Urinary Disorders NCLEX Practice Quiz (150 Questions)

Which of the following symptoms do you expect to see in a patient diagnosed with acute pyelonephritis?

You have a patient that might have a urinary tract infection (UTI). Which statement by the patient suggests that a UTI is likely?

Which instructions do you include in the teaching care plan for a patient with cystitis receiving phenazopyridine (Pyridium)?

Which patient is at greatest risk for developing a urinary tract infection (UTI)?

You have a patient that is receiving peritoneal dialysis. What should you do when you notice the return fluid is slowly draining?

What is the appropriate infusion time for the dialysate in your 38 y.o. patient with chronic renal failure undergoing peritoneal dialysis?

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?

Your patient becomes restless and tells you she has a headache and feels nauseous during hemodialysis. Which complication do you suspect?

Your patient is complaining of muscle cramps while undergoing hemodialysis. Which intervention is effective in relieving muscle cramps?

Your patient with chronic renal failure reports pruritus. Which instruction should you include in this patient’s teaching plan?

Which intervention do you plan to include with a patient who has renal calculi?

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?

Which drug is indicated for pain related to acute renal calculi?

Which of the following causes the majority of UTI’s in hospitalized patients?

Clinical manifestations of acute glomerulonephritis include which of the following?

You expect a patient in the oliguric phase of renal failure to have a 24 hour urine output less than:

The most common early sign of kidney disease is:

A patient is experiencing which type of incontinence if she experiences leaking urine when she coughs, sneezes, or lifts heavy objects?

Immediately post-op after a prostatectomy, which complications require priority assessment of your patient?

The most indicative test for prostate cancer is:

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?

A patient diagnosed with sepsis from a UTI is being discharged. What do you plan to include in her discharge teaching?

You’re planning your medication teaching for your patient with a UTI prescribed phenazopyridine (Pyridium). What do you include?

Which finding leads you to suspect acute glomerulonephritis in your 32 y.o. patient?

What is the priority nursing diagnosis with your patient diagnosed with end-stage renal disease?

A patient with ESRD has an arteriovenous fistula in the left arm for hemodialysis. Which intervention do you include in his plan of care?

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?

Which sign indicates the second phase of acute renal failure?

Your patient had surgery to form an arteriovenous fistula for hemodialysis. Which information is important for providing care for the patient?

A patient with diabetes mellitus and renal failure begins hemodialysis. Which diet is best on days between dialysis treatments?

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?

Your patient returns from the operating room after abdominal aortic aneurysm repair. Which symptom is a sign of acute renal failure?

Which cause of hypertension is the most common in acute renal failure?

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?

You’re preparing for urinary catheterization of a trauma patient and you observe bleeding at the urethral meatus. Which action has priority?

What change indicates recovery in a patient with nephritic syndrome?

Which statement correctly distinguishes renal failure from prerenal failure?

Which criterion is required before a patient can be considered for continuous peritoneal dialysis?

Polystyrene sulfonate (Kayexalate) is used in renal failure to:

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?

Immunosuppression following kidney transplantation is continued: