ATI LPN
NCLEX Questions Urinary System Questions
Question 1 of 5
Which of these, if stated by a patient, indicates to the nurse correct understanding of how to obtain a midstream urine specimen for culture and sensitivity for a female patient?
Correct Answer: B
Rationale: Keeping labia separated (B) and cleaning with towelettes (E) prevent contamination, but B is a clear single indicator. Second void (A), immediate collection (C), and 24-hour (D) are incorrect, making B a correct understanding.
Question 2 of 5
The nurse is caring for a patient suspected of having renal dysfunction. When reviewing laboratory results for this patient, the nurse interprets the presence of which substances in the urine as most suggestive of pathology?
Correct Answer: C
Rationale: Glucose and protein (C) in urine suggest pathology (e.g., diabetes, glomerular damage), as they're normally reabsorbed. Potassium/sodium (A), bicarbonate/urea (B), and creatinine/chloride (D) are typically present, making C the most abnormal finding.
Question 3 of 5
A patient is scheduled for diagnostic testing to address prolonged signs and symptoms of genitourinary dysfunction. What signs and symptoms are particularly suggestive of urinary tract disease?
Correct Answer: B
Rationale: Pain (B), voiding changes (D), and GI symptoms (C) suggest urinary disease, but B is a key single symptom. Petechiae (A) and jaundice (E) aren't linked, making B a primary indicator.
Question 4 of 5
A patient with somatic symptom disorder frequently visits the clinic with physical complaints. The nurse recognizes that these symptoms are primarily related to:
Correct Answer: B
Rationale: Somatic symptoms often stem from unresolved psychological conflicts.
Question 5 of 5
A patient admitted with nephrotic syndrome is being cared for on the medical unit. When writing this patients care plan, based on the major clinical manifestation of nephrotic syndrome, what nursing diagnosis should the nurse include?
Correct Answer: D
Rationale: The major clinical manifestation of nephrotic syndrome is edema, so the appropriate nursing diagnosis is Excess fluid volume related to generalized edema. Edema is usually soft, pitting, and commonly occurs around the eyes, in dependent areas, and in the abdomen.