Urinary System Disorders | NCLEX Quiz 124
. 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.A female client with a urinary tract infection is prescribed co-trimoxazole (trimethoprim-sulfamethoxazole). Nurse Dolly should provide which medication instruction?
- A.
“Take the medication with food.”
- B.
“Drink at least eight 8-oz glasses of fluid daily.”
- C.
“Avoid taking antacids during co-trimoxazole therapy.”
- D.
“Don’t be afraid to go out in the sun.”
- 2.A male client is admitted for treatment of glomerulonephritis. On initial assessment. Nurse Miley detects one of the classic signs of acute glomerulonephritis of sudden onset. Such signs include:
- A.
Generalized edema. especially of the face and periorbital area.
- B.
Green-tinged urine.
- C.
Moderate to severe hypotension.
- D.
Polyuria.
- 3.A client reports experiencing vulvar pruritus. Which assessment factor may indicate that the client has an infection caused by Candida albicans?
- A.
Cottage cheese–like discharge
- B.
Yellow-green discharge
- C.
Gray-white discharge
- D.
Discharge with a fishy odor
- 4.A 24-year old female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client?
- A.
This condition puts her at a higher risk for cervical cancer; therefore. she should have a Papanicolaou (Pap) smear annually.
- B.
The most common treatment is metronidazole (Flagyl). which should eradicate the problem within 7 to 10 days.
- C.
The potential for transmission to her sexual partner will be eliminated if condoms are used every time they have sexual intercourse.
- D.
The human papillomavirus (HPV). which causes condylomata acuminata. can’t be transmitted during oral sex.
- 5.Nurse Vic is monitoring the fluid intake and output of a female client recovering from an exploratory laparotomy. Which nursing intervention would help the client avoid a urinary tract infection (UTI)?
- A.
Maintaining a closed indwelling urinary catheter system and securing the catheter to the leg
- B.
Limiting fluid intake to 1 L/day
- C.
Encouraging the client to use a feminine deodorant after bathing
- D.
Encouraging the client to douche once a day after removal of the indwelling urinary catheter
- 6.Nurse Eve is caring for a client who had a cerebrovascular accident (CVA). Which nursing intervention promotes urinary continence?
- A.
Encouraging intake of at least 2 L of fluid daily
- B.
Giving the client a glass of soda before bedtime
- C.
Taking the client to the bathroom twice per day
- D.
Consulting with a dietitian
- 7.A female client with an indwelling urinary catheter is suspected of having a urinary tract infection. Nurse Angel should collect a urine specimen for culture and sensitivity by:
- A.
Disconnecting the tubing from the urinary catheter and letting the urine flow into a sterile container.
- B.
Wiping the self-sealing aspiration port with antiseptic solution and aspirating urine with a sterile needle.
- C.
Draining urine from the drainage bag into a sterile container.
- D.
Clamping the tubing for 60 minutes and inserting a sterile needle into the tubing above the clamp to aspirate urine.
- 8.Nurse Grace is assessing a male client diagnosed with gonorrheA. Which symptom most likely prompted the client to seek medical attention?
- A.
Rashes on the palms of the hands and soles of the feet
- B.
Cauliflower-like warts on the penis
- C.
Painful red papules on the shaft of the penis
- D.
Foul-smelling discharge from the penis
- 9.Nurse Erica is planning to administer a sodium polystyrene sulfonate (Kayexalate) enema to a client with a potassium level of 5.9 mEq/L. Correct administration and the effects of this enema would include having the client:
- A.
Retain the enema for 30 minutes to allow for sodium exchange; afterward. the client should have diarrhea.
- B.
Retain the enema for 30 minutes to allow for glucose exchange; afterward. the client should have diarrhea.
- C.
Retain the enema for 60 minutes to allow for sodium exchange; diarrhea isn’t necessary to reduce the potassium level.
- D.
Retain the enema for 60 minutes to allow for glucose exchange; diarrhea isn’t necessary to reduce the potassium level.
- 10.When caring for a male client with acute renal failure (ARF). Nurse Fatrishia expects to adjust the dosage or dosing schedule of certain drugs. Which of the following drugs would not require such adjustment?
- A.
Acetaminophen (Tylenol)
- B.
Gentamicin sulfate (Garamycin)
- C.
Cyclosporine (Sandimmune)
- D.
Ticarcillin disodium (Ticar)
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