NCLEX Genitourinary Disorders

115 Questions | Total Attempts: 358

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Genitourinary Quizzes & Trivia

The NCLEX Genitourinary Disorder is an exam taken by practitioners who have specialized in the treatment of the urinary and the genital organs. Are you in this line of duty and preparing for the exam? Use this quiz to revise.


Questions and Answers
  • 1. 
    A client with renal dysfunction of acute onset comes to the emergency department complaining of fatigue, oliguria, and coffee-colored urine. When obtaining the client's history to check for significant findings, the nurse should ask about:
    • A. 

      Chronic, excessive acetaminophen use.

    • B. 

      Recent streptococcal infection.

    • C. 

      Childhood asthma.

    • D. 

      Family history of pernicious anemia.

  • 2. 
    A nurse is explaining menstruation to a class. Place the steps of the menstrual cycle listed below in the correct order. Use all options.
    1. 1. The level of estrogen in the blood peaks.
    2. 2. Peak endometrial thickening occurs.
    3. 3. Estrogen and progesterone levels increase.
    4. 4. Top layer of the endometrium breaks occurs.
    5. 5. Afollicle matures and ovulation occurs.
    6. 6. The endometrium begins thickening.
  • 3. 
    • A. 

      Administering a sitz bath twice per day

    • B. 

      Increasing fluid intake to 3 L/day

    • C. 

      Using an indwelling urinary catheter to measure urine output accurately

    • D. 

      Encouraging the client to drink cranberry juice to acidify the urine

  • 4. 
    A 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 the infection. Another medication is ordered to decrease the pain and frequency. Which is the most likely medication ordered for the pain?
    • A. 

      Nitrofurantoin (Macrodantin)

    • B. 

      Ibuprofen (Motrin)

    • C. 

      Acetaminophen with codeine

    • D. 

      Phenazopyridine (Pyridium)

  • 5. 
    A nurse correctly identifies a urine specimen with a pH of 4.3 as being which type of solution?
    • A. 

      Neutral

    • B. 

      Alkaline

    • C. 

      Acidic

    • D. 

      Basic

  • 6. 
    A client who has been treated for chronic renal failure (CRF) is ready for discharge. The nurse should reinforce which dietary instruction?
    • A. 

      Be sure to eat meat at every meal.

    • B. 

      Eat plenty of bananas.

    • C. 

      Increase your carbohydrate intake.

    • D. 

      Drink plenty of fluids, and use a salt substitute.

  • 7. 
    • A. 

      Cranberry juice

    • B. 

      Coffee

    • C. 

      Prune juice

    • D. 

      Milk

  • 8. 
    A nurse is teaching a client about peritoneal dialysis. The nurse should tell the client the dwell time is:
    • A. 

      10 minutes

    • B. 

      20 minutes

    • C. 

      30 minutes

    • D. 

      60 minutes

  • 9. 
    During a rectal examination, which finding is evidence of a urethral injury?
    • A. 

      A low-riding prostate

    • B. 

      The presence of a boggy mass

    • C. 

      Absent sphincter tone

    • D. 

      A positive Hemoccult

  • 10. 
    A client with suspected renal dysfunction is scheduled for excretory urography. The nurse reviews his history for conditions that may warrant changes in client preparation. Normally, the client should be mildly hypovolemic (fluid depleted) before excretory urography. Which history finding calls for the client to be well hydrated?
    • A. 

      Cystic fibrosis

    • B. 

      Multiple myeloma

    • C. 

      Gout

    • D. 

      Myasthenia gravis

  • 11. 
    A client with depression and behavioral changes is transferred from a local assisted living center to the emergency department. The nurse notes that the client cries out when she approaches. When the nurse gains the client's confidence and performs an assessment, the nurse notes bruising of the labia and a lateral laceration in the perineal area. When the nurse asks the client about the injury, the client shakes her head and begins to cry "don't tell, don't tell." The nurse suspects sexual abuse. How should the nurse proceed?
    • A. 

      Notify the physician of her findings immediately.

    • B. 

      Attend to the client's physiological needs.

    • C. 

      Notify the client's family.

    • D. 

      Notify the rape crisis team

  • 12. 
    A client admitted to the unit with a diagnosis of end-stage renal disease is scheduled to undergo hemodialysis. He voices anxiety over shunt placement and management of care at home. A nurse initiates a referral to which members of the interdisciplinary team?
    • A. 

      Physical and occupational therapist, dietitian, and home health aide

    • B. 

      Home health nurse, nutritionist, and social worker

    • C. 

      Physician, physical therapist, and family

    • D. 

