Genitourinary Disorders Nclex RN Practice Questions

1.After surgery for an ileal conduit, the nurse should closely assess the client for the occurrence of which of the following complications related to pelvic surgery?
a)Peritonitis.
b)Thrombophlebitis.
c)Ascites.
d)Inguinal hernia

2.Which of the following laboratory findings is present in nephrotic syndrome?
a)Decreased total serum protein.
b)Hypercalcemia.
c)Hyperglycemia.
d)Decreased hematocrit

3.A client comes to the outpatient department complaining of vaginal discharge, dysuria, and genital irritation. Suspecting a sexually transmitted disease (STD), the physician orders diagnostic testing of the vaginal discharge. Which STD must be reported to the public health department?
a)Bacterial vaginitis
b)Gonorrhea
c)Genital herpes
d)Human papillomavirus (HPV)

4.When caring for a client after a closed renal biopsy, the nurse should?
a)Maintain the client on strict bed rest in a supine position for 6 hours.
b)Insert an indwelling catheter to monitor urine output.
c)Apply a sandbag to the biopsy site to prevent bleeding.
d)Administer I.V. opioid medications to promote comfort

5. The nurse is planning care for a group of hospitalized clients. Which of the following clients is at high risk for a UTI?
a. Client with diabetes mellitus.
b. Client who had one course of antibiotic therapy.
c. Client with a family history of UTIs.
d. Client with a urinary calculus.

6. A client is at risk for acute pyelonephritis. The nurse should instruct the client about which of the following health promotion behaviors that will be most effective in preventing pyelonephritis?
a. Wash the perineum with warm water and soap, cleaning from front to back.
b. Treat fungal infections such as athlete’s foot immediately.
c. Have a Pneumovax immunization to prevent streptococcal infection.
d. Treat with antibiotics and cover any open skin lesions.

7. A client has a renal calculus in the left lower ureter. Which of the following is the priority nursing goal for this client?
a. Treat infection.
b. Relieve spasms.
c. Relieve pain.
d. Maintain client’s position on the left side.

8. To prevent development of acute renal failure in a client with diabetes mellitus, the nurse should emphasize which of the following care measures?
a. Conduct a urine glucose test prior to each meal and at bedtime.
b. Follow a “no concentrated sweets” meal plan.
c. Limit physical activity that requires lifting.
d. Manage daily blood glucose.

9. The most useful indicator for a nurse to assess fluid balance in a client with chronic renal failure is to:
a. Measure intake and output.
b. Assess skin turgor.
c. Measure daily weights.
d. Monitor serum sodium levels.

10.A nurse is caring for a client diagnosed with ovarian cancer. Diagnostic testing reveals that the cancer has spread outside the pelvis. The client has previously undergone a right oophorectomy and received chemotherapy. The client now wants palliative care instead of aggressive therapy. The nurse determines that the care plan's priority nursing diagnosis should be:
a)Acute pain
b)Impaired home maintenance
c)Noncompliance
d)Ineffective breast-feeding

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