Urinary System Disorders | NCLEX Quiz 105
All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
- 1.Which of the following symptoms do you expect to see in a patient diagnosed with acute pyelonephritis?
- A.
Jaundice and flank pain
- B.
Costovertebral angle tenderness and chills
- C.
Burning sensation on urination
- D.
Polyuria and nocturia
- 2.You have a patient that might have a urinary tract infection (UTI). Which statement by the patient suggests that a UTI is likely?
- A.
“I pee a lot.”
- B.
“It burns when I pee.”
- C.
“I go hours without the urge to pee.”
- D.
“My pee smells sweet.”
- 3.Which instructions do you include in the teaching care plan for a patient with cystitis receiving phenazopyridine (Pyridium).
- A.
If the urine turns orange-red. call the doctor.
- B.
Take phenazopyridine just before urination to relieve pain.
- C.
Once painful urination is relieved. discontinue prescribed antibiotics.
- D.
After painful urination is relieved. stop taking phenazopyridine.
- 4.Which patient is at greatest risk for developing a urinary tract infection (UTI)?
- A.
A 35 y.o. woman with a fractured wrist
- B.
A 20 y.o. woman with asthma
- C.
A 50 y.o. postmenopausal woman
- D.
A 28 y.o. with angina
- 5.You have a patient that is receiving peritoneal dialysis. What should you do when you notice the return fluid is slowly draining?
- A.
Check for kinks in the outflow tubing.
- B.
Raise the drainage bag above the level of the abdomen.
- C.
Place the patient in a reverse Trendelenburg position.
- D.
Ask the patient to cough.
- 6.What is the appropriate infusion time for the dialysate in your 38 y.o. patient with chronic renal failure?
- A.
15 minutes
- B.
30 minutes
- C.
1 hour
- D.
2 to 3 hours
- 7.A 30 y.o. female patient is undergoing hemodialysis with an internal arteriovenous fistula in place. What do you do to prevent complications associated with this device?
- A.
Insert I.V. lines above the fistula.
- B.
Avoid taking blood pressures in the arm with the fistula.
- C.
Palpate pulses above the fistula.
- D.
Report a bruit or thrill over the fistula to the doctor.
- 8.Your patient becomes restless and tells you she has a headache and feels nauseous during hemodialysis. Which complication do you suspect?
- A.
Infection
- B.
Disequilibrium syndrome
- C.
Air embolus
- D.
Acute hemolysis
- 9.Your patient is complaining of muscle cramps while undergoing hemodialysis. Which intervention is effective in relieving muscle cramps?
- A.
Increase the rate of dialysis
- B.
Infuse normal saline solution
- C.
Administer a 5% dextrose solution
- D.
Encourage active ROM exercises
- 10.Your patient with chronic renal failure reports pruritus. Which instruction should you include in this patient’s teaching plan?
- A.
Rub the skin vigorously with a towel
- B.
Take frequent baths
- C.
Apply alcohol-based emollients to the skin
- D.
Keep fingernails short and clean
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