Urinary System Disorders NCLEX Practice Test Questions!

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Questions: 10 | Attempts: 2,475 | Updated: Aug 22, 2023

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Urinary System Disorders NCLEX Practice Test Questions! - Quiz

Do you know how to care for a patient with urinary system disorders? If you think you know, attempt these NCLEX practice test questions and review your basic nursing knowledge. The below quiz contains NCLEX review questions on UTI (urinary tract infection). So, if you are preparing to appear in the NCLEX exam, this test will help you to measure your preparation level. Try this quiz, analyze the questions, and then submit answers. All the best for your upcoming exam.

Questions and Answers

1.

Which intervention do you plan to include with a patient who has renal calculi?
- A.
  
  Maintain bed rest
- B.
  
  Increase dietary purines
- C.
  
  Restrict fluids
- D.
  
  Strain all urine
Correct Answer
D. Strain all urine

Explanation
All urine should be strained through gauze or a urine strainer to catch stones that are passed. The stones are then analyzed for composition.

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2.

An 18 y.o. student is admitted with dark urine, fever, and flank pain and is diagnosed with acute glomerulonephritis. Which would most likely be in this student’s health history?
- A.
  
  Renal calculi
- B.
  
  Renal trauma
- C.
  
  Recent sore throat
- D.
  
  Family history of acute glomerulonephritis
Correct Answer
C. Recent sore throat

Explanation
The most common form of acute glomerulonephritis is caused by group A beta-hemolytic streptococcal infection elsewhere in the body.

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3.

Which drug is indicated for pain related to acute renal calculi?
- A.
  
  Narcotic analgesics
- B.
  
  Nonsteroidal anti-inflammatory drugs (NSAIDS)
- C.
  
  Muscle relaxants
- D.
  
  Salicylates
Correct Answer
A. Narcotic analgesics

Explanation
Narcotic analgesics are usually needed to relieve the severe pain of renal calculi.

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4.

Which of the following causes the majority of UTI’s in hospitalized patients?
- A.
  
  Lack of fluid intake
- B.
  
  Inadequate perineal care
- C.
  
  Invasive procedures
- D.
  
  Immunosuppression
Correct Answer
C. Invasive procedures

Explanation
Invasive procedures such as catheterization can introduce bacteria into the urinary tract. A lack of fluid intake could cause concentration of urine. but wouldn’t necessarily cause infection.

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5.

Clinical manifestations of acute glomerulonephritis include which of the following?
- A.
  
  Chills and flank pain
- B.
  
  Oliguria and generalized edema
- C.
  
  Hematuria and proteinuria
- D.
  
  Dysuria and hypotension
Correct Answer
C. Hematuria and proteinuria

Explanation
Hematuria and proteinuria indicate acute glomerulonephritis.

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6.

You expect a patient in the oliguric phase of renal failure to have a 24 hour urine output less than:
- A.
  
  200ml
- B.
  
  400ml
- C.
  
  800ml
- D.
  
  1000ml
Correct Answer
B. 400ml

Explanation
Oliguria is defined as urine output of less than 400ml/24hours.

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7.

The most common early sign of kidney disease is:
- A.
  
  Sodium retention
- B.
  
  Elevated BUN level
- C.
  
  Development of metabolic acidosis
- D.
  
  Inability to dilute or concentrate urine
Correct Answer
B. Elevated BUN level

Explanation
Increased BUN is usually an early indicator of decreased renal function.

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8.

A patient is experiencing which type of incontinence if she experiences leaking urine when she coughs, sneezes, or lifts heavy objects?
- A.
  
  Overflow
- B.
  
  Reflex
- C.
  
  Stress
- D.
  
  Urge
Correct Answer
C. Stress

Explanation
Stress incontinence is an involuntary loss of a small amount of urine due to sudden increased intra-abdominal pressure such as with coughing or sneezing.

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9.

Immediately post-op after a prostatectomy. Which complications requires priority assessment of your patient?
- A.
  
  Pneumonia
- B.
  
  Hemorrhage
- C.
  
  Urine retention
- D.
  
  Deep vein thrombosis
Correct Answer
B. Hemorrhage

Explanation
Hemorrhage is a potential complication.

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10.

The most indicative test for prostate cancer is:
- A.
  
  A thorough digital rectal examination
- B.
  
  Magnetic resonance imaging (MRI)
- C.
  
  Excretory urography
- D.
  
  Prostate-specific antigen
Correct Answer
D. Prostate-specific antigen

Explanation
An elevated prostate-specific antigen level indicates prostate cancer. But it can be falsely elevated if done after the prostate gland is manipulated.

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Current Version
Aug 22, 2023

Quiz Edited by
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Oct 07, 2017

Quiz Created by
Santepro

Urinary System Disorders NCLEX Practice Test Questions!

Which intervention do you plan to include with a patient who has renal calculi?

An 18 y.o. student is admitted with dark urine, fever, and flank pain and is diagnosed with acute glomerulonephritis. Which would most likely be in this student’s health history?

Which drug is indicated for pain related to acute renal calculi?

Which of the following causes the majority of UTI’s in hospitalized patients?

Clinical manifestations of acute glomerulonephritis include which of the following?

You expect a patient in the oliguric phase of renal failure to have a 24 hour urine output less than:

The most common early sign of kidney disease is:

A patient is experiencing which type of incontinence if she experiences leaking urine when she coughs, sneezes, or lifts heavy objects?

Immediately post-op after a prostatectomy. Which complications requires priority assessment of your patient?

The most indicative test for prostate cancer is: