NCLEX 10000 GENITOURINARY
A nurse is reviewing a client's fluid intake and output record. Fluid intake and urine
output should relate in which way? - Fluid intake should be about equal to the urine
output.
A physician enters a computer order for a nurse to irrigate a client's nephrostomy tube
every 4 hours to maintain patency. The nurse irrigates the tube using sterile technique.
After irrigating the tube, the nurse decides that she can safely use the same irrigation
set for her 8-hour shift if she covers the set with a paper, sterile drape. This action by
the nurse is: - inappropriate because irrigation requires strict sterile technique.
A couple is inquiring about vasectomy as a permanent method of contraception. Which
teaching statement would the nurse include in the teaching plan? - "Another method of
contraception is needed until the sperm count is 0."
A 39-year-old multigravid client asks the nurse for information about female sterilization
with a tubal ligation. Which client statement indicates effective teaching? - My fallopian
tubes will be tied off through a small abdominal incision."
When instructing a client about the proper use of condoms for pregnancy prevention,
the nurse should include which instructions to ensure maximum effectiveness? - Place
the condom over the erect penis before coitus.
A nurse is admitting an older female client to the gynecology surgical unit. When the
nurse asks the client what medication she is taking at home, the client responds that
she is taking a little red pill in the morning and a white capsule at night for her blood
pressure. What action by the nurse is focused on safe, effective care of this client? -
Ask a family member to bring the medications from home in the original vials for proper
identification and administration times.
On the second day following an abdominal hysterectomy, a client reports she has had
three brown, loose stools in moderate amount. The morning medications include an
order for 100 mg of docusate sodium daily or as needed. What should the nurse do
next? - Withhold the medication, and document the client's report of loose stools.
Which abnormal blood value would not be improved by dialysis treatment? - decreased
hemoglobin concentration
The client with pyelonephritis asks the nurse, "How will I know whether the antibiotics
are effectively treating my infection?" What should the nurse tell the client? - "Your
health care provider will take a urine culture."
,The nurse teaches the client with chronic renal failure when to take aluminum hydroxide
gel. Which statement indicates that the client understands the teaching? - "I will take it
with meals and bedtime snacks."
The nurse is instructing the client with chronic renal failure to maintain adequate
nutritional intake. Which diet would be most appropriate? - ow-protein, low-sodium, low-
potassium
A client undergoes extracorporeal shock wave lithotripsy. Before discharge, the nurse
should provide which instruction? - Increase your fluid intake to 2 to 3 L per day."
A client with chronic renal failure (CRF) is admitted to the urology unit. Which diagnostic
test results are consistent with CRF? - Blood urea nitrogen (BUN) 100 mg/dl and serum
creatinine 6.5 mg/dl
A female client reports to a nurse that she experiences a loss of urine when she jogs.
The nurse's assessment reveals no nocturia, burning, discomfort when voiding, or urine
leakage before reaching the bathroom. The nurse explains to the client that this type of
problem is called: - stress incontinence.
A client is scheduled to undergo surgical creation of an ileal conduit. The primary nurse
educates the client about surgery and the postoperative period. The nurse informs the
client that many members of the health care team (including a mental health
practitioner) will see him. A mental health practitioner should be involved in the client's
care to: - help the client cope with the anxiety associated with changes in body image.
The nurse teaches the client how to recognize an infection in the shunt by telling the
client to assess the shunt each day for: - swelling at the shunt site.
Which statements by a female client would indicate that she is at high risk for a
recurrence of cystitis? - "I can usually go 8 to 10 hours without needing to empty my
bladder."
Nitrofurantoin, 75 mg four times per day, has been prescribed for a client with a lower
urinary tract infection. The medication comes in an oral suspension of 25 mg/5 mL. How
many milliliters should the nurse administer for each dose? Record your answer using a
whole number.
15 -
What are important nursing care measures for a client with diabetes who is admitted
with end-stage renal failure? - Restrict sodium and potassium and restrict fluids as
ordered.
, A client with marked oliguria is ordered a test dose of 0.2 g/kg of 15% mannitol solution
intravenously over 5 minutes. The client weighs 132 lb. How many grams would the
nurse administer? Record your answer as a whole number. - 12
A client was treated for a streptococcal throat infection 2 weeks ago. The client now has
been diagnosed with acute poststreptococcal glomerulonephritis. The client asks the
nurse how he could have prevented this condition. What should the nurse tell the client?
