Urinary System Disorders | NCLEX Quiz 121

10 Questions | Total Attempts: 990

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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. 
    A female client is admitted for treatment of chronic renal failure (CRF). Nurse Julian knows that this disorder increases the client’s risk of:
    • A. 

      Water and sodium retention secondary to a severe decrease in the glomerular filtration rate.

    • B. 

      A decreased serum phosphate level secondary to kidney failure.

    • C. 

      An increased serum calcium level secondary to kidney failure.

    • D. 

      Metabolic alkalosis secondary to retention of hydrogen ions.

  • 2. 
    Because of difficulties with hemodialysis. peritoneal dialysis is initiated to treat a female client’s uremia. Which finding signals a significant problem during this procedure?
    • A. 

      Potassium level of 3.5 mEq/L

    • B. 

      Hematocrit (HCT) of 35%

    • C. 

      Blood glucose level of 200 mg/dl

    • D. 

      White blood cell (WBC) count of 20.000/mm3

  • 3. 
    For a male client in the oliguric phase of acute renal failure (ARF). which nursing intervention is most important?
    • A. 

      Encouraging coughing and deep breathing

    • B. 

      Promoting carbohydrate intake

    • C. 

      Limiting fluid intake

    • D. 

      Providing pain-relief measures

  • 4. 
    A female client requires hemodialysis. Which of the following drugs should be withheld before this procedure?
    • A. 

      Phosphate binders

    • B. 

      Insulin

    • C. 

      Antibiotics

    • D. 

      Cardiac glycosides

  • 5. 
    A client comes to the outpatient department complaining of vaginal discharge. dysuria. and genital irritation. Suspecting a sexually transmitted disease (STD). Dr. Smith orders diagnostic tests of the vaginal discharge. Which STD must be reported to the public health department?
    • A. 

      Chlamydia

    • B. 

      Gonorrhea

    • C. 

      Genital herpes

    • D. 

      Human papillomavirus infection

  • 6. 
    A male client with acute pyelonephritis receives a prescription for co-trimoxazole (Septra) P.O. twice daily for 10 days. Which finding best demonstrates that the client has followed the prescribed regimen?
    • A. 

      Urine output increases to 2.000 ml/day.

    • B. 

      Flank and abdominal discomfort decrease.

    • C. 

      Bacteria are absent on urine culture.

    • D. 

      The red blood cell (RBC) count is normal.

  • 7. 
    A 26-year-old female client seeks care for a possible infection. Her symptoms include burning on urination and frequent. urgent voiding of small amounts of urine. She’s placed on trimethoprim-sulfamethoxazole (Bactrim) to treat possible infection. Another medication is prescribed to decrease the pain and frequency. Which of the following is the most likely medication prescribed?
    • A. 

      Nitrofurantoin (Macrodantin)

    • B. 

      Ibuprofen (Motrin)

    • C. 

      Acetaminophen with codeine

    • D. 

      Phenazopyridine (Pyridium)

  • 8. 
    A triple-lumen indwelling urinary catheter is inserted for continuous bladder irrigation following a transurethral resection of the prostate. In addition to balloon inflation. the nurse is aware that the functions of the three lumens include:
    • A. 

      Continuous inflow and outflow of irrigation solution.

    • B. 

      Intermittent inflow and continuous outflow of irrigation solution.

    • C. 

      Continuous inflow and intermittent outflow of irrigation solution.

    • D. 

      Intermittent flow of irrigation solution and prevention of hemorrhage.

  • 9. 
    Nurse Pippy is reviewing a client’s fluid intake and output record. Fluid intake and urine output should relate in which way?
    • A. 

      Fluid intake should be double the urine output.

    • B. 

      Fluid intake should be approximately equal to the urine output.

    • C. 

      Fluid intake should be half the urine output.

    • D. 

      Fluid intake should be inversely proportional to the urine output.

  • 10. 
    After trying to conceive for a year. a couple consults an infertility specialist. When obtaining a history from the husband. Nurse Jessica inquires about childhood infectious diseases. Which childhood infectious disease most significantly affects male fertility?
    • A. 

      Chickenpox

    • B. 

      Measles

    • C. 

      Mumps

    • D. 

      Scarlet fever

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