Nclex Practice Test For Genitourinary System(practice Mode)- Www.rnpedia.com

25 Questions  I  By Rnpedia
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1.  A female client with acute renal failure is undergoing dialysis for the first time. The nurse in charge monitors the client closely for dialysis equilibrium syndrome, a complication that is most common during the first few dialysis sessions. Typically, dialysis equilibrium syndrome causes:
A.
B.
C.
D.
2.  A male client with bladder cancer has had the bladder removed and an ileal conduit created for urine diversion. While changing this client’s pouch, the nurse observes that the area around the stoma is red, weeping, and painful. What should nurse Katrina conclude?
A.
B.
C.
D.
3.  The nurse is aware that the following laboratory values supports a diagnosis of pyelonephritis?
A.
B.
C.
D.
4.   When a female client with an indwelling urinary (Foley) catheter insists on walking to the hospital lobby to visit with family members, nurse Rose teaches how to do this without compromising the catheter. Which client action indicates an accurate understanding of this information?
A.
B.
C.
D.
5.  A male client comes to the emergency department complaining of sudden onset of sharp, severe pain in the lumbar region, which radiates around the side and toward the bladder. The client also reports nausea and vomiting and appears pale, diaphoretic, and anxious. The physician tentatively diagnoses renal calculi and orders flat-plate abdominal X-rays. Renal calculi can form anywhere in the urinary tract. What is their most common formation site?
A.
B.
C.
D.
6.  Nurse Agnes is reviewing the report of a client’s routine urinalysis. Which value should the nurse consider abnormal?
A.
B.
C.
D.
7.  A 26-year-old female client seeks care for a possible infection. Her symptoms include burning on urination and frequent, urgent voiding of small amounts of urine. She’s placed on trimethoprim-sulfamethoxazole (Bactrim) to treat possible infection. Another medication is prescribed to decrease the pain and frequency. Which of the following is the most likely medication prescribed?
A.
B.
C.
D.
8.  A female client is admitted for treatment of chronic renal failure (CRF). Nurse Juliet knows that this disorder increases the client’s risk of:
A.
B.
C.
D.
9.  A female client requires hemodialysis. Which of the following drugs should be withheld before this procedure?
A.
B.
C.
D.
10.  A female client with chronic renal failure (CRF) is receiving a hemodialysis treatment. After hemodialysis, nurse Sarah knows that the client is most likely to experience:
A.
B.
C.
D.
11.  A client comes to the outpatient department complaining of vaginal discharge, dysuria, and genital irritation. Suspecting a sexually transmitted disease (STD), Dr. Smith orders diagnostic tests of the vaginal discharge. Which STD must be reported to the public health department?
A.
B.
C.
D.
12.  A triple-lumen indwelling urinary catheter is inserted for continuous bladder irrigation following a transurethral resection of the prostate. In addition to balloon inflation, the nurse is aware that the functions of the three lumens include:
A.
B.
C.
D.
13.  Dr. Marquez prescribes norfloxacin (Noroxin), 400 mg P.O. twice daily, for a client with a urinary tract infection (UTI). The client asks the nurse how long to continue taking the drug. For an uncomplicated UTI, the usual duration of norfloxacin therapy is
A.
B.
C.
D.
14.  After trying to conceive for a year, a couple consults an infertility specialist. When obtaining a history from the husband, nurse Jenny inquires about childhood infectious diseases. Which childhood infectious disease most significantly affects male fertility?
A.
B.
C.
D.
15.  Nurse Claudine is reviewing a client’s fluid intake and output record. Fluid intake and urine output should relate in which way?
A.
B.
C.
D.
16.  The nurse is aware that the following findings would be further evidence of a urethral injury in a male client during rectal examination?
A.
B.
C.
D.
17.  Nurse Lea is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention?
A.
B.
C.
D.
18.  A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client?
A.
B.
C.
D.
19.  A client is frustrated and embarrassed by urinary incontinence. Which of the following measures should nurse Bea include in a bladder retraining program?
A.
B.
C.
D.
20.  A male client in the short-procedure unit is recovering from renal angiography in which a femoral puncture site was used. When providing postprocedure care, the nurse should:
A.
B.
C.
D.
21.  For a male client in the oliguric phase of acute renal failure (ARF), which nursing intervention is most important?
A.
B.
C.
D.
22.  A male client is scheduled for a renal clearance test. Nurse Maureen should explain that this test is done to assess the kidneys’ ability to remove a substance from the plasma in:
A.
B.
C.
D.
23.  A male client with acute pyelonephritis receives a prescription for co-trimoxazole (Septra) P.O. twice daily for 10 days. Which finding best demonstrates that the client has followed the prescribed regimen?
A.
B.
C.
D.
24.  Nurse Joy is providing postprocedure care for a client who underwent percutaneous lithotripsy. In this procedure, an ultrasonic probe inserted through a nephrostomy tube into the renal pelvis generates ultra–high-frequency sound waves to shatter renal calculi. The nurse should instruct the client to:
A.
B.
C.
D.
25.  Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a female client’s uremia. Which finding signals a significant problem during this procedure?
A.
B.
C.
D.
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