Quiz: NCLEX Practice Test On Urinary System Disorders

10 Questions | Total Attempts: 2684

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Quiz: NCLEX Practice Test On Urinary System Disorders

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Questions and Answers
  • 1. 
    The nurse is conducting a postoperative assessment of a client on the first day after renal surgery. Which of the following findings would be most important for the nurse to report to the physician?
    • A. 

      Temperature. 99.8

    • B. 

      Urine output. 20 ml/hour

    • C. 

      Absence of bowel sounds

    • D. 

      A 2×2 inch area of serous sanguineous drainage on the flank dressing.

  • 2. 
    Because a client’s renal stone was found to be composed to uric acid. a low-purine. alkaline ash diet was ordered. Incorporation of which of the following food items into the home diet would indicate that the client understands the necessary diet modifications?
    • A. 

      Milk. apples. tomatoes. and corn

    • B. 

      Eggs. spinach. dried peas. and gravy.

    • C. 

      Salmon. chicken. caviar. and asparagus

    • D. 

      Grapes. corn. cereals. and liver.

  • 3. 
    Allopurinol (Zyloprim). 200 mg/day. is prescribed for the client with renal calculi to take home. The nurse should teach the client about which of the following side effects of this medication?
    • A. 

      Retinopathy

    • B. 

      Maculopapular rash

    • C. 

      Nasal congestion

    • D. 

      Dizziness

  • 4. 
    The client has a clinic appointment scheduled 10 days after discharge. Which laboratory finding at that time would indicate that allopurinol (Zyloprim) has had a therapeutic effect?
    • A. 

      Decreased urinary alkaline phosphatase level

    • B. 

      Increased urinary calcium excretion

    • C. 

      Increased serum calcium level

    • D. 

      Decreased serum uric acid level

  • 5. 
    When developing a plan of care for the client with stress incontinence. the nurse should take into consideration that stress incontinence is best defined as the involuntary loss of urine associated with:
    • A. 

      A strong urge to urinate

    • B. 

      Overdistention of the bladder

    • C. 

      Activities that increase abdominal pressure

    • D. 

      Obstruction of the urethra

  • 6. 
    Which of the following assessment data would most likely be related to a client’s current complaint of stress incontinence?
    • A. 

      The client’s intake of 2 to 3 L of fluid per day.

    • B. 

      The client’s history of three full-term pregnancies

    • C. 

      The client’s age of 45 years

    • D. 

      The client’s history of competitive swimming

  • 7. 
    The nurse is developing a teaching plan for a client with stress incontinence. Which of the following instructions should be included?
    • A. 

      Avoid activities that are stressful and upsetting

    • B. 

      Avoid caffeine and alcohol

    • C. 

      Do not wear a girdle

    • D. 

      Limit physical exertion

  • 8. 
    A client has urge incontinence. Which of the following signs and symptoms would the nurse expect to find in this client?
    • A. 

      Inability to empty the bladder

    • B. 

      Loss of urine when coughing

    • C. 

      Involuntary urination with minimal warning

    • D. 

      Frequent dribbling of urine

  • 9. 
    A 72-year old male client is brought to the emergency room by his son. The client is extremely uncomfortable and has been unable to void for the past 12 hours. He has known for some time that he has an enlarged prostate but has wanted to avoid surgery. The best method for the nurse to use when assessing for bladder distention in a male client is to check for:
    • A. 

      A rounded swelling above the pubis.

    • B. 

      Dullness in the lower left quadrant

    • C. 

      Rebound tenderness below the symphysis

    • D. 

      Urine discharge from the urethral meatus

  • 10. 
    During a client’s urinary bladder catheterization. the bladder is emptied gradually. The best rationale for the nurse’s action is that completely emptying an overdistended bladder at one time tends to cause:
    • A. 

      Renal failure

    • B. 

      Abdominal cramping

    • C. 

      Possible shock

    • D. 

      Atrophy of bladder musculature

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