ATI LPN
ATILPN Med Surg Urinary Exam Questions
Extract:
Question 1 of 5
A 16-year-old patient with acute glomerulonephritis complains of boredom with bed rest and asks when he can become more active. He asks, 'What has to happen for me to get off of bed rest?' What is the most accurate statement by the nurse?
Correct Answer: D
Rationale: Hypertension is a common complication in glomerulonephritis, and activity restrictions are lifted when blood pressure stabilizes.
Question 2 of 5
A nurse is performing frequent catheterizations for residual urine. What causes the greatest concern for the nurse?
Correct Answer: A
Rationale: Repeated catheterizations increase the risk of introducing pathogens, leading to urinary tract infections, which is the greatest concern.
Question 3 of 5
The nurse is reviewing the urinalysis results of an older adult patient admitted with elevated temperature and incontinence. Which urinalysis properties are indicative of an infection? (Select all that apply.)
Correct Answer: C,D
Rationale: Foul odor and alkaline pH (8.2) suggest bacterial infection due to bacterial activity and urease production.
Question 4 of 5
A nurse is planning the care for an older adult patient. Which age-related changes in kidney function should the nurse consider when providing care to this patient? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: Age-related kidney changes include reduced urine concentration ability, decreased erythropoietin production, vascular sclerosis, and declining glomerular filtration rate, impacting overall kidney function.
Question 5 of 5
A nurse assesses a Grey Turner sign in a patient who was admitted 2 days earlier after an automobile accident. What does this finding indicate?
Correct Answer: D
Rationale: Grey Turner sign, characterized by flank bruising, indicates retroperitoneal bleeding, often from trauma.