ATI Learning System-Medical-Surgical:
Renal and Urinary Questions and
Answers Graded A
A nurse is reinforcing teaching with a client who has a history of UTIs. Which of the following
statements should indicate to the nurse the need for additional instructions? ✔✔"I will use a
vaginal douche daily"
[The client should avoid vaginal douches, bubble baths, and any substances that can increase the
risk for UTIs. The client should use mild soap and water to wash the perineal area.]
A nurse is reinforcing teaching a client prior to a renal biopsy. Which of the following statements
should the nurse make? ✔✔"You will need to be on bed rest following the procedure"
[A renal biopsy involves a tissue biopsy through needle insertion into the lower lobe of the
kidney. The client should maintain bed rest in a supine position with a back roll for support for 2
to 24 hr following the procedure to reduce the risk for bleeding. The nurse can elevate the head
of the bed.]
A nurse is collecting data for a client who has an injury to the lower abdomen following a motor-
vehicle crash. The nurse should identify that which of the following findings is a manifestation
of bladder trauma? ✔✔Hematuria
[Manifestations of bladder trauma include hematuria, or blood in the urine; blood at the urinary
meatus; pelvic pain; and anuria, or the absence of urine.]
A nurse is reinforcing teaching about the PSA test with a client. Which of the following
statements should the nurse make? ✔✔"You don't need to fast prior to the PSA test."
, A nurse is reinforcing teaching with a client who has CKD. Which of the following instructions
should the nurse include? ✔✔Limit fluid intake
[A client who has CKD should limit fluid intake to prevent hypervolemia, or excessive fluid
overload.]
A nurse is collecting data from a client who is 1 week postop following a living donor kidney
transplant. Which of the following findings should indicate to the nurse that the client is
experiencing acute kidney rejection? ✔✔Blood pressure 160/90 mmHg
[Due to the kidney's role in fluid and blood pressure regulation, a client who is experiencing
rejection can have hypertension.]
A nurse is reinforcing dietary teaching with a client who has late-stage CKD. Which of the
following nutrients should the nurse instruct the client to increase in her diet? ✔✔Calcium
A nurse is reinforcing teaching with a newly licensed nurse about caring for a client who has a
new left arteriovenous fistula. Which of the following statements should the nurse make?
✔✔"Avoid taking blood pressures on the client's left arm."
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the
client for which of the following adverse effects? ✔✔Respiratory distress
[Respiratory distress can occur during peritoneal dialysis due to fluid overload.]
A nurse is reinforcing teaching about UTIs with a client. Which of the following manifestations
should the nurse include? ✔✔Back pain
Renal and Urinary Questions and
Answers Graded A
A nurse is reinforcing teaching with a client who has a history of UTIs. Which of the following
statements should indicate to the nurse the need for additional instructions? ✔✔"I will use a
vaginal douche daily"
[The client should avoid vaginal douches, bubble baths, and any substances that can increase the
risk for UTIs. The client should use mild soap and water to wash the perineal area.]
A nurse is reinforcing teaching a client prior to a renal biopsy. Which of the following statements
should the nurse make? ✔✔"You will need to be on bed rest following the procedure"
[A renal biopsy involves a tissue biopsy through needle insertion into the lower lobe of the
kidney. The client should maintain bed rest in a supine position with a back roll for support for 2
to 24 hr following the procedure to reduce the risk for bleeding. The nurse can elevate the head
of the bed.]
A nurse is collecting data for a client who has an injury to the lower abdomen following a motor-
vehicle crash. The nurse should identify that which of the following findings is a manifestation
of bladder trauma? ✔✔Hematuria
[Manifestations of bladder trauma include hematuria, or blood in the urine; blood at the urinary
meatus; pelvic pain; and anuria, or the absence of urine.]
A nurse is reinforcing teaching about the PSA test with a client. Which of the following
statements should the nurse make? ✔✔"You don't need to fast prior to the PSA test."
, A nurse is reinforcing teaching with a client who has CKD. Which of the following instructions
should the nurse include? ✔✔Limit fluid intake
[A client who has CKD should limit fluid intake to prevent hypervolemia, or excessive fluid
overload.]
A nurse is collecting data from a client who is 1 week postop following a living donor kidney
transplant. Which of the following findings should indicate to the nurse that the client is
experiencing acute kidney rejection? ✔✔Blood pressure 160/90 mmHg
[Due to the kidney's role in fluid and blood pressure regulation, a client who is experiencing
rejection can have hypertension.]
A nurse is reinforcing dietary teaching with a client who has late-stage CKD. Which of the
following nutrients should the nurse instruct the client to increase in her diet? ✔✔Calcium
A nurse is reinforcing teaching with a newly licensed nurse about caring for a client who has a
new left arteriovenous fistula. Which of the following statements should the nurse make?
✔✔"Avoid taking blood pressures on the client's left arm."
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the
client for which of the following adverse effects? ✔✔Respiratory distress
[Respiratory distress can occur during peritoneal dialysis due to fluid overload.]
A nurse is reinforcing teaching about UTIs with a client. Which of the following manifestations
should the nurse include? ✔✔Back pain
