Urinary System Disorders | NCLEX Quiz 120

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  • 1/10 Questions

    When a female client with an indwelling urinary (Foley) catheter insists on walking to the hospital lobby to visit with family members. nurse Rose teaches how to do this without compromising the catheter. Which client action indicates an accurate understanding of this information?

    • The client sets the drainage bag on the floor while sitting down.
    • The client keeps the drainage bag below the bladder at all times.
    • The client clamps the catheter drainage tubing while visiting with the family.
    • The client loops the drainage tubing below its point of entry into the drainage bag.
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. 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.

Urinary System Disorders Quizzes & Trivia

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  • 2. 

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

    • Specific gravity of 1.03

    • Urine pH of 3.0

    • Absence of protein

    • Absence of glucose

    Correct Answer
    A. Urine pH of 3.0
    Explanation
    Normal urine pH is 4.5 to 8; therefore. a urine pH of 3.0 is abnormal. Urine specific gravity normally ranges from 1.002 to 1.035. making this client’s value normal. Normally. urine contains no protein. glucose. ketones. bilirubin. bacteria. casts. or crystals. Red blood cells should measure 0 to 3 per high-power field; white blood cells. 0 to 4 per high-power field. Urine should be clear. its color ranging from pale yellow to deep amber.

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  • 3. 

    Nurse Lily is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention?

    • Rashes on the palms of the hands and soles of the feet

    • Cauliflower-like warts on the penis

    • Painful red papules on the shaft of the penis

    • Foul-smelling discharge from the penis

    Correct Answer
    A. Foul-smelling discharge from the penis
    Explanation
    Symptoms of gonorrhea in men include purulent. foul-smelling drainage from the penis and painful urination.Option A: Rashes on the palms of the hands and soles of the feet are symptoms of the secondary stage of syphilis.Option B: Cauliflower-like warts on the penis are a sign of human papillomavirus.Option C: Painful red papules on the shaft of the penis may be a sign of the first stage of genital herpes.

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  • 4. 

    A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client?

    • This condition puts her at a higher risk for cervical cancer; therefore. she should have a Papanicolaou (Pap) smear annually.

    • The most common treatment is metronidazole (Flagyl). which should eradicate the problem within 7 to 10 days.

    • The potential for transmission to her sexual partner will be eliminated if condoms are used every time they have sexual intercourse.

    • The human papillomavirus (HPV). which causes condylomata acuminata. can’t be transmitted during oral sex.

    Correct Answer
    A. This condition puts her at a higher risk for cervical cancer; therefore. she should have a Papanicolaou (Pap) smear annually.
    Explanation
    Women with condylomata acuminata are at risk for cancer of the cervix and vulva. Yearly Pap smears are very important for early detection.Option B: Because condylomata acuminata is a virus. there is no permanent cure. Option C: Because condylomata acuminata can occur on the vulva. a condom won’t protect sexual partners. Option D: HPV can be transmitted to other parts of the body. such as the mouth. oropharynx. and larynx.Option C: Because condylomata acuminata can occur on the vulva. a condom won’t protect sexual partners.Option D: HPV can be transmitted to other parts of the body. such as the mouth. oropharynx. and larynx.

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  • 5. 

    The nurse is aware that the following laboratory values supports a diagnosis of pyelonephritis?

    • Myoglobinuria

    • Ketonuria

    • Pyuria

    • Low white blood cell (WBC) count

    Correct Answer
    A. Pyuria
    Explanation
    Pyelonephritis is diagnosed by the presence of leukocytosis. hematuria. pyuria. and bacteriuria.Option B: Ketonuria indicates a diabetic state.Option D: The client exhibits fever. chills. and flank pain. Because there is often a septic picture. the WBC count is more likely to be high rather than low.

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  • 6. 

    A female client with chronic renal failure (CRF) is receiving a hemodialysis treatment. After hemodialysis. nurse Sarah knows that the client is most likely to experience:

    • Hematuria.

