Urinary System Disorders | NCLEX Quiz 109
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.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
Questions: 10 | Attempts: 2686 | Last updated: Jan 20, 2021
-
Sample QuestionThe 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?
Questions: 10 | Attempts: 2381 | Last updated: Oct 5, 2017
-
Sample QuestionGenevieve has diabetes type 1 and receives insulin for glycemic control. She tells the nurse that she likes to have a glass of wine with dinner. What will the best plan of the nurse for client education include?
Questions: 10 | Attempts: 2025 | Last updated: Oct 9, 2017
-
Sample QuestionThe nurse suspects that a client with polyuria is experiencing water diuresis. Which laboratory value suggests water diuresis?
Back to top