Urinary System Disorders | NCLEX Quiz 109

10 Questions | By Santepro | Last updated: Mar 22, 2022 | Total Attempts: 5911

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Urinary System Disorders NCLEX Quizzes & Trivia

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.

Questions and Answers

1.

Your patient returns from the operating room after abdominal aortic aneurysm repair. Which symptom is a sign of acute renal failure?
- A.
  
  Anuria
- B.
  
  Diarrhea
- C.
  
  Oliguria
- D.
  
  Vomiting
2.

Which cause of hypertension is the most common in acute renal failure?
- A.
  
  Pulmonary edema
- B.
  
  Hypervolemia
- C.
  
  Hypovolemia
- D.
  
  Anemia
3.

A patient returns from surgery with an indwelling urinary catheter in place and empty. Six hours later. the volume is 120ml. The drainage system has no obstructions. Which intervention has priority?
- A.
  
  Give a 500 ml bolus of isotonic saline
- B.
  
  Evaluate the patient’s circulation and vital signs
- C.
  
  Flush the urinary catheter with sterile water or saline
- D.
  
  Place the patient in the shock position. and notify the surgeon
4.

You’re preparing for urinary catheterization of a trauma patient and you observe bleeding at the urethral meatus. Which action has priority?
- A.
  
  Irrigate and clean the meatus before catheterization
- B.
  
  Check the discharge for occult blood before catheterization
- C.
  
  Heavily lubricate the catheter before insertion
- D.
  
  Delay catheterization and notify the doctor
5.

What change indicates recovery in a patient with nephritic syndrome?
- A.
  
  Disappearance of protein from the urine
- B.
  
  Decrease in blood pressure to normal
- C.
  
  Increase in serum lipid levels
- D.
  
  Gain in body weight
6.

Which statement correctly distinguishes renal failure from prerenal failure?
- A.
  
  With prerenal failure. vasoactive substances such as dopamine (Intropin) increase blood pressure
- B.
  
  With prerenal failure. there is less response to such diuretics as furosemide (Lasix)
- C.
  
  With prerenal failure. an IV isotonic saline infusion increases urine output
- D.
  
  With prerenal failure. hemodialysis reduces the BUN level
7.

Which criterion is required before a patient can be considered for continuous peritoneal dialysis?
- A.
  
  The patient must be hemodynamically stable
- B.
  
  The vascular access must have healed
- C.
  
  The patient must be in a home setting
- D.
  
  Hemodialysis must have failed
8.

Polystyrene sulfonate (Kayexalate) is used in renal failure to:
- A.
  
  Correct acidosis
- B.
  
  Reduce serum phosphate levels
- C.
  
  Exchange potassium for sodium
- D.
  
  Prevent constipation from sorbitol use
9.

Your patient has complaints of severe right-sided flank pain. nausea. vomiting and restlessness. He appears slightly pale and is diaphoretic. Vital signs are BP 140/90 mmHg. Pulse 118 beats/min.. respirations 33 breaths/minute. and temperature. 98.0F. Which subjective data supports a diagnosis of renal calculi?
- A.
  
  Pain radiating to the right upper quadrant
- B.
  
  History of mild flu symptoms last week
- C.
  
  Dark-colored coffee-ground emesis
- D.
  
  Dark. scanty urine output
10.

Immunosuppression following Kidney transplantation is continued:
- A.
  
  For life
- B.
  
  24 hours after transplantation
- C.
  
  A week after transplantation
- D.
  
  Until the kidney is not anymore rejected