Surgery ward Genitourinary Name__________________________
Group______ 1. When a female client with an indwelling urinary
(Foley) catheter insists on walking to the hospital lobby to visit
with family members, nurse Rose teaches how to do this without
compromising the catheter. Which client action indicates an
accurate understanding of this information? a. The client sets the
drainage bag on the floor while sitting down. b. The client keeps
the drainage bag below the bladder at all times. 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. 2. A male client with bladder cancer has had
the bladder removed and an ileal conduit created for urine
diversion. While changing this clients pouch, the nurse observes
that the area around the stoma is red, weeping, and painful. What
should nurse conclude? a. The skin wasnt lubricated before the
pouch was applied. b. The pouch faceplate doesnt fit the stoma. c.
A skin barrier was applied properly. d. Stoma dilation wasnt
performed. 3. A female client with chronic renal failure (CRF) is
receiving a hemodialysis treatment. After hemodialysis, nurse Sarah
knows that the client is most likely to experience: a. hematuria.
b. weight loss. c. increased urine output. d. increased blood
pressure. 4. Nurse Agnes is reviewing the report of a clients
routine urinalysis. Which value should the nurse consider abnormal?
a. Specific gravity of 1.03 b. Urine pH of 3.0 c. Absence of
protein d. Absence of glucose Block______ Date____________
Score__________
5. A female client is admitted for treatment of chronic renal
failure (CRF). Nurse Juliet knows that this disorder increases the
clients risk of: a. water and sodium retention secondary to a
severe decrease in the glomerular filtration rate. b. a decreased
serum phosphate level secondary to kidney failure. c. an increased
serum calcium level secondary to kidney failure. d. metabolic
alkalosis secondary to retention of hydrogen ions. 6. For a male
client in the oliguric phase of acute renal failure (ARF), which
nursing intervention is most important? a. Encouraging coughing and
deep breathing b. Promoting carbohydrate intake c. Limiting fluid
intake d. Providing pain-relief measures 7. A male client with
acute pyelonephritis receives a prescription for co-trimoxazole
(Septra) P.O. twice daily for 10 days. Which finding best
demonstrates that the client has followed the prescribed regimen?
a. Urine output increases to 2,000 ml/day. b. Flank and abdominal
discomfort decrease. c. Bacteria are absent on urine culture. d.
The red blood cell (RBC) count is normal. 8. Nurse Claudine is
reviewing a clients fluid intake and output record. Fluid intake
and urine output should relate in which way? a. Fluid intake should
be double the urine output. b. Fluid intake should be approximately
equal to the urine output. c. Fluid intake should be half the urine
output. d. Fluid intake should be inversely proportional to the
urine output.
9. After trying to conceive for a year, a couple consults an
infertility specialist. When obtaining a history from the husband,
nurse Jenny inquires about childhood infectious diseases. Which
childhood infectious disease most significantly affects male
fertility? a. Chickenpox b. Measles c. Mumps d. Scarlet fever 10. A
male client comes to the emergency department complaining of sudden
onset of sharp, severe pain in the lumbar region, which radiates
around the side and toward the bladder. The client also reports
nausea and vomiting and appears pale, diaphoretic, and anxious. The
physician tentatively diagnoses renal calculi and orders flat-plate
abdominal X-rays. Renal calculi can form anywhere in the urinary
tract. What is their most common formation site? a. Kidney b.
Ureter c. Bladder d. Urethra 11. After having transurethral
resection of the prostate (TURP), a Mr. Locke returns to the unit
with a three-way indwelling urinary catheter and continuous closed
bladder irrigation. Which finding suggests that the clients
catheter is occluded? a. The urine in the drainage bag appears red
to pink. b. The client reports bladder spasms and the urge to void.
c. The normal saline irrigant is infusing at a rate of 50
drops/minute. d. About 1,000 ml of irrigant have been instilled;
1,200 ml of drainage have been returned. 12. Nurse Myrna is
inserting a urinary catheter into a client who is extremely anxious
about the procedure. The nurse can facilitate the insertion by
asking the client to: a. initiate a stream of urine. b. breathe
deeply. c. turn to the side. d. hold the labia or shaft of
penis.
13. Nurse Kim is caring for a client who had a cerebrovascular
accident (CVA). Which nursing intervention promotes urinary
continence? a. Encouraging intake of at least 2 L of fluid daily b.
Giving the client a glass of soda before bedtime c. Taking the
client to the bathroom twice per day d. Consulting with a dietitian
14. When examining a female clients genitourinary system, nurse
Sally assesses for tenderness at the costovertebral angle by
placing the left hand over this area and striking it with the right
fist. Normally, this percussion technique produces which sound? a.
A flat sound b. A dull sound c. Hyperresonance d. Tympany 15. A
male client who has been treated for chronic renal failure (CRF) is
ready for discharge. Nurse Bea should reinforce which dietary
instruction? a. Be sure to eat meat at every meal. b. Monitor your
fruit intake, and eat plenty of bananas. c. Increase your
carbohydrate intake. d. Drink plenty of fluids, and use a salt
substitute. 16. Nurse Wayne is aware that the following statements
describing urinary incontinence in the elderly is true? a. Urinary
incontinence is a normal part of aging. b. Urinary incontinence
isnt a disease. c. Urinary incontinence in the elderly cant be
treated. d. Urinary incontinence is a disease. 17. A female client
with a urinary tract infection is prescribed co-trimoxazole
(trimethoprimsulfamethoxazole). Nurse Don should provide which
medication instruction? a. Take the medication with food. b. Drink
at least eight 8-oz glasses of fluid daily. c. Avoid taking
antacids during co-trimoxazole therapy. d. Dont be afraid to go out
in the sun.
18. Nurse Vic is monitoring the fluid intake and output of a
female client recovering from an exploratory laparotomy. Which
nursing intervention would help the client avoid a urinary tract
infection (UTI)? a. Maintaining a closed indwelling urinary
catheter system and securing the catheter to the leg b. Limiting
fluid intake to 1 L/day c. Encouraging the client to use a feminine
deodorant after bathing d. Encouraging the client to douche once a
day after removal of the indwelling urinary catheter 19. A female
client with an indwelling urinary catheter is suspected of having a
urinary tract infection. Nurse Angel should collect a urine
specimen for culture and sensitivity by: a. disconnecting the
tubing from the urinary catheter and letting the urine flow into a
sterile container. b. wiping the self-sealing aspiration port with
antiseptic solution and aspirating urine with a sterile needle. c.
draining urine from the drainage bag into a sterile container. d.
clamping the tubing for 60 minutes and inserting a sterile needle
into the tubing above the clamp to aspirate urine. 20. When caring
for a male client with acute renal failure (ARF), Nurse Fatima
expects to adjust the dosage or dosing schedule of certain drugs.
Which of the following drugs would not require such adjustment? a.
acetaminophen (Tylenol) b. gentamicin sulfate (Garamycin) c.
cyclosporine (Sandimmune) d. ticarcillin disodium (Ticar)
