Urinary System Disorder NCLEX Nursing Test!

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1. After the first hemodialysis treatment. Your patient develops a headache, hypertension, restlessness, mental confusion, nausea, and vomiting. Which condition is indicated?

Disequilibrium syndrome

Respiratory distress

Hypervolemia

Peritonitis

Disequilibrium occurs when excess solutes are cleared from the blood more rapidly than they can diffuse from the body’s cells into the vascular system.

Explanation

Disequilibrium occurs when excess solutes are cleared from the blood more rapidly than they can diffuse from the body’s cells into the vascular system.

About This Quiz

Urinary System Disorder NCLEX Nursing Test! - Quiz

Do you know about urologic diseases? Here, we have an NCLEX nursing test on urinary system disorders to check if you know how to provide care to... see morea patient with a urinary tract infection. Urinary system disorders include urinary tract infections, kidney stones, bladder control, and prostate problems. These are common health problems; almost everyone might suffer from these disorders at least once. If you want to be a certified nurse or are working in the same domain, attempt this quiz and see how knowledgeable you are. see less

2. What is the most important nursing diagnosis for a patient in end-stage renal disease?

Risk for injury

Fluid volume excess

Altered nutrition: less than body requirements

Activity intolerance

Kidneys are unable to rid the body of excess fluids which results in fluid volume excess during ESRD.

Explanation

Kidneys are unable to rid the body of excess fluids which results in fluid volume excess during ESRD.

3. What is the best way to check for patency of the arteriovenous fistula for hemodialysis?

Pinch the fistula and note the speed of filling on release

Use a needle and syringe to aspirate blood from the fistula

Check for capillary refill of the nail beds on that extremity

Palpate the fistula throughout its length to assess for a thrill

The vibration or thrill felt during palpation ensures that the fistula has the desired turbulent blood flow. Pinching the fistula could cause damage. Aspirating blood is a needless invasive procedure.

Explanation

4. A patient who received a kidney transplant returns for a follow-up visit to the outpatient clinic and reports a lump in her breast. Transplant recipients are:

At increased risk for cancer due to immunosuppression caused by cyclosporine (Neoral)

Consumed with fear after the life-threatening experience of having a transplant

At increased risk for tumors because of the kidney transplant

At decreased risk for cancer. so the lump is most likely benign

Cyclosporine suppresses the immune response to prevent rejection of the transplanted kidney. The use of cyclosporine places the patient at risk for tumors.

Explanation

Cyclosporine suppresses the immune response to prevent rejection of the transplanted kidney. The use of cyclosporine places the patient at risk for tumors.

5. You're developing a care plan with the nursing diagnosis risk for infection for your patient that received a kidney transplant. A goal for this patient is to:

Remain afebrile and have negative cultures

Resume normal fluid intake within 2 to 3 days

Resume the patient’s normal job within 2 to 3 weeks

Try to discontinue cyclosporine (Neoral) as quickly as possible

The immunosuppressive activity of cyclosporine places the patient at risk for infection. and steroids can mask the signs of infection.

Explanation

The immunosuppressive activity of cyclosporine places the patient at risk for infection. and steroids can mask the signs of infection.

6. A patient with diabetes has had many renal calculi over the past 20 years and now has chronic renal failure. Which substance must be reduced in this patient's diet?

Carbohydrates

Fats

Protein

Vitamin C

Because of damage to the nephrons. The kidney can’t excrete all the metabolic wastes of protein. So this patient’s protein intake must be restricted.

Explanation

Because of damage to the nephrons. The kidney can’t excrete all the metabolic wastes of protein. So this patient’s protein intake must be restricted.

7. You suspect kidney transplant rejection when the patient shows which symptoms?

Pain in the incision. general malaise. and hypotension

Pain in the incision. general malaise. and depression

Fever. weight gain. and diminished urine output

Diminished urine output and hypotension

Symptoms of rejection include fever. rapid weight gain. hypertension. pain over the graft site. peripheral edema. and diminished urine output.

Explanation

Symptoms of rejection include fever. rapid weight gain. hypertension. pain over the graft site. peripheral edema. and diminished urine output.

8. Frequent PVCs are noted on the cardiac monitor of a patient with end-stage renal disease. The priority intervention is:

Call the doctor immediately

Give the patient IV lidocaine (Xylocaine)

Prepare to defibrillate the patient

Check the patient’s latest potassium level

The patient with ESRD may develop arrhythmias caused by hypokalemia.

Explanation

The patient with ESRD may develop arrhythmias caused by hypokalemia.

9. Which action is most important during bladder training in a patient with a neurogenic bladder?

Encourage the use of an indwelling urinary catheter

Set up specific times to empty the bladder

Encourage Kegel exercises

Force fluids

Instruct the patient with neurogenic bladder to write down his voiding pattern and empty the bladder at the same times each day.

Explanation

Instruct the patient with neurogenic bladder to write down his voiding pattern and empty the bladder at the same times each day.

10. You have a paraplegic patient with renal calculi. Which factor contributes to the development of calculi?

Increased calcium loss from the bones

Decreased kidney function

Decreased calcium intake

High fluid intake

Bones lose calcium when a patient can no longer bear weight. The calcium lost from bones form calculi. A concentration of mineral salts also known as a stone in the renal system.

Explanation

Bones lose calcium when a patient can no longer bear weight. The calcium lost from bones form calculi. A concentration of mineral salts also known as a stone in the renal system.

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Current Version
Aug 22, 2023

Quiz Edited by
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Oct 07, 2017

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