EXAM: ATI Learning System-Medical-Surgical:
Renal and Urinary Exam with Solutions
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? Correct
Answer-"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? Correct Answer-"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? Correct Answer-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.]
, EXAM: ATI Learning System-Medical-Surgical:
Renal and Urinary Exam with Solutions
A nurse is reinforcing teaching about the PSA test with a client. Which of the following
statements should the nurse make? Correct Answer-"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? Correct Answer-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? Correct Answer-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? Correct
Answer-Calcium
Renal and Urinary Exam with Solutions
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? Correct
Answer-"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? Correct Answer-"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? Correct Answer-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.]
, EXAM: ATI Learning System-Medical-Surgical:
Renal and Urinary Exam with Solutions
A nurse is reinforcing teaching about the PSA test with a client. Which of the following
statements should the nurse make? Correct Answer-"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? Correct Answer-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? Correct Answer-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? Correct
Answer-Calcium
