class NCLEX questions & prep u: GU med surg

Which finding is an early indicator of bladder cancer? a) Dysuria b) Painless hematuria c) Nocturia d) Occasional polyuria

b) Painless hematuria

A client is suspected of having an outflow obstruction. Which of the following would the nurse expect the client to report? a) Forceful stream b) Dysuria c) Urgency d) Straining to empty bladder

d) Straining to empty bladder

The nurse is ordered to perform a urinary catheterization for post-void residual volume on a client with urinary incontinence. Several minutes after the client voids, the nurse obtains a residual urine of 30 mL. The nurse interprets this residual volume of urine to be A. Adequate bladder emptying B. Inadequate bladder emptying C. Decreased urethral pressure D. Increased urethral pressure

A. Adequate bladder emptying

Following a TURP, a patient has a continuous bladder irrigation. Four hours after surgery, the catheter is draining thick, bright red clots and tissue. The nurse should A. Release the traction on the catheter. B. Manually irrigate the catheter until the drainage is clear C. Increase the rate of the irrigation and take the patient's vital signs. D. Clamp the drainage tube and notify the patient's health care provider.

C. Increase the rate of the irrigation and take the patient's vital signs.

The most common screening intervention for detecting BPH in men over age 50 is an annual A. Urinalysis B. PSA level C. Cystoscopy D. Digital rectal examination (DRE)

D. Digital rectal examination (DRE)

The most common presenting objective symptoms of a urinary tract infection in older adults, especially in those with dementia, include? a) Back pain b) Change in cognitive functioning c) Incontinence d) Hematuria

b) Change in cognitive functioning

A client presents at the clinic with complaints of urinary retention. What question should the nurse ask to obtain additional information about the client's complaint? a) "When did you last urinate?" b) "How much fluid are you drinking?" c) "Do you get up at night to urinate?" d) "Have you had a fever and chills?"

a) "When did you last urinate?"

The nurse who provides teaching to the female patient regarding prevention of recurrent urinary tract infections includes which of the following statements? a) Void every 5 hours during the day b) Take tub baths instead of showers c) Increase intake of coffee, tea, and colas d) Void immediately after sexual intercourse

d) Void immediately after sexual intercourse

An ileal conduit is created for a client after a radical cystectomy. Which of the following would the nurse expect to include in the client's plan of care? a) Intermittent catheterizations b) Exercises to promote sphincter control c) Irrigating the urinary diversion d) Application of an ostomy pouch

d) Application of an ostomy pouch

After undergoing retropubic prostatectomy, a client returns to his room. The client is on nothing-by-mouth status and has an I.V. infusing in his right forearm at a rate of 100 ml/hour. The client also has an indwelling urinary catheter that's draining light pink urine. While assessing the client, the nurse notes that his urine output is red and has dropped to 15 ml and 10 ml for the last 2 consecutive hours. How can the nurse best explain this drop in urine output? a) It's an abnormal finding that requires further assessment. b) It's an abnormal finding that will correct itself when the client ambulates. c) It's a normal finding caused by blood loss during surgery. d) It's a normal finding associated with the client's nothing-by-mouth status.

a) It's an abnormal finding that requires further assessment.

The clinic nurse is teaching a young woman about preventing recurrent urinary tract infections. What information should the nurse include? a) Avoid voiding immediately after sexual intercourse. b) Void every 6 to 8 hours. c) Drink liberal amounts of fluids. d) Bathe daily.

c) Drink liberal amounts of fluids.

A patient undergoes surgery for removing a malignant tumor, followed by a urinary diversion procedure. Which of the following postoperative procedures should the nurse perform? a) Suggest a visit to a local ostomy group b) Show photographs and drawings of the placement of the stoma c) Maintain skin and stomal integrity d) Determine the patient's ability to manage stoma care

c) Maintain skin and stomal integrity

A female client is undergoing a bladder training program as treatment for urinary incontinence. Which of the following techniques would be the most appropriate suggestion? a) Instilling dimethyl sulfoxide (DMSO) in the bladder. b) Taking warm sitz baths. c) Performing Kegel exercises. d) Using the services of a chronic pain center.

c) Performing Kegel exercises.

A nurse is presenting at a community health promotion fair that is focused on disease prevention and screening. A middle-aged participant has brought up an article that she recently read about bladder cancer and has asked the nurse about prevention measures. How should the nurse respond to this woman's inquiry? a) "People who tend not to drink enough fluids put themselves at an increased risk of bladder cancer." b) "An unhealthy diet is the most significant risk factor for the development of bladder cancer." c) "The majority of people who develop bladder cancer have a family history of the disease, so genetics play a large part." d) "If you smoke cigarettes, quitting will greatly reduce your risk of bladder cancer."

d) "If you smoke cigarettes, quitting will greatly reduce your risk of bladder cancer."

Which client is at highest risk for developing a hospital-acquired infection? a) A client with a laceration to the left hand b) A client who's taking prednisone (Deltasone) c) A client with Crohn's disease d) A client with an indwelling urinary catheter

d) A client with an indwelling urinary catheter

The nurse is caring for the client following surgery for a urinary diversion. The client refuses to look at the stoma or participate in its care. The nurse formulates a nursing diagnosis of: a) Anticipatory grieving b) Situational low self esteem c) Deficient knowledge: stoma care d) Disturbed body image

d) Disturbed body image

A nurse is reviewing the history and physical examination of a client with a suspected malignant tumor of the bladder. Which finding would the nurse identify as the most common initial symptom? a) Frequency b) Urinary retention c) Fever d) Painless hematuria

d) Painless hematuria

A male patient, who is 82 years of age, suffers from urinary incontinence. Which of the following factors should the nurse assess before beginning a bladder training program for the patient? a) Occupational history b) Smoking habits c) History of allergies d) Physical and environmental conditions

d) Physical and environmental conditions

After a protatectomy when should the urine be light pink? A. 1 day B. 2 days C. 1 week D. 2 weeks

B. 2 days

A teaching plan developed by the nurse for the patient with a new ileal conduit includes instructions to A. Clean the skin around the stoma with alcohol every day B. Use a wick to keep the skin dry during appliance changes C. Use sterile supplies and technique during care of the stoma D. Change the appliance every day and wash it with soap and warm water

B. Use a wick to keep the skin dry during appliance changes

When a client with an indwelling urinary catheter wants to walk to the hospital lobby to visit with family members, the nurse teaches him how to do this without compromising the catheter. Which client action indicates an accurate understanding of this information? a) The client keeps the drainage bag below the bladder at all times. b) The client sets the drainage bag on the floor while sitting down. c) The client clamps the catheter drainage tubing while visiting with the family. d) The client loops the drainage tubing below its point of entry into the drainage bag.

a) The client keeps the drainage bag below the bladder at all times.

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: a) assess whether the client is a good candidate for surgery. b) help the client cope with the anxiety associated with changes in body image. c) assess suicidal risk postoperatively. d) evaluate the client's need for mental health intervention.

b) help the client cope with the anxiety associated with changes in body image.

If an indwelling catheter is necessary, the nursing interventions that should be implemented to prevent infection include a) using sterile technique to disconnect the catheter from tubing to obtain urine specimens. b) performing meticulous perineal care daily with soap and water. c) using clean technique during insertion. d) placing the catheter bag on the patient's abdomen when moving the patient.

b) performing meticulous perineal care daily with soap and water.