- See your health care provider (HCP) for an early diagnosis and treatment of a sore
throat."
An 18-year-old female client who is sexually active with her boyfriend has a purulent
vaginal discharge that is sometimes frothy. The nurse interprets this as suggesting a: -
sexually transmitted infection.
A client with chronic kidney disease (CKD) has a blood urea nitrogen (BUN), 100
mg/dL, serum creatinine 6.5 mg/dL, potassium 6.1 mEq/L, and lethargy. Which of the
following is the priority nursing assessment? - Cardiac rhythm
The nurse is completing an intake and output record for a client who is receiving
continuous bladder irrigation after transurethral resection of the prostate. How many
milliliters of urine should the nurse record as output for her shift if the client received
1,800 ml of normal saline irrigating solution and the output in the urine drainage bag is
2,400 ml? Record your answer using a whole number. - 600
Two days after a herniorrhaphy, the client reports that his scrotum is swollen and
painful. To promote comfort, the nurse should instruct the client to: - elevate the scrotum
and place ice bags on the area intermittently.
A client with a history of bladder retention hasn't voided for 8 hours. A nurse concerned
that the client is retaining urine notifies the physician. He orders a bladder ultrasonic
scan and placement of an indwelling catheter if the residual urine is greater than 350 ml.
The nurse knows that using the bladder ultrasonic scan to measure residual urine
instead of placing a straight catheter reduces the risk of: - microorganism transfer.
To reduce urethral irritation, where should the nurse tape the female client's Foley
catheter? - inner thigh
A nurse is teaching a female client with a history of multiple urinary tract infections
(UTIs). Which statement indicates the client understands the teaching about preventing
UTIs? - "I should take at least 1,000 mg of vitamin C each day."
A client is admitted with nausea, vomiting, and diarrhea. His blood pressure on
admission is 74/30 mm Hg. The client is oliguric and his blood urea nitrogen (BUN) and
creatinine levels are elevated. The physician will most likely write an order for which
treatment? - Start I.V. fluids with a normal saline solution bolus followed by a
maintenance dose.
A nurse is reviewing a client's fluid intake and output record. Fluid intake and urine
output should relate in which way? - Fluid intake should be about equal to the urine
output.
A physician enters a computer order for a nurse to irrigate a client's nephrostomy tube
every 4 hours to maintain patency. The nurse irrigates the tube using sterile technique.
After irrigating the tube, the nurse decides that she can safely use the same irrigation
set for her 8-hour shift if she covers the set with a paper, sterile drape. This action by
the nurse is: - inappropriate because irrigation requires strict sterile technique.
A couple is inquiring about vasectomy as a permanent method of contraception. Which
teaching statement would the nurse include in the teaching plan? - "Another method of
contraception is needed until the sperm count is 0."
A 39-year-old multigravid client asks the nurse for information about female sterilization
with a tubal ligation. Which client statement indicates effective teaching? - My fallopian
tubes will be tied off through a small abdominal incision."
When instructing a client about the proper use of condoms for pregnancy prevention,
the nurse should include which instructions to ensure maximum effectiveness? - Place
the condom over the erect penis before coitus.
A nurse is admitting an older female client to the gynecology surgical unit. When the
nurse asks the client what medication she is taking at home, the client responds that
she is taking a little red pill in the morning and a white capsule at night for her blood
pressure. What action by the nurse is focused on safe, effective care of this client? -
Ask a family member to bring the medications from home in the original vials for proper
identification and administration times.
On the second day following an abdominal hysterectomy, a client reports she has had
three brown, loose stools in moderate amount. The morning medications include an
order for 100 mg of docusate sodium daily or as needed. What should the nurse do
next? - Withhold the medication, and document the client's report of loose stools.
Which abnormal blood value would not be improved by dialysis treatment? - decreased
hemoglobin concentration
The client with pyelonephritis asks the nurse, "How will I know whether the antibiotics
are effectively treating my infection?" What should the nurse tell the client? - "Your
health care provider will take a urine culture."
,The nurse teaches the client with chronic renal failure when to take aluminum hydroxide
gel. Which statement indicates that the client understands the teaching? - "I will take it
with meals and bedtime snacks."
