A client with chronic kidney disease (CKD) arrives at the emergency department reporting shortness of breath upon exertion. What should the nurse assess first?
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ATI LPN · Renal System Questions and Answers
Question 2 of 46
After completing a thorough neurological and physical assessment of a patient who is admitted for a suspected stroke, the medical-surgical nurse anticipates the next step in the immediate care of this patient will include:
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Question 3 of 46
The nurse is caring for several patients who are receiving antibiotics. Which order will the nurse question?
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Question 4 of 46
Incontinence refers to the inability to control micturition
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Question 5 of 46
What is the function of angiotensin II?
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Question 6 of 46
The charge nurse is orienting a float nurse to an assigned client with an arteriovenous (AV) fistula for hemodialysis in her left arm. Which action by the float nurse would be considered unsafe?
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Question 7 of 46
Urine with a high concentration of C₆Hâ‚Ââ‚‚O₆is:
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Question 8 of 46
Complete the following sentence correctly. Angiotensin II
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Question 9 of 46
A patient with recurrent urinary tract infections has just undergone a cystoscopy and complains of slight hematuria during the first void after the procedure. What is the nurses most appropriate action?
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Question 10 of 46
A client diagnosed with major depressive disorder is being assessed for treatment options. Which statement by the nurse best explains the use of electroconvulsive therapy (ECT)?
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Question 11 of 46
Nursing diagnoses mostly differ from medical diagnoses, in that they are:
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Question 12 of 46
The nurse is preparing to give a dose of trimethoprim-sulfamethoxazole (TMP-SMX) and learns that the patient takes warfarin (Coumadin). The nurse will request an order for
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Question 13 of 46
True or False: The significant presence of red blood cells in the urine is normal and healthy
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Question 14 of 46
Where are the podocytes located and what are they?
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Question 15 of 46
A nurse cares for a client who is recovering from a closed percutaneous kidney biopsy. The client states, 'My pain has suddenly increased from a 3 to a 10 on a scale of 0 to 10.' Which action should the nurse take first?
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Question 16 of 46
All of the following statements are True related to the urethra of a male except:
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Question 17 of 46
The nurse notes an adult patient had a urinary output of 350 mL in one day. What term would the nurse use to describe this urinary volume?
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Question 18 of 46
Effective renal plasma flow is best measured using:
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Question 19 of 46
A nurse cares for a middle-aged female client with diabetes mellitus who is being treated for the third episode of acute pyelonephritis in the past year. The client asks, 'What can I do to help prevent these infections?' How should the nurse respond?
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Question 20 of 46
The nurse is caring for an unstable patient with acute kidney injury. What therapy would the nurse expect?
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Question 21 of 46
Which of the following is not a part of filtration membrane?
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Question 22 of 46
A nurse cares for a client who is scheduled for the surgical creation of an ileal conduit. The client states, 'I am anxious about having an ileal conduit. What is it like to have this drainage tube?' How should the nurse respond?
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Question 23 of 46
The nurse is caring for a hospitalized patient with a decreased glomerular filtration rate who is scheduled for an intravenous pyelogram (IVP). Which action will be included in the plan of care?
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Question 24 of 46
A patient has elevated blood urea nitrogen (BUN) and serum creatinine levels. Which bowel preparation order would the nurse question for this patient who is scheduled for a renal arteriogram?
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Question 25 of 46
A client is admitted with a deep and productive cough, hemoptysis, and a low-grade fever. The client's Mantoux skin test has a 15 mm induration. Which intervention should the nurse implement first?
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Question 26 of 46
In presence of ADH, the Osmolality of medullary tissue is up to 1200 mOsm/kg H2O by:
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Question 27 of 46
If you took a drug that inhibited the reabsorption of Na⺠in the PCT, you would:
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Question 28 of 46
The concentration of blood is 280 to 300 mosmol/L, but may rise to 1200 mosmol/L in which situation?
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Question 29 of 46
Following an open loop resection and fulguration of the bladder, a patient is unable to void. Which nursing action should be implemented first?
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Question 30 of 46
The primary renal site for the secretion of organic ions e.g urate, creatinine is:
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Question 31 of 46
A 25 year old football player is admitted to the ER for a sudden onset of right lower back pain and frank hematuria. He recalls being aggressively tackled 'from the right' by a linebacker from the opposing team. His past medical history reveals no previous medical complaints besides his childhood routine immunizations. On examination, there is bruising over the right costovertebral angle and tenderness over the right flank. His vitals are: BP 128/70, pulse 94 bpm, T 98°, RR 16, SpO2: 99%. His BUN is 9 mg/dL and his Creatinine is 1.0 mg/dL. What is the best imaging modality to be used if there are no contraindications?
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Question 32 of 46
The nurse contributes to the plan of care for a patient who has edema. Which of the following is the best indicator of a patient's fluid volume status?
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Question 33 of 46
A patient with dysthymia is being treated. The nurse understands that dysthymia differs from major depression in that it:
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Question 34 of 46
If a urine specific gravity was measured to be 1.003, an interpretation would be that:
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Question 35 of 46
Renin
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Question 36 of 46
A nurse reviews a client's laboratory results. Which results from the client's urinalysis should the nurse identify as normal? (Select all that apply.)
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Question 37 of 46
Litho means?
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Question 38 of 46
A 32-year-old patient is diagnosed with polycystic kidney disease. Which information is most appropriate for the nurse to include in teaching at this time?
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Question 39 of 46
After teaching a client newly diagnosed with cholecystitis about recommended diet changes, the nurse evaluates the client's learning. Which food choices eliminated by the client indicate to the nurse that teaching has been successful?
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Question 40 of 46
What is the purpose of ANP in urine production?
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Question 41 of 46
Match the description 'Active transport of sodium; water follows passively' to the structure: A) proximal convoluted tubule, B) descending limb of the nephron loop, C) collecting duct, D) ascending limb of the nephron loop.
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Question 42 of 46
Normal urinary output is ___ to 2,000 mL per 24 hours.
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Question 43 of 46
A patient is admitted to the ICU after a motor vehicle accident. On the second day of the hospital admission, the patient develops acute kidney injury. The patient is hemodynamically unstable, but renal replacement therapy is needed to manage the patients hypervolemia and hyperkalemia. Which of the following therapies will the patients hemodynamic status best tolerate?
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Question 44 of 46
What structure does the blood from the afferent arteriole enter?
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Question 45 of 46
Match the description 'Passively permeable to water under ADH stimulation' to the structure: A) proximal convoluted tubule, B) descending limb of the nephron loop, C) collecting duct, D) ascending limb of the nephron loop.
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Question 46 of 46
A nurse teaches a young female client who is prescribed amoxicillin (Amoxil) for a urinary tract infection. Which statement should the nurse include in this client's teaching?
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