ATI LPN
ATILPN Med Surg Urinary Exam Questions
Extract:
Question 1 of 5
What is true about the urine osmolality when the kidney is adequately functioning?
Correct Answer: D
Rationale: In a healthy kidney, urine osmolality is regulated to match serum osmolality, reflecting balanced kidney function.
Question 2 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 3 of 5
The first time that a client voids after cystoscopy, the nurse observes pink-tinged urine. What is the appropriate nursing response?
Correct Answer: A
Rationale: Pink-tinged urine post-cystoscopy is normal due to minor trauma and should be documented as expected.
Question 4 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 5 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.