Urinary System Disorders | NCLEX Quiz 122

10 Questions | Total Attempts: 38

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Urinary System Disorders | NCLEX Quiz 122

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Questions and Answers
  • 1. 
    A male client comes to the emergency department complaining of sudden onset of sharp. severe pain in the lumbar region. which radiates around the side and toward the bladder. The client also reports nausea and vomiting and appears pale. diaphoretic. and anxious. The physician tentatively diagnosed renal calculi and orders flat-plate abdominal X-rays. Renal calculi can form anywhere in the urinary tract. What is their most common formation site?
    • A. 

      Kidney

    • B. 

      Ureter

    • C. 

      Bladder

    • D. 

      Urethra

  • 2. 
    A female client with acute renal failure is undergoing dialysis for the first time. The nurse in charge monitors the client closely for dialysis equilibrium syndrome. a complication that is most common during the first few dialysis sessions. Typically. dialysis equilibrium syndrome causes:
    • A. 

      Confusion. headache. and seizures.

    • B. 

      Acute bone pain and confusion.

    • C. 

      Weakness. tingling. and cardiac arrhythmias.

    • D. 

      Hypotension. tachycardia. and tachypnea.

  • 3. 
    Dr. Grey prescribes norfloxacin (Noroxin). 400 mg P.O. twice daily. for a client with a urinary tract infection (UTI). The client asks the nurse how long to continue taking the drug. For an uncomplicated UTI. the usual duration of norfloxacin therapy is:
    • A. 

      3 to 5 days.

    • B. 

      7 to 10 days.

    • C. 

      12 to 14 days.

    • D. 

      10 to 21 days.

  • 4. 
    Nurse Harry is providing postprocedure care for a client who underwent percutaneous lithotripsy. In this procedure. an ultrasonic probe inserted through a nephrostomy tube into the renal pelvis generates ultra–high-frequency sound waves to shatter renal calculi. The nurse should instruct the client to:
    • A. 

      Limit oral fluid intake for 1 to 2 weeks.

    • B. 

      Report the presence of fine. sand-like particles through the nephrostomy tube.

    • C. 

      Notify the physician about cloudy or foul-smelling urine.

    • D. 

      Report bright pink urine within 24 hours after the procedure.

  • 5. 
    A client is frustrated and embarrassed by urinary incontinence. Which of the following measures should Nurse Ginny include in a bladder retraining program?
    • A. 

      Establishing a predetermined fluid intake pattern for the client

    • B. 

      Encouraging the client to increase the time between voidings

    • C. 

      Restricting fluid intake to reduce the need to void

    • D. 

      Assessing present elimination patterns

  • 6. 
    After having transurethral resection of the prostate (TURP). a Mr. Lim returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the client’s catheter is occluded?
    • A. 

      The urine in the drainage bag appears red to pink.

    • B. 

      The client reports bladder spasms and the urge to void.

    • C. 

      The normal saline irrigant is infusing at a rate of 50 drops/minute.

    • D. 

      About 1.000 ml of irrigant have been instilled; 1.200 ml of drainage have been returned.

  • 7. 
    Nurse Mary is inserting a urinary catheter into a client who is extremely anxious about the procedure. The nurse can facilitate the insertion by asking the client to:
    • A. 

      Initiate a stream of urine.

    • B. 

      Breathe deeply.

    • C. 

      Turn to the side.

    • D. 

      Hold the labia or shaft of penis.

  • 8. 
    Nurse Pete is reviewing the report of a client’s routine urinalysis. Which value should the nurse consider abnormal?
    • A. 

      Specific gravity of 1.03

    • B. 

      Urine pH of 3.0

    • C. 

      Absence of protein

    • D. 

      Absence of glucose

  • 9. 
    A 55-year old client with benign prostatic hyperplasia doesn’t respond to medical treatment and is admitted to the facility for prostate gland removal. Before providing preoperative and postoperative instructions to the client. Nurse Gerry asks the surgeon which prostatectomy procedure will be done. What is the most widely used procedure for prostate gland removal?
    • A. 

      Transurethral resection of the prostate (TURP)

    • B. 

      Suprapubic prostatectomy

    • C. 

      Retropubic prostatectomy

    • D. 

      Transurethral laser incision of the prostate

  • 10. 
    A female client with suspected renal dysfunction is scheduled for excretory urography. Nurse January reviews the history for conditions that may warrant changes in client preparation. Normally. a client should be mildly hypovolemic (fluid depleted) before excretory urography. Which history finding would call for the client to be well hydrated instead?
    • A. 

      Cystic fibrosis

    • B. 

      Multiple myeloma

    • C. 

      Gout

    • D. 

      Myasthenia gravis