OA Study Guide, Practice
Test & Exam Review
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,Which lab result is the most reliable C. Serum creatinine
indicator of kidney function? 3 multiple choice options
A. Blood urea nitrogen (BUN)
B. Hemoglobin (Hgb)
C. Serum creatinine
D. White blood cell (WBC) count
The nurse is collecting a 24-hour B. Discarding the first void, then saving all urine for
urine sample for creatinine clearance. 24 hours.
Which action by the LPN indicates
3 multiple choice options
correct technique?
A. Saving the first void and starting
the timing.
B. Discarding the first void, then
saving all urine for 24 hours.
C. Keeping the urine at room
temperature.
D. Allowing the client to skip one void
if they are sleeping.
Which urinalysis finding is most D. Large amount of protein (albumin)
concerning for kidney damage? 3 multiple choice options
A. pH 6.0
B. Specific gravity 1.020
C. Trace protein
D. Large amount of protein (albumin)
, The LPN is reinforcing teaching about C. "They'll use this test to figure out which antibiotic
a urine culture and sensitivity (C&S). will kill the bacteria."
Which statement by the client shows 3 multiple choice options
correct understanding?
A. “I can start antibiotics before they
take the urine sample.”
B. “They do this test to see how much
sugar is in my urine.”
C. “They’ll use this test to figure out
which antibiotic will kill the bacteria.”
D. “I don’t have to worry if the sample
sits out for a few hours.”
Which of the following clients is most A. A client with severe vomiting and dry mucous
likely to have an elevated BUN membranes
related to dehydration rather than
3 multiple choice options
kidney failure?
A. A client with severe vomiting and
dry mucous membranes
B. A client on hemodialysis with end-
stage renal disease C. A client with a
history of chronic hypertension and
edema
D. A client with cloudy urine and
burning on urination
The LPN is reviewing labs: BUN 18 C. Notify the RN or provider about the elevated
mg/dL, creatinine 2.3 mg/dL. What is creatinine.
the priority action? 3 multiple choice options
A. Document as normal findings.
B. Encourage the client to drink more
water only.
C. Notify the RN or provider about
the elevated creatinine.
D. Recheck the lab in 1 week without
reporting.