ATI LPN
ATILPN Med Surg Urinary Exam Questions
Extract:
Question 1 of 5
A nurse is collecting data from a hospital patient who has been admitted with pyelonephritis. He is acutely ill with a high fever, chills, nausea, and vomiting. He also has severe pain in the flank area. What is the primary goal of treatment?
Correct Answer: A
Rationale: Preventing renal damage is the primary goal in pyelonephritis to avoid progression to renal failure.
Question 2 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 3 of 5
A patient has a nephrostomy tube that has been inserted because of an obstruction in the ureter. What special precautions in the care of the nephrostomy tube should the nurse implement?
Correct Answer: D
Rationale: Ensuring the nephrostomy tube remains patent prevents complications like hydronephrosis or infection, making continuous drainage a critical precaution.
Question 4 of 5
A nurse is collecting data from a hospital patient who has been admitted with pyelonephritis. He is acutely ill with a high fever, chills, nausea, and vomiting. He also has severe pain in the flank area. What is the primary goal of treatment?
Correct Answer: A
Rationale: Preventing renal damage is the primary goal in pyelonephritis to avoid progression to renal failure.
Question 5 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.