ATI LPN
Urinary System Multiple Choice Questions Questions
Question 1 of 4
Which one of the following is a function of the renal system?
Correct Answer: B
Rationale: Kidneys produce renin to regulate blood pressure.
Question 2 of 4
Signs and symptoms of Upper UTI include:
Correct Answer: B
Rationale: Upper UTI adds severe loin pain and tenderness to lower UTI symptoms.
Question 3 of 4
A client with gouty arthritis reports tenderness and swelling of the right ankle and great toe. The nurse observes the area of inflammation extends above the ankle area. What should the nurse do?
Correct Answer: C
Rationale: For a client with gouty arthritis experiencing tenderness and swelling, the nurse should administer prescribed anti-inflammatory medication. Gout results from uric acid crystal deposition, causing acute inflammation and severe pain. Medications like NSAIDs or colchicine reduce inflammation and provide relief, addressing the root cause. Massaging joints could worsen pain and crystal movement, cold packs and elevation help symptomatically but aren't primary, making medication the most effective initial action per standard care.
Question 4 of 4
A client with chronic obstructive pulmonary disease is admitted for a non-emergent cholecystectomy. The admission arterial blood gas results are pH 7.36, PaCO2 48 mmHg, HCO3 28 mEq/L. Based on these findings, which intervention should the nurse implement?
Correct Answer: D
Rationale: With ABG results of pH 7.36, PaCO2 48 mmHg, and HCO3 28 mEq/L in a COPD client, the nurse should prepare the client for surgery. These values show compensated respiratory acidosis (elevated PaCO2, normal pH due to increased HCO3), a chronic adaptation in COPD. No acute intervention like bronchodilators or sputum collection is needed, as the client is stable for a non-emergent cholecystectomy. An extra IV isn't indicated, making surgical prep the appropriate action.