Nclex-Rn Practice Questions-Care Of The Child - Genitourinary Disorders Part 2
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Question 1 |
A nurse should understand that hypospadias defects take the greatest emotional toll on which person?
A | The father |
B | The mother |
C | The grandfather |
D | The grandmother |
Question 2 |
A nurse is assessing a child with vesicoureteral reflux. Which condition should the nurse be alert for as a potential complication?
A | Glomerulonephritis |
B | Hemolytic uremia syndrome |
C | Nephrotic syndrome |
D | Renal infection |
Question 3 |
The nurse is providing teaching to the parents of a child with a urinary tract infection. Which factor should the nurse recognize as predisposing the child to urinary tract infections?
A | Increased fluid intake |
B | Short urethra |
C | Ingestion of highly acidic juices |
D | Frequent emptying of the bladder |
Question 4 |
The nurse has completed her teaching about syphilis to an adolescent. The nurse determines further teaching is necessary when the adolescent makes which statement?
A | “The disease is divided into four stages: primary, secondary, latent, and tertiary.” |
B | “Affected persons are least infectious during the first year.” |
C | “Syphilis is easily treated with penicillin or doxycycline.” |
D | “Syphilis is usually transmitted sexually.” |
Question 5 |
A nurse is planning a program to teach adolescents about human immunodeficiency virus (HIV) infection. Which action might lead to better program success?
A | Surveying the community to evaluate the level of education |
B | Obtaining peer educators to provide information about HIV |
C | Setting up clinics in community centers and having condoms readily available |
D | Having primary health care providers host workshops in community centers |
Question 6 |
An adolescent client complains of a low-grade fever, lower abdominal pain, and painful urination with frequency. The nurse realizes that this client is exhibiting symptoms of which genitourinary problem?
A | Pelvic inflammatory infection (PID) |
B | Chlamydia |
C | Herpes genitalis |
D | Syphilis |
Question 7 |
A nurse determines that which client is at greatest risk for developing acquired immunodeficiency syndrome (AIDS)?
A | A client who lives in crowded housing with poor ventilation |
B | A young sexually active client with multiple partners |
C | An adolescent who’s homeless and lives in shelters |
D | A young sexually active client with one partner |
Question 8 |
The nurse determines that more education about sexually transmitted diseases (STDs) is needed when an adolescent makes which statement?
A | “You always know when you’ve got gonorrhea.” |
B | “The most common STD in kids my age is chlamydia infection.” |
C | “Most of the girls who have chlamydia don’t even know it.” |
D | “If you have symptoms of gonorrhea, they can show up a day or a couple of weeks after you got the infection to begin with.” |
Question 9 |
Statistics about sexually transmitted diseases (STDs) may not be reliable for which reason?
A | Most adolescents seek out treatment for their STD. |
B | Adolescents are usually honest with their parents about their sexual behavior. |
C | All STDs must be reported to the Centers for Disease Control and Prevention (CDC). |
D | Chlamydial infections and human papillomavirus (HPV) infections aren’t required to be reported to the CDC. |
Question 10 |
A nurse understands that which developmental rationale explains risktaking behavior in adolescents?
A | Adolescents are concrete thinkers and concentrate only on what’s happening at the time. |
B | Belief in their own invulnerability persuades adolescents that they can take risks safely. |
C | Risk of parents’ anger and disappointment usually deters adolescents from risky behavior. |
D | Peer pressure usually doesn’t play an important part in an adolescent’s decision to become sexually active. |
Question 11 |
A nurse is planning sex education and contraceptive instruction for adolescents. It is most important for the nurse to consider which factor?
A | Neither sexual activity nor contraception requires planning. |
B | Most teenagers today are knowledgeable about reproduction. |
C | Most teenagers use pregnancy as a way to rebel against their parents. |
D | Most teenagers are open about contraception but inconsistently use birth control. |
Question 12 |
A nurse is questioned by a student nurse about the difference between hypospadias and epispadias. Which response by the nurse is best?
A | Epispadias defects can only occur in males and affect sterility. |
B | The difference between the defects is the length of the urethra and size of the urethral meatus. |
C | Hypospadias is an abnormal opening on the ventral side of the penis; epispadias is an abnormal opening on the dorsal side. |
D | Hypospadias is an abnormal opening on the dorsal side of the penis; epispadias is an abnormal opening on the ventral side. |
Question 13 |
Without proper treatment, anogenital warts caused by the human papillomavirus (HPV) increase the risk of which illness in adolescent females?
A | Gonorrhea |
B | Cervical cancer |
C | Chlamydial infections |
D | Urinary tract infections (UTIs) |
Question 14 |
A nurse wants to provide an open environment for a discussion on sex and sexual activities with adolescents. Which technique would best meet the desired outcome?
A | Break down all the information into scientific terminology. |
B | Refer the adolescents to their parents for sexual information. |
C | Answer only questions that are asked; don’t present any other content. |
D | Present sexual information using the proper terminology and in a straightforward manner. |
Question 15 |
Before a client with syphilis can be treated, the nurse must determin which factor?
A | Portal of entry |
B | Size of the chancre |
C | Names of sexual contacts |
D | Existence of medication allergies |
Question 16 |
Which nursing diagnosis would be most appropriate for an infant with hypospadias?
A | Impaired body image |
B | Impaired urinary elimination |
C | Delayed growth and development |
D | Risk for infection |
Question 17 |
A nurse is teaching a parent how to care for the penis after a hypospadias repair with a skin graft. Which statement made by the parent would indicate the need for further teaching?
