ATI LPN
ATILPN Med Surg Urinary Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a patient with renal impairment. Which facial characteristic is a sign of fluid retention?
Correct Answer: B
Rationale: Periorbital edema is a common sign of fluid retention in renal impairment, indicating excess fluid accumulation.
Question 2 of 5
A patient on dialysis asks why he is receiving aluminum hydroxide gel (Amphojel), a phosphate binder, for his renal disorder. What should the nurse explain regarding the action of that Amphojel?
Correct Answer: D
Rationale: Aluminum hydroxide binds dietary phosphorus to manage calcium-phosphorus balance, preventing bone demineralization in dialysis patients.
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
A patient who has cystitis has been told to drink at least 30 mL for each kilogram of body weight. Her weight is 154 lb. How many mL/day should the nurse instruct the patient to drink?
Correct Answer: A
Rationale: Converting 154 lb to 70 kg and multiplying by 30 mL/kg yields a daily fluid intake of 2100 mL to manage cystitis.
Question 5 of 5
A nurse is caring for a patient after urinary diversion surgery. What postoperative nursing assessment is the priority?
Correct Answer: D
Rationale: Monitoring bowel sounds is critical post-surgery to detect complications like paralytic ileus.