NCLEX RN Questions Urinary System
Home / Nursing & Allied Health Certifications / NCLEX RN / RN Urinary
Question 1 of 5.
Extract:The following scenario applies to the next 1 items The nurse in the emergency department (ED) is caring for a 78-year-old female client Item 1 of 1 Nurses' Note 1355: Client was brought to the ED by the client's adult children, who reported that while she was visiting, she reported dizziness and seemed slightly confused. The adult child reports that the symptoms started one day ago. The client recently had a change in her blood pressure medication, with the physician increasing the dosage of her prescribed furosemide. Medical history of hypertension, hyperlipidemia, and osteoarthritis. Vital signs: T 100° F (37.8° C), P 104, RR 22, BP 110/66, pulse oximetry reading 95% on room air. On assessment, the client is lethargic and oriented to person and place, but not time. The client's breathing appears unlabored with tachypnea. Clear lung sounds throughout all lung fields. Skin is warm, dry, and flaky. Peripheral pulses 1+ in all extremities. Aching pain reported in the hips and knees and rated 5 on a scale of 0 (no pain) to 10 (severe pain). Client was ambulated to the bathroom, where she urinated 300 mL of clear, yellow urine without any odor or particulates. 22-gauge peripheral venous access device (VAD) placed in right forearm.
Complete the sentence below by choosing from the list of options. Based on the client's..... and............. this client is at highest risk for........
A. lung sounds
B. vital signs
C. pain level
D. dosage increase of diuretic
E. urinary infection.
F. fluid volume deficit.
Explanation: Increased furosemide dosage increases the risk of fluid volume deficit, as evidenced by dizziness and lethargy.
Question 2 of 5.
A client was admitted to the emergency department due to low serum calcium levels. Upon further examination, the client demonstrates carpopedal spasms and reports numbness in their lips and hands. An ECG revealed a prolonged QT interval. Based on this information, the nurse should suspect which condition?
A. Hyperthyroidism
B. Hypothyroidism
C. Hyperparathyroidism
D. Hypoparathyroidism
Explanation: Hypoparathyroidism leads to low serum calcium levels, causing symptoms like carpopedal spasms, numbness, and prolonged QT interval due to decreased parathyroid hormone.
Question 3 of 5.
The nurse is caring for a client with urge incontinence. Which of the following actions would be appropriate for the nurse to take?
A. Administer prophylactic antibiotics.
B. Teach the client intermittent self-catheterization.
C. Have the client void on a timed schedule.
D. Provide caffeinated beverages with meals.
Explanation: Timed voiding helps manage urge incontinence by preventing bladder overfilling, reducing involuntary contractions.
Question 4 of 5.
The nurse is assessing assigned clients. Which client has a risk for urinary retention? Select all that apply.
A. A 78-year-old man diagnosed with an enlarged prostate.
B. An 83-year-old woman on bed rest.
C. A 75-year-old woman with vaginal prolapse.
D. An 89-year-old man with dementia.
E. A 73-year-old woman on antihistamines to treat allergies.
F. A 90-year-old man with difficulty walking to the restroom.
Explanation: Enlarged prostate, vaginal prolapse, dementia, antihistamines, and mobility issues impair bladder emptying, increasing urinary retention risk.
Question 5 of 5.
The nurse is caring for a client who is severely hypernatremic. The nurse should prioritize assessing the client's
A. cardiovascular status.
B. genitourinary status.
C. neurological status.
D. gastrointestinal status.
Explanation: Hypernatremia affects neurological status due to cellular dehydration, causing confusion, seizures, or coma, requiring priority assessment.
Related Questions