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ATI LPN · Medical Surgical Nursing · Urinary System Questions and Answers

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse assesses an adult client 24 hours after a bowel exploration and formation of a sigmoid colostomy. Which assessment finding should be reported to the surgeon immediately?

A. The stoma has streaks of bright red blood

B. There are no bowel sounds in the left lower quadrant

C. The stoma mucosa is purple in color

D. The fecal matter is brown and has a solid consistency

Expert Explanatory Rationale

Correct Answer: The stoma mucosa is purple in color

Question 2 of 5

The nurse is caring for a patient who describes changes in his voiding patterns... What would the nurse expect this patients physical assessment to reveal?

A. Hematuria

B. Urine retention

C. Dehydration

D. Renal failure

Expert Explanatory Rationale

Correct Answer: Urine retention

Question 3 of 5

A nurse teaches a client with a history of calcium phosphate urinary stones. Which statements should the nurse include in this client's dietary teaching? (Select all that apply.)

A. Limit your intake of food high in animal protein.'

B. Read food labels to help minimize your sodium intake.'

C. Avoid spinach, black tea, and rhubarb.'

D. Reduce your intake of milk and other dairy products.'

Expert Explanatory Rationale

Correct Answer: Limit your intake of food high in animal protein.'

Question 4 of 5

The nurse is reviewing a patient's urinalysis results: white blood cells (WBC) 100+/hpf; red blood cells (RBC) 4/hpf; bacteria, moderate amount; nitrite, positive; specific gravity, 1.025; urine, cloudy. What would the nurse recognize these findings as indicating?

A. Dehydration

B. Urinary tract infection

C. Contamination of the specimen from bacteria on the perineum

D. Contamination from menstruation

Expert Explanatory Rationale

Correct Answer: Urinary tract infection

Question 5 of 5

The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving a psoralen and ultraviolet light (PUVA) treatment. Which assessment finding indicates that the client has been exposed to the treatment?

A. Tenderness upon palpation and generalized erythema

B. Thick skin plaques topped by silvery white scales

C. Requires sunglasses because sunlight hurts eyes

D. Brown, rough, greasy, wart-like papules on the face

Expert Explanatory Rationale

Correct Answer: Tenderness upon palpation and generalized erythema

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