ATI LPN
Urinary System Questions Questions
Question 1 of 5
Which question should the nurse ask to assess a patient's dysuria?
Correct Answer: D
Rationale: Dysuria is painful urination. The alternate responses can be used to assess other urinary tract symptoms: hematuria, nocturia, and frequency.
Question 2 of 5
The nurse is helping to prepare a patient for a renal biopsy. What position should the nurse help the patient assume?
Correct Answer: D
Rationale: Prone position (D) with a sandbag under the abdomen allows flank access for renal biopsy. Sims (A) is lateral, Fowler's (B) is semi-sitting, and supine (C) is face-up, making D the required position.
Question 3 of 5
A patient hourly urine output is recorded. Which of the following output rates should be brought to the attention of the registered nurse immediately?
Correct Answer: A
Rationale: Urine output should be 30 mL/hr so 15 mL/hr should be reported.
Question 4 of 5
The nurse is caring for a patient who has a fluid volume deficit. When evaluating this patients urinalysis results, what should the nurse anticipate?
Correct Answer: D
Rationale: Fluid volume deficit increases urine specific gravity (D) as kidneys concentrate urine due to low hydration. Fluctuating (A) or fixed (B) SG occurs in renal disease, and decreased SG (C) reflects high fluid intake, making D the expected finding.
Question 5 of 5
A patients most recent laboratory findings indicate a glomerular filtration rate (GFR) of 58 mL/min. The nurse should recognize what implication of this diagnostic finding?
Correct Answer: D
Rationale: GFR of 58 mL/min (normal ~125 mL/min) indicates reduced filtration, raising serum creatinine (D). BUN increases, not decreases (A), potassium rises (not hypo, B), and voiding (C) isn't directly tied, making D the implication.