Urinary System Disorder NCLEX Nursing Test!

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Questions: 10 | Attempts: 3,645 | Updated: Aug 22, 2023

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Urinary System Disorder NCLEX Nursing Test! - Quiz

Do you know about urologic diseases? Here, we have an NCLEX nursing test on urinary system disorders to check if you know how to provide care to a patient with a urinary tract infection. Urinary system disorders include urinary tract infections, kidney stones, bladder control, and prostate problems. These are common health problems; almost everyone might suffer from these disorders at least once. If you want to be a certified nurse or are working in the same domain, attempt this quiz and see how knowledgeable you are.

Questions and Answers

1.

After the first hemodialysis treatment. Your patient develops a headache, hypertension, restlessness, mental confusion, nausea, and vomiting. Which condition is indicated?
- A.
  
  Disequilibrium syndrome
- B.
  
  Respiratory distress
- C.
  
  Hypervolemia
- D.
  
  Peritonitis
Correct Answer
A. Disequilibrium syndrome

Explanation
Disequilibrium occurs when excess solutes are cleared from the blood more rapidly than they can diffuse from the body’s cells into the vascular system.

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2.

Which action is most important during bladder training in a patient with a neurogenic bladder?
- A.
  
  Encourage the use of an indwelling urinary catheter
- B.
  
  Set up specific times to empty the bladder
- C.
  
  Encourage Kegel exercises
- D.
  
  Force fluids
Correct Answer
B. Set up specific times to empty the bladder

Explanation
Instruct the patient with neurogenic bladder to write down his voiding pattern and empty the bladder at the same times each day.

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3.

A patient with diabetes has had many renal calculi over the past 20 years and now has chronic renal failure. Which substance must be reduced in this patient’s diet?
- A.
  
  Carbohydrates
- B.
  
  Fats
- C.
  
  Protein
- D.
  
  Vitamin C
Correct Answer
C. Protein

Explanation
Because of damage to the nephrons. The kidney can’t excrete all the metabolic wastes of protein. So this patient’s protein intake must be restricted.

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4.

What is the best way to check for patency of the arteriovenous fistula for hemodialysis?
- A.
  
  Pinch the fistula and note the speed of filling on release
- B.
  
  Use a needle and syringe to aspirate blood from the fistula
- C.
  
  Check for capillary refill of the nail beds on that extremity
- D.
  
  Palpate the fistula throughout its length to assess for a thrill
Correct Answer
D. Palpate the fistula throughout its length to assess for a thrill

Explanation
The vibration or thrill felt during palpation ensures that the fistula has the desired turbulent blood flow. Pinching the fistula could cause damage. Aspirating blood is a needless invasive procedure.

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5.

You have a paraplegic patient with renal calculi. Which factor contributes to the development of calculi?
- A.
  
  Increased calcium loss from the bones
- B.
  
  Decreased kidney function
- C.
  
  Decreased calcium intake
- D.
  
  High fluid intake
Correct Answer
A. Increased calcium loss from the bones

Explanation
Bones lose calcium when a patient can no longer bear weight. The calcium lost from bones form calculi. A concentration of mineral salts also known as a stone in the renal system.

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6.

What is the most important nursing diagnosis for a patient in end-stage renal disease?
- A.
  
  Risk for injury
- B.
  
  Fluid volume excess
- C.
  
  Altered nutrition: less than body requirements
- D.
  
  Activity intolerance
Correct Answer
B. Fluid volume excess

Explanation
Kidneys are unable to rid the body of excess fluids which results in fluid volume excess during ESRD.

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7.

Frequent PVCs are noted on the cardiac monitor of a patient with end-stage renal disease. The priority intervention is:
- A.
  
  Call the doctor immediately
- B.
  
  Give the patient IV lidocaine (Xylocaine)
- C.
  
  Prepare to defibrillate the patient
- D.
  
  Check the patient’s latest potassium level
Correct Answer
D. Check the patient’s latest potassium level

Explanation
The patient with ESRD may develop arrhythmias caused by hypokalemia.

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8.

A patient who received a kidney transplant returns for a follow-up visit to the outpatient clinic and reports a lump in her breast. Transplant recipients are:
- A.
  
  At increased risk for cancer due to immunosuppression caused by cyclosporine (Neoral)
- B.
  
  Consumed with fear after the life-threatening experience of having a transplant
- C.
  
  At increased risk for tumors because of the kidney transplant
- D.
  
  At decreased risk for cancer. so the lump is most likely benign
Correct Answer
A. At increased risk for cancer due to immunosuppression caused by cyclosporine (Neoral)

Explanation
Cyclosporine suppresses the immune response to prevent rejection of the transplanted kidney. The use of cyclosporine places the patient at risk for tumors.

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9.

You’re developing a care plan with the nursing diagnosis risk for infection for your patient that received a kidney transplant. A goal for this patient is to:
- A.
  
  Remain afebrile and have negative cultures
- B.
  
  Resume normal fluid intake within 2 to 3 days
- C.
  
  Resume the patient’s normal job within 2 to 3 weeks
- D.
  
  Try to discontinue cyclosporine (Neoral) as quickly as possible
Correct Answer
A. Remain afebrile and have negative cultures

Explanation
The immunosuppressive activity of cyclosporine places the patient at risk for infection. and steroids can mask the signs of infection.

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10.

You suspect kidney transplant rejection when the patient shows which symptoms?
- A.
  
  Pain in the incision. general malaise. and hypotension
- B.
  
  Pain in the incision. general malaise. and depression
- C.
  
  Fever. weight gain. and diminished urine output
- D.
  
  Diminished urine output and hypotension
Correct Answer
C. Fever. weight gain. and diminished urine output

Explanation
Symptoms of rejection include fever. rapid weight gain. hypertension. pain over the graft site. peripheral edema. and diminished urine output.

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Current Version
Aug 22, 2023

Quiz Edited by
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Oct 07, 2017

Quiz Created by
Santepro

Urinary System Disorder NCLEX Nursing Test!

After the first hemodialysis treatment. Your patient develops a headache, hypertension, restlessness, mental confusion, nausea, and vomiting. Which condition is indicated?

Which action is most important during bladder training in a patient with a neurogenic bladder?

A patient with diabetes has had many renal calculi over the past 20 years and now has chronic renal failure. Which substance must be reduced in this patient’s diet?

What is the best way to check for patency of the arteriovenous fistula for hemodialysis?

You have a paraplegic patient with renal calculi. Which factor contributes to the development of calculi?

What is the most important nursing diagnosis for a patient in end-stage renal disease?

Frequent PVCs are noted on the cardiac monitor of a patient with end-stage renal disease. The priority intervention is:

A patient who received a kidney transplant returns for a follow-up visit to the outpatient clinic and reports a lump in her breast. Transplant recipients are:

You’re developing a care plan with the nursing diagnosis risk for infection for your patient that received a kidney transplant. A goal for this patient is to:

You suspect kidney transplant rejection when the patient shows which symptoms?