Nclex-Rn Practice Questions-Care Of Adult - Genitourinary Disorders Part 2
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Question 1 |
Which condition of the female reproductive system generally requires the identification and treatment of sexual partners?
A | Bartholinitis |
B | Candidiasis |
C | Chlamydia |
D | Endometriosis |
Question 2 |
A urine culture has been ordered for a male client. The nurse instructs the client to:
A | void in a clean container. |
B | clean the foreskin of the penis if uncircumcised before specimen collection. |
C | void into a urinal and then pour the urine into the specimen container. |
D | begin the stream of urine in the toilet and catch the urine in a sterile container midstream. |
Question 3 |
When performing a physical assessment, the nurse discovers a client’s urinary drainage bag lying next to him. Based on this finding, the nurse identifies which priority nursing diagnosis?
A | Risk for infection |
B | Reflex urinary incontinence |
C | Impaired comfort |
D | Risk for compromised human dignity |
Question 4 |
A client is diagnosed with cystitis. The nurse provides teaching aimed at preventing a recurrence. Which instruction does the nurse provide to the client?
A | Bathe in a tub. |
B | Wear cotton underwear. |
C | Use a feminine hygiene spray. |
D | Limit your intake of cranberry juice. |
Question 5 |
A client is receiving a radiation implant for the treatment of bladder cancer. Which intervention is appropriate?
A | Flush all urine down the toilet. |
B | Restrict the client’s fluid intake. |
C | Place the client in a semiprivate room. |
D | Monitor the client for signs and symptoms of cystitis. |
Question 6 |
A client is complaining of severe flank and abdominal pain. A flat plate of the abdomen shows urolithiasis. Which intervention is important?
A | Strain all urine. |
B | Limit fluid intake. |
C | Enforce strict bed rest. |
D | Encourage a high-calcium diet. |
Question 7 |
The nurse is providing discharge instructions for a client treated for acute pyelonephritis. What is the most important information for the nurse to include?
A | Avoid taking any dairy products. |
B | Return for follow-up urine cultures. |
C | Stop taking the prescribed antibiotics when the symptoms subside. |
D | Recurrence is unlikely because you’ve been treated with antibiotics. |
Question 8 |
A client admitted for acute pyelonephritis is about to start antibiotic therapy. Which symptom would the nurse expect this client to present?
A | Hypertension |
B | Flank pain on the affected side |
C | Pain that radiates toward the unaffected side |
D | No tenderness with deep palpation over the costovertebral angle |
Question 9 |
The nurse is aware that the highest risk for developing a postoperative wound infection exists with a client who has experienced which of the following?
A | Radical prostatectomy |
B | Perineal prostatectomy |
C | Suprapubic prostatectomy |
D | Transurethral resection of the prostate (TURP) |
Question 10 |
The physician tells a client who underwent an orchiectomy for testicular cancer that a persistent elevation in alpha-fetoprotein level remains. The nurse is aware that this finding is consistent with which statement?
A | Fertility is maintained. |
B | The cancer has recurred. |
C | There’s metastatic disease. |
D | Testosterone levels are low. |
Question 11 |
The nurse is providing information to a client taking metronidazole (Flagyl). What is the most important information for the nurse to include?
A | Breathlessness and cough are common adverse effects. |
B | Urine may develop a greenish tinge while the client is taking this drug. |
C | Mixing this drug with alcohol causes severe nausea and vomiting. |
D | Heart palpitations may occur and should be immediately reported. |
Question 12 |
Hydrocodone with acetaminophen has been prescribed for a client with metastatic prostate cancer. Which of the following is an adverse effect of the medication that the nurse should instruct the client to report?
A | Blurred vision |
B | Diarrhea |
C | Unusual dreams |
D | Vomiting |
Question 13 |
The nurse is instructing a client with vulvovaginal candidiasis on the use of the prescribed Nystatin vaginal tablets. Which of the following statements indicates that the client needs additional teaching?
A | “I will need to refrigerate the Nystatin tablets.” |
B | “I can get up to do other activities after inserting the medicine.” |
C | “I will finish all the tablets even if I am feeling better.” |
D | “I should report any increased skin irritation to my doctor.” |
Question 14 |
Which statement should be included when teaching a client newly diagnosed with testicular cancer?
A | Testicular cancer isn’t responsive to chemotherapy, but it’s highly curative with surgery. |
B | Radiation therapy is never used, so the unaffected testicle remains healthy. |
C | Testicular self-examination is still important because there’s increased risk for a second tumor. |
D | Taking testosterone after orchiectomy prevents changes in appearance and sexual function. |
Question 15 |
The nurse is teaching a client about penile hygiene. What is the most important information for the nurse to include?
A | Use warm water without soap. |
B | Dry all areas of the penis thoroughly. |
C | Wash from the base of the shaft to the tip. |
D | Avoid retracting the foreskin if not circumcised. |
Question 16 |
A client newly diagnosed with genital herpes is crying and wringing her hands as the nurse approaches her. Which nursing diagnosis is the most appropriate to this situation?
