ATI LPN
ATILPN Med Surg Urinary Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a patient with an atrioventricular (AV) fistula in the forearm and assesses that a trill is absent when palpating the venous side of the fistula. What action should the nurse implement?
Correct Answer: D
Rationale: An absent trill suggests fistula occlusion, requiring urgent reporting for evaluation and intervention to restore patency.
Question 2 of 5
Ordered: bethanechol chloride (Urecholine) 2.5mg. SC, stat. On hand: bethanechol chloride 5mg/ml. Give ___________ ml.
Correct Answer: 0.5
Rationale: Dividing the ordered dose (2.5 mg) by the available concentration (5 mg/mL) yields 0.5 mL for administration.
Question 3 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.
Question 4 of 5
What laboratory value change should indicate to a nurse that a patient with renal failure has entered the oliguric stage?
Correct Answer: B
Rationale: Elevated BUN levels in the oliguric stage result from reduced urine output and waste accumulation.
Question 5 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.