ATI LPN
ATILPN Med Surg Urinary Exam Questions
Extract:
Question 1 of 5
Which procedure is contraindicated in patients with known renal insufficiency or diabetes mellitus?
Correct Answer: B
Rationale: Intravenous pyelogram uses contrast dye, which is nephrotoxic and contraindicated in renal insufficiency or diabetes due to risk of worsening kidney function.
Question 2 of 5
Which urine test provides the most accurate measurement of renal function?
Correct Answer: B
Rationale: Serum creatinine levels directly reflect the kidney's filtration ability, making it the most accurate measure of renal function.
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
A 14-year-old male is taking tolterodine (Detrol). What is the action of this drug?
Correct Answer: A
Rationale:
Tolterodine, an anticholinergic, reduces bladder contractions, decreasing the urge to void in patients with overactive bladder.
Question 5 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.