A | Acute pain |
B | Impaired tissue integrity |
C | Anxiety |
D | Deficient knowledge |
Question 17 |
Two days after a transrectal biopsy of the prostate, a client calls the clinic to report that his stool is streaked with blood. Which response by the nurse is appropriate?
A | Tell the client to take a laxative. |
B | Tell the client to come in for examination. |
C | Reassure the client that this is an expected occurrence. |
D | Ask the client to collect a stool specimen for testing. |
Question 18 |
A nurse is caring for clients who have a history of genital herpes infection. Which client is most at risk for an outbreak of genital herpes?
A | A client who complains of a headache and fever |
B | A client who complains of vaginal and urethral discharge |
C | A client who complains of dysuria and lymphadenopathy |
D | A client who complains of genital pruritus and paresthesia |
Question 19 |
Which instruction should be given to a female client newly diagnosed with genital herpes?
A | Obtain a Papanicolaou (Pap) test every year. |
B | Have your partner use a condom when lesions are present. |
C | Use a water-soluble lubricant for relief of pruritus. |
D | Limit stress and emotional upset as much as possible. |
Question 20 |
Which statement by a client scheduled for a vasectomy indicates he needs further teaching about the procedure?
A | “I’m glad I won’t have to worry about contraception as soon as this procedure is done.” |
B | “I’ll need to place an ice pack over the incision several times a day when I first go home.” |
C | “I know this procedure can be reversed, but the success rate is low.” |
D | “I’ll have to limit my usual activities for about 1 week.” |
Question 21 |
A client is describing how she palpates her breasts for breast selfexamination. Which statement indicates the need for further teaching?
A | “I put lotion on my breasts before I begin to palpate them.” |
B | “I palpate both breasts standing up and then lying on my back.” |
C | “I’m careful to palpate under each arm and up to 2 in. below my collarbone.” |
D | “I start at the outer edge of the breast and work in to the nipple in smaller and smaller circles.” |
Question 22 |
Which discharge instruction should be given to a client after a prostatectomy?
A | Avoid straining at stool. |
B | Report clots in the urine right away. |
C | Soak in a warm tub daily for comfort. |
D | Return to your usual activities in 3 weeks. |
Question 23 |
The nurse is providing instruction about skin care at the stoma site for a client with an ileal conduit. What is the most important information for the nurse to provide?
A | Change the appliance at bedtime. |
B | Leave the stoma open to air while changing the appliance. |
C | Clean the skin around the stoma with mild soap and water and dry it thoroughly. |
D | Cut the faceplate or wafer of the appliance no more than 4 mm larger than the stoma. |
Question 24 |
The nurse is planning care for a client having hysterosalpingography. What is the most important nursing intervention for the nurse to provide?
A | Give the client a perineal pad to wear after the procedure. |
B | Give the client nothing by mouth after midnight the night before the procedure. |
C | Position the client in the knee-chest position during the procedure. |
D | Keep the client in a dorsal recumbent position for 4 hours after the procedure. |
Question 25 |
Which area of client teaching should be stressed when the goal is preventing the development of phimosis in a 20-year-old uncircumcised client?
A | Proper cleaning of the prepuce |
B | Importance of regular ejaculation |
C | Technique of testicular self-examination |
D | Proper hand washing before touching the genitals |
Question 26 |
The nurse is assessing a client who has undergone a radical cystectomy and ileal conduit for the treatment of bladder cancer. The nurse is aware that immediate intervention is necessary when the client presents with which finding?
A | A red, moist stoma |
B | A dusky colored stoma |
C | Urine output more than 30 ml/hour |
D | Slight bleeding from the stoma when changing the appliance |
Question 27 |
During a routine physical examination, a firm mass is palpated in the right breast of a 35-year-old female client. Which finding or client history would suggest cancer of the breast as opposed to fibrocystic disease?
A | Mass located in upper, outer quadrant |
B | Cyclic change in mass size |
C | History of anovulatory cycles |
D | Increased vascularity of the breast |
Question 28 |
A 36-year-old client who has never had mumps or a measles, mumps, and rubella (MMR) immunization reports that he was just notified that an 8-yearold child of a family with whom he stayed recently has been diagnosed with mumps. Which treatment should the client receive?
A | I.V. antibiotics |
B | Ice packs to the scrotum |
C | Application of a scrotal support |
D | Administration of gamma globulin |
Question 29 |
A client with pneumonia is transferred to the intensive care unit for mechanical ventilation. His blood pressure is 70/40 mm Hg, his heart rate is 115 beats/minute, and his respiratory rate is 32 breaths/minute with accessory muscle use. I.V.s are infusing at 150 ml/hour. Urine output is 50 ml for the past 4 hours. This client is most at risk for which of the following?
A | Postrenal failure |
B | Prerenal failure |
C | Intrarenal failure |
D | Chronic renal failure |
Question 30 |
After a biopsy of the prostate, which symptom should a nurse instruct a client to report?
A | Pain on the following day |
B | Discolored semen |
C | Difficulty urinating |
D | Temperature greater than 99° F (37.2° C) |
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