A | “My infant won’t be able to take tub baths until healing has occurred.” |
B | “I will change the dressing around the penis daily.” |
C | “I will make sure I change my infant’s diaper often.” |
D | “If there’s a color change in the penis, I will notify my child’s physician.” |
Question 18 |
The nurse has completed discharge teaching to a teenage client who was treated for a sexually transmitted disease (STD). The nurse determines that teaching was effective when the client states:
A | “I don’t need condoms because I’m not allergic to penicillin and I’ll come for a shot at the first sign of infection.” |
B | “I will notify my sex partners of my infection and not have unprotected sex from now on.” |
C | “I will be careful not to have intercourse with someone who has an STD.” |
D | “If I am going to get it, there is not much I can do to prevent it.” |
Question 19 |
Which teaching statement by a nurse best reflects accurate reproductive education for a female adolescent in the prevention of pelvic inflammatory disease (PID)?
A | Poor hygiene practices will increase the risk of PID. |
B | The use of hormonal contraceptives decreases the risk of PID. |
C | There are long-term complications related to reproductive tract infections. |
D | There are risks of defects in future infants born to adolescents with PID. |
Question 20 |
A sexually active adolescent is discussing prevention of sexually transmitted diseases (STDs) with the school nurse. Which statement by the adolescent best demonstrates accurate understanding of prevention?
A | “My girlfriend is on the pill, so we are not worried about contracting any diseases from each other.” |
B | “We practice the rhythm method of birth control, so we don’t have sex when we could catch anything.” |
C | “I always use a condom and a spermicide whenever I have sex to prevent any chance of catching a disease.” |
D | “My friends tell me that if I use the withdrawal method, I am never going to get an STD.” |
Question 21 |
A nurse is preparing the parents of an infant born with hypospadias for upcoming surgery. The nurse determines further teaching is necessary when a parent makes which statement?
A | “Skin grafting might be involved in my infant’s repair.” |
B | “After surgery, my infant’s penis will look perfectly normal.” |
C | “Surgical repair may need to be performed in several stages.” |
D | “My infant will probably be in some pain after the surgery and might need to take some medication for relief.” |
Question 22 |
Which assessment data collected by a nurse would indicate to the physician the need for a staged repair of a hypospadias rather than a single repair?
A | There’s chordee present with the hypospadias. |
B | The urinary meatus opens between the scrotum. |
C | The urinary meatus is just below the tip of the penis. |
D | The infant had been circumcised before the defect was discovered. |
Question 23 |
It’s important for a nurse to include which statement in discharge education for the client who’s taking metronidazole (Flagyl) to treat trichomoniasis?
A | Sexual intercourse should stop until the medication is completed. |
B | Alcohol shouldn’t be consumed while on the medication. |
C | Milk products should be avoided since they reduce the effectiveness of the medicine. |
D | Exposure to sunlight should be limited to only 1 hour per day. |
Question 24 |
A nurse is preparing an educational seminar for a local clinic directed at adolescent clientele. Which information regarding chlamydial infections would be most important to include in the presentation?
A | Females infected with chlamydia will have intense pelvic pain and irregular menstrual cycles. |
B | Chlamydia can be treated with oral penicillin for 1 week and will be completely cured. |
C | Clinical manifestations often include dysuria and urethral itching in males. |
D | Most clients with chlamydia will exhibit genital vesicles that are highly contagious. |
Question 25 |
Which statement by a nurse most accurately addresses an adolescent’s questions about gonorrhea treatment at his or her developmental level?
A | “It’s treated with a 2-week dose of penicillin given orally, so you should have no problem curing your disease and no one will ever know.” |
B | “Gonorrhea can be spread easily, so you need to be sure that you notify anyone you had sex with that they need to be tested and treated too.” |
C | “I know you hate shots, but you will need to come into the clinic for multiple injections of penicillin given over several weeks to treat your sexually transmitted disease.” |
D | “You probably contracted the disease from using tampons and not changing them often enough.” |
Question 26 |
In teaching a group of parents about monitoring for urinary tract infection (UTI) in preschoolers, which symptom would indicate that a child should be evaluated?
A | Voids only twice in any 6-hour period |
B | Exhibits incontinence after being toilet trained |
C | Has difficulty sitting still for more than a 30-minute period of time |
D | Urine smells strongly of ammonia after standing for more than 2 hours |
Question 27 |
Which instruction should a nurse include in the teaching plan for a client receiving co-trimoxazole (Septra) for a repeated urinary tract infection with Escherichia coli?
A | “For the drug to be effective, keep your urine acidic by drinking at least a quart of cranberry juice a day.” |
B | “Take the medication for 10 days, even if your symptoms improve in a few days.” |
C | “Return to the clinic in 3 days for another urine culture.” |
D | “Take two of the pills a day now but keep the rest of the pills to take if the symptoms reappear within the next 2 weeks.” |
Question 28 |
A nurse should include which fact when teaching parents about managing a child with recurrent urinary tract infection (UTI)?
A | Antibiotics should be discontinued 48 hours after symptoms subside. |
B | Recurrent symptoms should be treated by renewing the antibiotic prescription. |
C | Complicated UTIs are related to poor perineal hygiene practice. |
D | Follow-up urine cultures are necessary to detect recurrent infections and antibiotic effectiveness. |
Question 29 |
A nurse should include which fact when teaching an adolescent group about the human immunodeficiency virus (HIV)?
A | The incidence of HIV in the adolescent population has declined since |
B | The virus can be spread through many routes, including sexual contact. |
C | Knowledge about HIV spread and transmission has led to a decrease in the spread of the virus among adolescents. |
D | About 50% of all new HIV infections in the United States occur in people under age 22. |
Question 30 |
A nurse is reviewing a child’s clean-voided urine specimen results. The nurse understands that which result best indicates a urinary tract infection (UTI)?
A | A specific gravity of 1.020 |
B | Cloudy color without odor |
C | A large amount of casts present |
D | 100,000 bacterial colonies per milliliter |
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