NCLEX GU PRACTICE QUESTIONS

NCLEX GU PRACTICE QUESTIONS

Leave the first rating Students also studied Terms in this set (40) Science MedicineNursing Save STAT 330 - Chapter 9 33 terms dylmann15Preview NCLEX 127 terms ssutherland11Preview Vocab Quiz 1 15 terms kaylabayazitoglu Preview u.s stat 50 terms niki The nurse is caring for a 86-year-old male client in the emergency department with urinary retention who has been diagnosed with benign prostatic hyperplasia (BPH).Which are expected findings for this client?

• Abdominal pain and nausea
• Cloudy, purulent urine with a foul odor
• Blisters on the penis and surrounding skin
• Urinary frequency, urgency, and hesitancy

d A newly graduated nurse in the acute kidney unit is discussing administration of urinary antispasmodics, such as oxybutynin, with the nurse preceptor. Which statement by the newly graduated nurse should the nurse preceptor question?

• "I will review the client's blood urea nitrogen (BUN) and

creatinine."

• "I should assess the client for urinary frequency or

nocturia."

• A urinalysis isn't useful when administering urinary

antispasmodics."

• "The client's blood pressure should be monitored

during treatment." c

The admission nurse is reviewing a client's home medication list. The nurse notes the client is prescribed bethanechol, a urinary cholinergic agent. Which condition should the nurse recognize this medication is indicated for?

• Urinary retention
• BPH
• UTI
• Urolithiasis

a The nurse is performing an assessment on a client diagnosed with urinary retention secondary to a neurogenic bladder who was recently prescribed bethanechol. Which finding indicates to the nurse that the client is experiencing a common side effect of this medication?

• Dilopia
• Diaphoresis
• Dry skin
• Xerostomia

b A nurse is reassessing a client after administering oxybutynin to a client diagnosed with urinary spasms.Which client statement should alert the nurse that this client is experiencing a side effect of this medication?

• "I can't stop coughing, especially at night."
• "My mouth is so dry and my eyesight is blurry."
• "My legs and feet are swollen today."
• "I have had three loose bowel movements this

morning." b The nurse is caring for a 45-year-old female with a 10- year history of stress urinary incontinence that developed after childbirth. She states, "I know that as I enter menopause, my incontinence will only get worse. I don't want to do things I once enjoyed because I'm so ashamed of the leaking." Which nursing diagnosis is most important to address in this client?

• Disturbed body image
• Risk for activity intolerance
• Ineffective health management
• Knowledge deficiency

a A 67-year-old male presents to the emergency department with an inability to urinate. A digital rectal examination (DRE) is performed by the provider to assess prostate size. Which assessment finding from the DRE suggests benign prostatic hyperplasia (BPH)?

• Enlarged, rubbery prostate
• Hardened nodules felt on prostate
• Undetectable prostate on exam
• Fecal impaction

a

The nurse on an orthopedic inpatient unit is rounding on the assigned clients. Which client is at highest risk for developing a urinary tract infection (UTI) while hospitalized?

• 20-year-old female who denies recent sexual activity
• 48-year-old male with type II diabetes mellitus with an

hemoglobin A1C of 5.4%

• 65-year-old female who requires straight

catheterization every 4 hours

• 81-year-old continent female with a compound

humerus fracture c The student nurse caring for a client diagnosed with acute kidney injury (AKI) asks the nursing instructor, "How do I choose which nursing diagnosis is most important?"

The nursing diagnoses include: Fluid volume excess

related to renal insufficiency Risk for electrolyte imbalance related to renal insufficiency Acute pain related to urinary retention Deficient knowledge related to medication self-care Which is the best response by the nursing instructor?A."Acute pain is the priority diagnosis because clients who are in pain cannot accomplish activities of daily living (ADLs) and heal properly." B."Fluid volume excess takes priority since additional body fluids can lead to pulmonary edema and respiratory distress." C."If clients have deficient knowledge about medications, they will never be able to independently manage their care so this takes priority." D."Risk for electrolyte imbalance is the most important since electrolyte disturbances can lead to arrhythmias." b A client returns to the urology clinic to follow up after being diagnosed with stress incontinence 6 months ago.At that time, the client was prescribed a Kegel exercise regimen. Which client response demonstrates that this treatment has been ineffective?A."I can now leave the house without a change of clothes." B."I change my pants at least once per day due to leaking." C."I no longer have to sleep with absorbent underwear on." D."I notice less leaking when I exercise."

The nurse is performing discharge teaching with an older adult client who was prescribed furosemide 20 mg PO daily to treat congestive heart failure (CHF). Which instruction is the most important for the nurse to include?A."Take your time changing positions such as from lying down to rising." B."Discontinue your potassium supplements while taking this medication." C."Alert the doctor if you develop a rash on your face and torso." D."Consume about 4 liters of fluid per day to prevent dehydration." a The nurse is evaluating several clients admitted to the medical-surgical unit. Which client should the nurse recognize as most likely to develop syndrome of inappropriate antidiuretic hormone (SIADH)?A.A client diagnosed with bacterial pneumonia B.A client diagnosed with an exacerbation of asthma C.A client diagnosed with diabetes insipidus (DI) D.A client taking a daily beta blocker for hypertension a The nurse is analyzing results of a urine culture and sensitivity for a client diagnosed with a urinary tract infection (UTI). Which organism is the most common cause of UTIs?A.Streptococcus pyogenes (S. pyogenes) B.Staphylococcus aureus (S. aureus) C.Clostridium difficile (C. difficile) D.Escherichia coli (E. coli) d