Urinary System Disorders | NCLEX Quiz 109

10 Questions | Total Attempts: 4912

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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

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