The nurse is instructing the client with chronic renal failure to maintain adequate
nutritional intake. Which diet would be most appropriate? - ow-protein, low-sodium, low-
potassium
A client undergoes extracorporeal shock wave lithotripsy. Before discharge, the nurse
should provide which instruction? - Increase your fluid intake to 2 to 3 L per day."
A client with chronic renal failure (CRF) is admitted to the urology unit. Which diagnostic
test results are consistent with CRF? - Blood urea nitrogen (BUN) 100 mg/dl and serum
creatinine 6.5 mg/dl
A female client reports to a nurse that she experiences a loss of urine when she jogs.
The nurse's assessment reveals no nocturia, burning, discomfort when voiding, or urine
leakage before reaching the bathroom. The nurse explains to the client that this type of
problem is called: - stress incontinence.
A client is scheduled to undergo surgical creation of an ileal conduit. The primary nurse
educates the client about surgery and the postoperative period. The nurse informs the
client that many members of the health care team (including a mental health
practitioner) will see him. A mental health practitioner should be involved in the client's
care to: - help the client cope with the anxiety associated with changes in body image.
The nurse teaches the client how to recognize an infection in the shunt by telling the
client to assess the shunt each day for: - swelling at the shunt site.
Which statements by a female client would indicate that she is at high risk for a
recurrence of cystitis? - "I can usually go 8 to 10 hours without needing to empty my
bladder."
Nitrofurantoin, 75 mg four times per day, has been prescribed for a client with a lower
urinary tract infection. The medication comes in an oral suspension of 25 mg/5 mL. How
many milliliters should the nurse administer for each dose? Record your answer using a
whole number.
15 -
What are important nursing care measures for a client with diabetes who is admitted
with end-stage renal failure? - Restrict sodium and potassium and restrict fluids as
ordered.
, A client with marked oliguria is ordered a test dose of 0.2 g/kg of 15% mannitol solution
intravenously over 5 minutes. The client weighs 132 lb. How many grams would the
nurse administer? Record your answer as a whole number. - 12
A client was treated for a streptococcal throat infection 2 weeks ago. The client now has
been diagnosed with acute poststreptococcal glomerulonephritis. The client asks the
nurse how he could have prevented this condition. What should the nurse tell the client?
- See your health care provider (HCP) for an early diagnosis and treatment of a sore
throat."
An 18-year-old female client who is sexually active with her boyfriend has a purulent
vaginal discharge that is sometimes frothy. The nurse interprets this as suggesting a: -
sexually transmitted infection.
A client with chronic kidney disease (CKD) has a blood urea nitrogen (BUN), 100
mg/dL, serum creatinine 6.5 mg/dL, potassium 6.1 mEq/L, and lethargy. Which of the
following is the priority nursing assessment? - Cardiac rhythm
The nurse is completing an intake and output record for a client who is receiving
continuous bladder irrigation after transurethral resection of the prostate. How many
milliliters of urine should the nurse record as output for her shift if the client received
1,800 ml of normal saline irrigating solution and the output in the urine drainage bag is
2,400 ml? Record your answer using a whole number. - 600
Two days after a herniorrhaphy, the client reports that his scrotum is swollen and
painful. To promote comfort, the nurse should instruct the client to: - elevate the scrotum
and place ice bags on the area intermittently.
A client with a history of bladder retention hasn't voided for 8 hours. A nurse concerned
that the client is retaining urine notifies the physician. He orders a bladder ultrasonic
scan and placement of an indwelling catheter if the residual urine is greater than 350 ml.
The nurse knows that using the bladder ultrasonic scan to measure residual urine
instead of placing a straight catheter reduces the risk of: - microorganism transfer.
To reduce urethral irritation, where should the nurse tape the female client's Foley
catheter? - inner thigh
A nurse is teaching a female client with a history of multiple urinary tract infections
(UTIs). Which statement indicates the client understands the teaching about preventing
UTIs? - "I should take at least 1,000 mg of vitamin C each day."
A client is admitted with nausea, vomiting, and diarrhea. His blood pressure on
admission is 74/30 mm Hg. The client is oliguric and his blood urea nitrogen (BUN) and
creatinine levels are elevated. The physician will most likely write an order for which
treatment? - Start I.V. fluids with a normal saline solution bolus followed by a
maintenance dose.
