ATI LPN
ATILPN Med Surg Urinary Exam Questions
Extract:
Question 1 of 5
The most life-threatening effect of renal failure is:
Correct Answer: A
Rationale: Hyperkalemia is the most life-threatening effect of renal failure, as it can cause fatal cardiac arrhythmias.
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 42-year-old woman is admitted with complaints of dysuria, frequency, and lower back pain. The urinalysis report is positive for red blood cells, and the blood work shows an elevated white blood cell count. Which medication will the nurse anticipate that the healthcare provider will order?
Correct Answer: D
Rationale: Ciprofloxacin is a common antibiotic for UTIs, appropriate for symptoms and lab findings indicating infection.
Question 4 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 5 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 of urgency, frequency, suprapubic pain, and cloudy urine are hallmark signs of bacterial cystitis, indicating a urinary tract infection.