      Dialysis nurse, physician, and family

  • 13. 
    A client is scheduled for a creatinine clearance test. The nurse should explain that this test is done to assess the kidneys' ability to remove a substance from the plasma in:
    • A. 

      1 minute.

    • B. 

      30 minutes.

    • C. 

      1 hour.

    • D. 

      24 hours.

  • 14. 
    A female client reports to a nurse that she experiences a loss of urine when she jogs. The nurse's assessment reveals no nocturia, burning, discomfort when voiding, or urine leakage before reaching the bathroom. The nurse explains to the client that this type of problem is called:
    • A. 

      Functional incontinence.

    • B. 

      Reflex incontinence.

    • C. 

      Stress incontinence.

    • D. 

      Total incontinence.

  • 15. 
    When performing a scrotal examination, a nurse finds a nodule. What should the nurse do next?
    • A. 

      Notify the physician.

    • B. 

      Change the client's position and repeat the examination.

    • C. 

      Perform a rectal examination.

    • D. 

      Transilluminate the scrotum.

  • 16. 
    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 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.

  • 17. 
    • A. 

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

    • B. 

      Apply pressure to the puncture site for 30 minutes.

    • C. 

      Check the client's pedal pulses frequently.

    • D. 

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

  • 18. 
    Which factor should be checked when evaluating the effectiveness of an alpha-adrenergic blocker given to a client with benign prostatic hyperplasia (BPH)?
    • A. 

      Voiding pattern

    • B. 

      Size of the prostate

    • C. 

      Creatinine clearance

    • D. 

      Serum testosterone level

  • 19. 
    A client scheduled for a vasectomy asks the nurse how soon after the procedure he can have sexual intercourse without using an alternative birth control method. How should the nurse respond?
    • A. 

      You can safely have unprotected intercourse after 6 to 10 ejaculations.

    • B. 

      You can safely have unprotected intercourse when your sperm count indicates sterilization.

    • C. 

      You can safely have unprotected intercourse immediately after the procedure.

    • D. 

      You can safely have unprotected intercourse as soon as discomfort from the procedure disappears.

  • 20. 
    A physician orders a single dose of trimethoprim/sulfamethoxazole (Bactrim) by mouth for a client diagnosed with an uncomplicated urinary tract infection. The pharmacy sends three unit-dose tablets. The nurse verifies the physician's order. What should the nurse do next?
    • A. 

      Administer the three tablets as the single dose.

    • B. 

      Call the physician to verify the order.

    • C. 

      Give one tablet, three times per day.

    • D. 

      Call the hospital pharmacist and question the medication supplied.

  • 21. 
    A nurse is providing inservice education for staff members about evidence collection after sexual assault. The educational session is successful when staff members focus their initial care on which step?
    • A. 

      Collecting semen

    • B. 

      Performing the pelvic examination

    • C. 

      Obtaining consent for examination

    • D. 

      Supporting the client's emotional status

  • 22. 
    During rounds, a client admitted with gross hematuria asks the nurse about the physician's diagnosis. To facilitate effective communication, what should the nurse do?
    • A. 

      Ask why the client is concerned about the diagnosis.

    • B. 

      Change the subject to something more pleasant.

    • C. 

      Provide privacy for the conversation.

    • D. 

      Give the client some good advice.

  • 23. 
    A nurse is caring for a client who's ordered continuous ambulatory peritoneal dialysis (CAPD). Which finding should lead the nurse to question the client's suitability for CAPD?
    • A. 

      The client is blind in his right eye.

    • B. 

      The client has a history of severe anemia during hemodialysis.

    • C. 

      The client has a history of diverticulitis.

    • D. 

      The client is on the kidney transplant waiting list.

  • 24. 
    A client who has cervical cancer is scheduled to undergo internal radiation. In teaching the client about the procedure, the nurse should tell the client that:
    • A. 

      She will be in a private room with unrestricted activities.

    • B. 

      A bowel-cleansing procedure will precede radioactive implantation.

    • C. 

      She will be expected to use a bedpan for urination.

    • D. 

      The preferred position in bed will be semi-Fowler's.

  • 25. 
    A nurse is caring for an 8-year-old girl with multiple chronic urinary tract infections. The child's parents appear protective, never leaving their daughter's side. While the nurse helps the child's mother provide morning care, the child states, "My uncle doesn't clean me that way." Her mother becomes visibly upset and gives the girl a stern warning not to discuss the matter. She states, "Don't tell anyone about that again." The nurse has a legal responsibility to:
    • A. 

      Notify the nursing supervisor and the authorities of the possibility of abuse.

    • B. 

      Offer to clean the child the way her uncle does.

    • C. 

      Leave the room so the mother and daughter can have privacy.

    • D. 

      Note on the child's chart that the mother is overprotective.