1. You are the clinic nurse admitting a 39-year-old female who has come to the clinic
complaining of left-sided tenderness, fever, chills, and flank pain. What does the nurse
suspect the patient has?
A) Cystitis
B) Kidney stones
C) Neurogenic bladder
D) Pyelonephritis
D
UNIT 4 EXAM :GENITOURINARY FUNCTION
2. You are caring for 4 patients. Which patient would flavoxate (Urispas), a urinary tract
medication, be indicated for?
A) A 1-year-old female
B) A 6-year-old male
C) A 10-year-old male
D) A 14-year-old female
D
3. You are discussing the effects of doxazosin (Cardura) with a 65-year-old male who has
just been diagnosed with benign prostatic hyperplasia (BPH). The patient asks the nurse
if the drug will make him impotent. After the discussion with the patient, the nurse
determines that a potential priority nursing diagnosis could be what?
A) Sexual dysfunction related to adverse effects
B) Deficient knowledge regarding drug therapy
C) Non-compliance with drug therapy related to adverse effects
D) Acute pain related to adverse effects
C
4. A business woman who is leaving on a business trip the next day tells the nurse she
knows she has cystitis and does not want to have to “mess” with medicine while she is
gone. What drug would be a good choice for this patient?
A) Fosfomycin (Monurol)
B) Methenamine (Hiprex)
C) Nitrofurantoin (Furadantin)
D) Norfloxacin (Noroxin)
A
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, 5. You are doing patient teaching about the urinary anti-infective methenamine (Hiprex).
You will instruct the patient to what?
A) Limit fluid intake
B) Drink orange juice once a day
C) Take the medication with food
D) Take the medication at night before going to bed
C
6. You are assessing a patient who is taking oxybutynin (Ditropan). What would be the
priority nursing assessment for this patient?
A) Skin condition
B) Cardiac arrhythmia
C) Vision changes
D) Mental status
C
7. A patient is taking phenazopyridine (Azo-Standard) and nalidixic acid (Neg Gram) for a
urinary tract infection. What is the most important instruction the nurse needs to provide
to the patient concerning this drug combination?
A) “Do not be alarmed if your urine is a reddish-brown color.”
B) “Be sure to take your medication with food if you have GI irritation.”
C) “Increase your fluid intake. Drink lots of water.”
D) “If you notice yellowing of your eyes or skin contact your health care provider
immediately.”
D
8. A patient is taking pentosan polysulfate sodium (Elmiron) to decrease pain and
discomfort associated with interstitial cystitis. What medication class may cause an
adverse reaction when used with Elmiron?
A) Anticoagulants
B) Antihypertensives
C) Diuretics
D) Cardiac glycosides
A
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complaining of left-sided tenderness, fever, chills, and flank pain. What does the nurse
suspect the patient has?
A) Cystitis
B) Kidney stones
C) Neurogenic bladder
D) Pyelonephritis
D
UNIT 4 EXAM :GENITOURINARY FUNCTION
2. You are caring for 4 patients. Which patient would flavoxate (Urispas), a urinary tract
medication, be indicated for?
A) A 1-year-old female
B) A 6-year-old male
C) A 10-year-old male
D) A 14-year-old female
D
3. You are discussing the effects of doxazosin (Cardura) with a 65-year-old male who has
just been diagnosed with benign prostatic hyperplasia (BPH). The patient asks the nurse
if the drug will make him impotent. After the discussion with the patient, the nurse
determines that a potential priority nursing diagnosis could be what?
A) Sexual dysfunction related to adverse effects
B) Deficient knowledge regarding drug therapy
C) Non-compliance with drug therapy related to adverse effects
D) Acute pain related to adverse effects
C
4. A business woman who is leaving on a business trip the next day tells the nurse she
knows she has cystitis and does not want to have to “mess” with medicine while she is
gone. What drug would be a good choice for this patient?
A) Fosfomycin (Monurol)
B) Methenamine (Hiprex)
C) Nitrofurantoin (Furadantin)
D) Norfloxacin (Noroxin)
A
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, 5. You are doing patient teaching about the urinary anti-infective methenamine (Hiprex).
You will instruct the patient to what?
A) Limit fluid intake
B) Drink orange juice once a day
C) Take the medication with food
D) Take the medication at night before going to bed
C
6. You are assessing a patient who is taking oxybutynin (Ditropan). What would be the
priority nursing assessment for this patient?
A) Skin condition
B) Cardiac arrhythmia
C) Vision changes
D) Mental status
C
7. A patient is taking phenazopyridine (Azo-Standard) and nalidixic acid (Neg Gram) for a
urinary tract infection. What is the most important instruction the nurse needs to provide
to the patient concerning this drug combination?
A) “Do not be alarmed if your urine is a reddish-brown color.”
B) “Be sure to take your medication with food if you have GI irritation.”
C) “Increase your fluid intake. Drink lots of water.”
D) “If you notice yellowing of your eyes or skin contact your health care provider
immediately.”
D
8. A patient is taking pentosan polysulfate sodium (Elmiron) to decrease pain and
discomfort associated with interstitial cystitis. What medication class may cause an
adverse reaction when used with Elmiron?
A) Anticoagulants
B) Antihypertensives
C) Diuretics
D) Cardiac glycosides
A
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