    • Weight loss.

    • Increased urine output.

    • Increased blood pressure.

    Correct Answer
    A. Weight loss.
    Explanation
    Because CRF causes loss of renal function. the client with this disorder retains fluid. Hemodialysis removes this fluid. causing weight loss.Option A: Hematuria is unlikely to follow hemodialysis because the client with CRF usually forms little or no urine.Option C: Hemodialysis doesn’t increase urine output because it doesn’t correct the loss of kidney function. which severely decreases urine production in this disorder.Option D: By removing fluids. hemodialysis decreases rather than increases the blood pressure.

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  • 7. 

    A male client in the short-procedure unit is recovering from renal angiography in which a femoral puncture site was useD. When providing postprocedure care. the nurse should:

    • Keep the client’s knee on the affected side bent for 6 hours.

    • Apply pressure to the puncture site for 30 minutes.

    • Check the client’s pedal pulses frequently.

    • Remove the dressing on the puncture site after vital signs stabilize.

    Correct Answer
    A. Check the client’s pedal pulses frequently.
    Explanation
    After renal angiography involving a femoral puncture site. the nurse should check the client’s pedal pulses frequently to detect reduced circulation to the feet caused by vascular injury. The nurse also should monitor vital signs for evidence of internal hemorrhage and should observe the puncture site frequently for fresh bleeding.Option A: The client should be kept on bed rest for several hours so the puncture site can seal completely. Keeping the client’s knee bent is unnecessary.Option B: By the time the client returns to the short-procedure unit. manual pressure over the puncture site is no longer needed because a pressure dressing is in place.Option D: The nurse shouldn’t remove this dressing for several hours — and only if instructed to do so.

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  • 8. 

    The nurse is aware that the following findings would be further evidence of a urethral injury in a male client during rectal examination?

    • A low-riding prostate

    • The presence of a boggy mass

    • Absent sphincter tone

    • A positive Hemoccult

    Correct Answer
    A. The presence of a boggy mass
    Explanation
    When the urethra is ruptured. a hematoma or collection of blood separates the two sections of the urethra. This may feel like a boggy mass on rectal examination.Option A: Because of the rupture and hematoma. the prostate becomes high riding. A palpable prostate gland usually indicates a non-urethral injury.Option C: Absent sphincter tone would refer to a spinal cord injury.Option D: The presence of blood would probably correlate with GI bleeding or a colon injury.

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  • 9. 

    A male client with bladder cancer has had the bladder removed and an ileal conduit created for urine diversion. While changing this client’s pouch. the nurse observes that the area around the stoma is red. weeping. and painful. What should Nurse Kaye conclude?

    • The skin wasn’t lubricated before the pouch was applied.

    • The pouch faceplate doesn’t fit the stoma.

    • A skin barrier was applied properly.

    • Stoma dilation wasn’t performed.

    Correct Answer
    A. The pouch faceplate doesn’t fit the stoma.
    Explanation
    If the pouch faceplate doesn’t fit the stoma properly. the skin around the stoma will be exposed to continuous urine flow from the stoma. causing excoriation and red. weeping. and painful skin.Option A: A lubricant shouldn’t be used because it would prevent the pouch from adhering to the skin.Option C: When properly applied. a skin barrier prevents skin excoriation.Option D: Stoma dilation isn’t performed with an ileal conduit. although it may be done with a colostomy if ordered.

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  • 10. 

    A male client is scheduled for a renal clearance test. Nurse Sheldon should explain that this test is done to assess the kidneys’ ability to remove a substance from the plasma in:

    • 1 minute.

    • 30 minutes.

    • 1 hour.

    • 24 hours.

    Correct Answer
    A. 1 minute.
    Explanation
    The renal clearance test determines the kidneys’ ability to remove a substance from the plasma in 1 minute. It doesn’t measure the kidneys’ ability to remove a substance over a longer period.

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  • Current Version
  • Mar 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Oct 09, 2017
    Quiz Created by
    Santepro
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