ATI LPN
ATILPN Med Surg Urinary Exam Questions
Extract:
Question 1 of 5
A 14-year-old male is taking tolterodine (Detrol). What is the action of this drug?
Correct Answer: A
Rationale:
Tolterodine, an anticholinergic, reduces bladder contractions, decreasing the urge to void in patients with overactive bladder.
Question 2 of 5
A patient comes to the medical clinic with complaints of urgency, frequency, pain in the area of the symphysis pubis, and dark cloudy urine. What should the nurse suspect that this patient has?
Correct Answer: B
Rationale: Symptoms like urgency, frequency, suprapubic pain, and cloudy urine strongly indicate bacterial cystitis, a common urinary tract infection.
Question 3 of 5
A nurse is caring for a patient with acute glomerulonephritis. What should the nurse be aware that the inflammation of the capillary loops in the glomeruli will lead to?
Correct Answer: D
Rationale: Inflammation in glomerulonephritis causes fluid retention, leading to moderate to high blood pressure.
Question 4 of 5
Which procedure is contraindicated in patients with known renal insufficiency or diabetes mellitus?
Correct Answer: B
Rationale: Intravenous pyelogram uses contrast dye, which is nephrotoxic and contraindicated in renal insufficiency or diabetes due to risk of worsening kidney function.
Question 5 of 5
Which outcome is most necessary for a patient diagnosed with renal calculi?
Correct Answer: B
Rationale: Preventing recurrence through dietary and lifestyle changes is the primary long-term goal for patients with renal calculi.