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ATI LPN · Medical Surgical Nursing · NCLEX Questions for Urinary System

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A patient with a history of progressively worsening fatigue is undergoing a comprehensive assessment... When assessing the oxygen transport ability of the blood, the nurse should prioritize the review of what blood value?

A. Hematocrit

B. Hemoglobin

C. Erythrocyte sedimentation rate (ESR)

D. Serum creatinine

Expert Explanatory Rationale

Correct Answer: Hemoglobin

Question 2 of 5

Glomerular filtration rate can be altered by all of the following EXCEPT one. Which one?

A. constriction of renal tubule by macula densa

B. vasoconstriction of afferent arteriole

C. decrease in concentration of plasma proteins

D. vasoconstriction of efferent arteriole

Expert Explanatory Rationale

Correct Answer: constriction of renal tubule by macula densa

Question 3 of 5

Which part of the Loop of Henle is more permeable to water?

A. Thick ascending limb

B. Thin descending limb

C. Thin ascending limb

D. Thick descending limb

Expert Explanatory Rationale

Correct Answer: Thin descending limb

Question 4 of 5

The nurse is preparing to give a dose of a cephalosporin medication to a patient who has been receiving the antibiotic for 2 weeks. The nurse notes ulcers on the patient's tongue and buccal mucosa. Which action will the nurse take?

A. Hold the drug and notify the provider.

B. Obtain an order to culture the oral lesions.

C. Gather emergency equipment to prepare for anaphylaxis.

D. Report a possible superinfection side effect of the cephalosporin.

Expert Explanatory Rationale

Correct Answer: Report a possible superinfection side effect of the cephalosporin.

Question 5 of 5

Which nursing action will be most helpful in decreasing the risk for hospital-acquired infection (HAI) of the urinary tract in patients admitted to the hospital?

A. Avoid unnecessary catheterizations.

B. Encourage adequate oral fluid intake.

C. Test urine with a dipstick daily for nitrites.

D. Provide thorough perineal hygiene to patients.

Expert Explanatory Rationale

Correct Answer: Avoid unnecessary catheterizations.

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