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Leaderboard: Urinary Disorders NCLEX Challenge Exam (Quiz #1: 50 Questions)
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Question 1 of 50
1. Question
1 point(s)Which of the following symptoms do you expect to see in a patient diagnosed with acute pyelonephritis?
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Question 2 of 50
2. Question
1 point(s)You have a patient that might have a urinary tract infection (UTI). Which statement by the patient suggests that a UTI is likely?
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Question 3 of 50
3. Question
1 point(s)Which instructions do you include in the teaching care plan for a patient with cystitis receiving phenazopyridine (Pyridium)?
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Question 4 of 50
4. Question
1 point(s)Which patient is at greatest risk for developing a urinary tract infection (UTI)?
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Question 5 of 50
5. Question
1 point(s)You have a patient that is receiving peritoneal dialysis. What should you do when you notice the return fluid is slowly draining?
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Question 6 of 50
6. Question
1 point(s)What is the appropriate infusion time for the dialysate in your 38 y.o. patient with chronic renal failure undergoing peritoneal dialysis?
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Question 7 of 50
7. Question
1 point(s)A 30 y.o. female patient is undergoing hemodialysis with an internal arteriovenous fistula in place. What do you do to prevent complications associated with this device?
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Question 8 of 50
8. Question
1 point(s)Your patient becomes restless and tells you she has a headache and feels nauseous during hemodialysis. Which complication do you suspect?
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Question 9 of 50
9. Question
1 point(s)Your patient is complaining of muscle cramps while undergoing hemodialysis. Which intervention is effective in relieving muscle cramps?
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Question 10 of 50
10. Question
1 point(s)Your patient with chronic renal failure reports pruritus. Which instruction should you include in this patient’s teaching plan?
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Question 11 of 50
11. Question
1 point(s)Which intervention do you plan to include with a patient who has renal calculi?
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Question 12 of 50
12. Question
1 point(s)An 18 y.o. student is admitted with dark urine, fever, and flank pain and is diagnosed with acute glomerulonephritis. Which would most likely be in this student’s health history?
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Question 13 of 50
13. Question
1 point(s)Which drug is indicated for pain related to acute renal calculi?
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Question 14 of 50
14. Question
1 point(s)Which of the following causes the majority of UTI’s in hospitalized patients?
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Question 15 of 50
15. Question
1 point(s)Clinical manifestations of acute glomerulonephritis include which of the following?
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Question 16 of 50
16. Question
1 point(s)You expect a patient in the oliguric phase of renal failure to have a 24 hour urine output less than:
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Question 17 of 50
17. Question
1 point(s)The most common early sign of kidney disease is:
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Question 18 of 50
18. Question
1 point(s)A patient is experiencing which type of incontinence if she experiences leaking urine when she coughs, sneezes, or lifts heavy objects?
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Question 19 of 50
19. Question
1 point(s)Immediately post-op after a prostatectomy, which complications require priority assessment of your patient?
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Question 20 of 50
20. Question
1 point(s)The most indicative test for prostate cancer is:
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Question 21 of 50
21. Question
1 point(s)A 22 y.o. patient with diabetic nephropathy says, “I have two kidneys and I’m still young. If I stick to my insulin schedule, I don’t have to worry about kidney damage, right?” Which of the following statements is the best response?
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Question 22 of 50
22. Question
1 point(s)A patient diagnosed with sepsis from a UTI is being discharged. What do you plan to include in her discharge teaching?
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Question 23 of 50
23. Question
1 point(s)You’re planning your medication teaching for your patient with a UTI prescribed phenazopyridine (Pyridium). What do you include?
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Question 24 of 50
24. Question
1 point(s)Which finding leads you to suspect acute glomerulonephritis in your 32 y.o. patient?
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Question 25 of 50
25. Question
1 point(s)What is the priority nursing diagnosis with your patient diagnosed with end-stage renal disease?
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Question 26 of 50
26. Question
1 point(s)A patient with ESRD has an arteriovenous fistula in the left arm for hemodialysis. Which intervention do you include in his plan of care?
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Question 27 of 50
27. Question
1 point(s)Your 60 y.o. patient with pyelonephritis and possible septicemia has had five UTIs over the past two years. She is fatigued from lack of sleep, has lost weight, and urinates frequently even in the night. Her labs show: sodium, 154 mEq/L; osmolarity 340 mOsm/L; glucose, 127 mg/dl; and potassium, 3.9 mEq/L. Which nursing diagnosis is a priority?
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Question 28 of 50
28. Question
1 point(s)Which sign indicates the second phase of acute renal failure?
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Question 29 of 50
29. Question
1 point(s)Your patient had surgery to form an arteriovenous fistula for hemodialysis. Which information is important for providing care for the patient?
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Question 30 of 50
30. Question
1 point(s)A patient with diabetes mellitus and renal failure begins hemodialysis. Which diet is best on days between dialysis treatments?
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Question 31 of 50
31. Question
1 point(s)After the first hemodialysis treatment, your patient develops a headache, hypertension, restlessness, mental confusion, nausea, and vomiting. Which condition is indicated?
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Question 32 of 50
32. Question
1 point(s)Which action is most important during bladder training in a patient with a neurogenic bladder?
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Question 33 of 50
33. Question
1 point(s)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?
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Question 34 of 50
34. Question
1 point(s)What is the best way to check for patency of the arteriovenous fistula for hemodialysis?
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Question 35 of 50
35. Question
1 point(s)You have a paraplegic patient with renal calculi. Which factor contributes to the development of calculi?
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Question 36 of 50
36. Question
1 point(s)What is the most important nursing diagnosis for a patient in end-stage renal disease?
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Question 37 of 50
37. Question
1 point(s)Frequent PVCs are noted on the cardiac monitor of a patient with end-stage renal disease. The priority intervention is:
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Question 38 of 50
38. Question
1 point(s)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:
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Question 39 of 50
39. Question
1 point(s)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:
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Question 40 of 50
40. Question
1 point(s)You suspect kidney transplant rejection when the patient shows which symptoms?
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Question 41 of 50
41. Question
1 point(s)Your patient returns from the operating room after abdominal aortic aneurysm repair. Which symptom is a sign of acute renal failure?
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Question 42 of 50
42. Question
1 point(s)Which cause of hypertension is the most common in acute renal failure?
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Question 43 of 50
43. Question
1 point(s)A patient returns from surgery with an indwelling urinary catheter in place and empty. Six hours later, the volume is 120ml. The drainage system has no obstructions. Which intervention has priority?
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Question 44 of 50
44. Question
1 point(s)You’re preparing for urinary catheterization of a trauma patient and you observe bleeding at the urethral meatus. Which action has priority?
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Question 45 of 50
45. Question
1 point(s)What change indicates recovery in a patient with nephrotic syndrome?
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Question 46 of 50
46. Question
1 point(s)Which statement correctly distinguishes renal failure from prerenal failure?
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Question 47 of 50
47. Question
1 point(s)Which criterion is required before a patient can be considered for continuous peritoneal dialysis?
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Question 48 of 50
48. Question
1 point(s)Polystyrene sulfonate (Kayexalate) is used in renal failure to:
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Question 49 of 50
49. Question
1 point(s)Your patient has complaints of severe right-sided flank pain, nausea, vomiting, and restlessness. He appears slightly pale and is diaphoretic. Vital signs are BP 140/90 mmHg, Pulse 118 beats/min., respirations 33 breaths/minute, and temperature, 98.0F. Which subjective data supports a diagnosis of renal calculi?
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Question 50 of 50
50. Question
1 point(s)Immunosuppression following kidney transplantation is continued:
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