Correct Answer: B
Rationale: Deep breathing (B) relaxes the urinary sphincter and pelvic muscles, easing catheter insertion by reducing tension and resistance, especially in an anxious client. Initiating urine flow (A) is impractical during insertion and may complicate sterility, turning to the side (C) doesn't aid mechanically and risks contamination, and holding the labia or penis (D) is a nurse task to maintain sterility, not the client's, making B the effective facilitation method.