Test with complete solution

NCLEX Renal, Urinary, and Reproductive Systems Test with complete solution

The nurse is caring for a client with ureteral colic. To prevent the development of renal calculi in the future, which strategy should be included in the client's plan of care?

• Instructing the client to drink at least 3L of fluid daily
• Interventions to decrease the serum creatinine level
• A urinary output goal of 2000 mL per 24 hours
• Excluding milk products from the diet - answerA. Instructing the client to drink at least 3L of

fluid daily

Which hormone elevations indicate Turner syndrome? Select all that apply.

• Lutropin
• Prolactin
• Follitropin
• Testosterone
• Progesterone - answerA. Lutropin
• Follitropin

The nurse is educating a couple concerning the process of fertilization. The nurse explains to the couple that which component stimulates the release of estrogen and progesterone after fertilization?

• Inhibin
• Testosterone

• Follicle-stimulating hormone (FSH)
• Human chorionic gonadotropin (hCG) - answerD. Human chorionic gonadotropin (hCG)

The nurse is caring for a client in the postanesthesia care unit. The client had a suprapubic prostatectomy for cancer of the prostate and has a continuous bladder irrigation (CBI) in place.Which primary goal is the nurse trying to achieve with the CBI?

• Stimulate continuous formation of urine.
• Facilitate the measurement of urinary output.
• Prevent the development of clots in the bladder.
• Provide continuous pressure on the prostatic fossa. - answerC. Prevent the development of

clots in the bladder.

A client who is recovering from deep partial-thickness burns develops chills, fever, flank pain, and malaise. The primary healthcare provider makes a tentative diagnosis of urinary tract infection.Which diagnostic tests should the nurse expect the primary healthcare provider to prescribe to confirm this diagnosis?

• Cystoscopy and bilirubin level
• Specific gravity and pH of the urine
• Urinalysis and urine culture and sensitivity
• Creatinine clearance and albumin/globulin (A/G) ratio - answerC. Urinalysis and urine culture

and sensitivity

Which drug prescribed to a client with a urinary tract infection (UTI) turns urine reddish-orange in color?

• Amoxicillin
• Ciprofloxacin

• Nitrofurantoin
• Phenazopyridine - answerD. Phenazopyridine

Which hormone is crucial for ovulation and complete maturation of a client's ovarian follicles?

• Luteinizing hormone
• Follicle stimulating hormone
• Gonadotropin releasing hormone
• Human chorionic gonadotropin hormone - answerA. Luteinizing hormone

Which urodynamic study provides information on bladder capacity, bladder pressure, and voiding reflexes?

• Radiography
• Renal arteriography
• Electromyography (EMG)
• Cystometrography (CMG) - answerD. Cystometrography (CMG)

A nurse is caring for a client with a diagnosis of cancer of the prostate. The nurse should teach the client that which serum level will be monitored throughout the course of the disease?

• Albumin
• Creatinine
• Blood urea nitrogen (BUN)
• Prostate-specific antigen (PSA) - answerD. Prostate-specific antigen (PSA)

A client who had a transurethral resection of the prostate is transferred to the postanesthesia care

unit with an intravenous (IV) line and a urinary retention catheter. For which major complication is it most important for the nurse to assess during the immediate postoperative period?

• Sepsis
• Phlebitis
• Hemorrhage
• Leakage around the IV catheter - answerC. Hemorrhage

Which client's urine specific gravity level is abnormal?

A. 1.006

B. 1.012

C. 1.028

• 1.041 - answerD. 1.041

(normal is 1.005-1.030)

Which statement is true regarding the functions of kidney hormones?

• Prostaglandin increases blood flow and vascular permeability.
• Bradykinin regulates intrarenal blood flow via vasodilation or vasoconstriction.
• Renin raises blood pressure because of angiotensin and aldosterone secretion.
• Erythropoietin promotes the absorption of calcium in the gastrointestinal tract (GI) tract. -

answerC. Renin raises blood pressure because of angiotensin and aldosterone secretion.

A client with chronic renal failure has been on hemodialysis for 2 years. The client communicates with the nurse in the dialysis unit in an angry, critical manner and is frequently noncompliant with medications and diet. The nurse can best intervene by first considering that the client's behavior is most likely for which reason?