NCLEX Review: Genitourinary quiz

NCLEX Review Genitourinary Quiz

1. An adult had surgery for removal of staghorn calculi in the kidney. Two hours after arrival on the nursing care unit the nurse assesses the client and observes that the urinary catheter is not draining. What is the best interpretation of this?
1. The client no longer needs a drainage catheter.
2. The IV infusion rate is too slow.
3. The catheter tubing may be obstructed.
4. A new catheter should be inserted.

2. The nurse is caring for a man following a transurethral prostatectomy. The nurse is assisting him to ambulate the day after his indwelling catheter is removed. He dribbles urine when he stands to ambulate. What is the most appropriate response for the nurse to make?
1. “Try to hold your urine until we get to the bathroom.”
2. “Would you like to use the urinal before we start to walk?”
3. “That happens sometimes after a catheter has been in place for several days. I will teach you some exercises to help control it.”
4. I will get a special pad for you to wear for the next few days until the dribbling stops.”

3. An adult client is admitted with advanced chronic renal failure and recurrent hypertension and edema. What should the nurse teach the client about dietary restrictions?
1. Limit sodium, potassium and protein.
2. Limit fat and fluids and encourage citrus fruits.
3. Eat plenty of fresh fruits and vegetables and avoid canned products.
4. Eat plenty of protein and limit potassium.

4. The nurse is evaluating lab results for a client who has advanced chronic renal failure. Which of the following would the nurse expect?
1. Increased serum potassium.
2. Increased RBCs.
3. Decreased BUN.
4. Decreased serum phosphorus.

5. A client with chronic renal failure starts complaining of a severe headache. What is the most appropriate initial nursing intervention?
1. Call the physician.
2. Draw blood for electrolytes.
3. Take his blood pressure.
4. Administer ordered analgesia.

6. The nurse is caring for a client who is receiving peritoneal dialysis. What is the physiological mechanism associated with peritoneal dialysis?
1. The peritoneum allows solutes in the dialysate to pass into the intravascular system.
2. The peritoneum acts as a semi-permeable membrane through which solutes flow from an area of higher concentration to one of lower concentration.
3. The presence of excess metabolites causes increased permeability of the peritoneum and therefore allows excess fluid to drain from the peritoneal cavity.
4. The peritoneum permits diffusion of metabolites only from intravascular to interstitial spaces.

7. The nurse is caring for a client receiving peritoneal dialysis. Which one of the following complications will least likely be observed?
1. Muscle cramps.
2. Peritonitis.
3. Respiratory distress.
4. Abdominal distress.

8. The nurse is caring for a client who has acute glomerulonephritis. What information obtained during the initial assessment is most likely to be related to the cause of the illness?
1. Client’s grandfather has renal disease.
2. Client had pharyngitis last month.
3. Client recently took Gentamicin.
4. Client has insulin dependent diabetes mellitus.

9. A urine for culture and sensitivity is ordered for a client who has an indwelling urinary catheter. What is the best way for the nurse to obtain the specimen?
1. Clamp the tubing for 20 minutes and then separate the connector at the drainage bag and empty into a sterile container.
2. Obtain the specimen from the collecting bag by draining as usual.
3. After cleaning the tubing with an antiseptic, insert a syringe with a needle into the catheter tubing distal to the bifurcation and aspirate.
4. Clean the connection between the catheter and the tubing with an antiseptic before disconnecting the tubing and collecting the specimen in a sterile container.

10. An adult client is admitted with symptoms of a kidney stone. What should be included in the care plan because the client has a kidney stone?
1. Maintain protective isolation.
2. Encourage fluid intake.
3. Maintain the client on bed rest.
4. Observe for reactions to prescribed antibiotics.

11. An elderly man is admitted with benign prostatic hypertrophy. Which statement is the client most likely to make during the admission assessment?
1. “My wife and I have been having difficulty with sexual relations recently.”
2. “It is hard to start urinating.”
3. “I have a lot of pain when I urinate.”
4. “I am always thirsty.”

12. An adult male is considering having a vasectomy. What should the nurse include in the discussion about this procedure?
1. A vasectomy is a permanent method of sterilization.
2. A vasectomy makes a man unable to have an erection.
3. A vasectomy is not indicated in men under the age of 35.
4. A vasectomy helps to protect the man from venereal diseases.

13. The health nurse is discussing health care practices with a group of young men. One man asks about testicular cancer. The nurse should include which of the following in the discussion?
1. Testicular cancer is rarely seen in young men.
2. Every man should perform a self-testicular exam every month.
3. Men should have an x-ray of their testicles every 1-2 years to detect testicular cancer.
4. Testicular cancer is hard to detect and spreads very quickly.

14. The nurse is caring for a woman who has continuous ambulatory peritoneal dialysis. Which statement she makes is of most concern to the nurse?
1. “I feel short of breath when I lie down flat.”
2. “I eat only a small amount of meat.”
3. “The solution that drained out this morning was cloudy.”
4. “I leave the solution in all night.”

15. The nurse is caring for a person who has psoriasis and is receiving coal tar therapy. Which instruction should the nurse give the patient?
1. Avoid aspirin during this time.
2. Stay out of the sun while using coal tar.
3. Expect some nausea and vomiting.
4. Stay away from persons who are sick.

16. Which of these persons seen in the office is most at risk for skin cancer?
1. A female who is a secretary in a lawyer’s office
2. A female who is a staff nurse in an acute care facility.
3. A male who is a professional basketball player.
4. A male who has been working as a lifeguard at the beach for five years.

17. All of the following persons call the physician’s office. Who needs to be seen immediately?
1. An adult who is being treated for cancer and states she has a painful rash on one side of her back and under the breast on that side.
2. An adult who reports a rash and some blisters on her ankles that are weeping. She was walking in the park and playing in the grass recently.
3. An adult who reports redness on his shoulders and arms after a day at the beach.
4. An adult who has a blister on the back of his hand after touching the hot oven rack when taking food out of the oven.

18. The nurse is caring for an adult who has severe burns over a large portion of the body. The patient is scheduled to go to physical therapy for tubbing or tanking. What should the nurse do before the patient goes to physical therapy?
1. Pre-wash with antiseptic solution.
2. Administer pain medication.
3. Remove the dressings.
4. Hydrate well.

19. A patient is admitted who has burns on the front of both arms, the anterior trunk, and the front of the left leg. Approximately how much of his body is burned?
1. 18%
2. 22.5%
3. 36%
4. 45%

20. The patient received severe burns over more than half of his body. During the first day the nurse must observe carefully for which problem?
1. Shock.
2. Fluid overload.
3. Infection.
4. Decubitus ulcers.

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NCLEX Review: Genitourinary quiz