NCLEX CRUSADE ACADEMY TEST - 3 URINARY DISORDERS

1. A newborn is diagnosed with bladder exstrophy. Which nursing priority is most appropriate immediately after birth?. Encourage oral fluids. Protect the exposed bladder tissue with sterile saline dressings. Begin toilet training early. Insert a Foley catheter.

2. Which congenital condition involves an abnormal urethral opening on the ventral surface of the penis?. Epispadias. Hypospadias. Bladder exstrophy. Ureterocele.

3. The nurse should question which procedure for a patient with epispadias prior to surgical repair?. Circumcision. Ultrasound. Antibiotic therapy. Urine culture.

4. Which symptom is most characteristic of renal calculi?. Dull abdominal discomfort. Severe colicky flank pain radiating to the groin. Sudden painless hematuria. Progressive urinary retention.

5. Which diagnostic test is commonly used to visualize renal calculi?. Electrocardiogram. CT scan. Colonoscopy. Liver biopsy.

6. Which nursing intervention is essential for patients with renal calculi?. Restrict fluid intake. Encourage ambulation and hydration. Strict bed rest. Administer potassium supplements.

7. Which action should the nurse implement when caring for a patient with renal stones?. Massage the flank area. Strain all urine. Limit activity. Avoid monitoring intake and output.

8. After extracorporeal shock wave lithotripsy (ESWL), which finding is expected?. Clear urine immediately. Blood-tinged urine for several hours. No urinary output. Severe hypotension.

9. Which finding after lithotripsy requires immediate notification of the provider?. Mild hematuria. Blood clots in urine. Slight discomfort. Mild nausea.

10. Which pathogen is the most common cause of urinary tract infections?. Staphylococcus aureus. Escherichia coli. Streptococcus pneumoniae. Mycobacterium tuberculosis.

11. Which symptom is typical in cystitis?. Dysuria and cloudy urine. Severe chest pain. Dry cough. Vision changes.

12. Which group may present atypically with UTIs?. Adolescents. Pregnant women. Elderly patients. Athletes.

13. Before initiating antibiotic therapy for a UTI, the nurse should: Encourage fluids. Obtain a urine culture. Administer pain medication. Provide cranberry juice.

14. Which hygiene practice helps prevent UTIs?. Wiping back to front. Avoiding bathing. Wiping front to back. Using scented sprays.

15. Which practice helps prevent recurrent UTIs after sexual intercourse?. Avoid drinking fluids. Void immediately after intercourse. Delay urination. Take laxatives.

16. Pyelonephritis is best described as: Infection of the bladder. Infection of the urethra. Infection of the kidney. Infection of the prostate.

17. Which symptom suggests acute pyelonephritis?. Fever and flank pain. Dry skin. Hypoglycemia. Rash.

18. Untreated pyelonephritis can lead to: Diabetes. Bacteremia. Asthma. Hyperthyroidism.

19. Which condition is commonly associated with glomerulonephritis?. Viral hepatitis. Streptococcal infection. Malaria. HIV.

20. Which urine characteristic is common in glomerulonephritis?. Clear urine. Cola-colored urine. Bright yellow urine. Green urine.

21. Which edema pattern is typical for glomerulonephritis?. Peripheral ankle swelling only. Periorbital edema. No edema. Hand edema only.

22. Which lab values are elevated in glomerulonephritis?. BUN and creatinine. Sodium only. Glucose. Hemoglobin.

23. Which diet is recommended for glomerulonephritis patients?. High protein. Low protein. High sodium. High potassium.

24. Why should salt substitutes be avoided in severe renal disease?. They contain glucose. They contain potassium. They cause infections. They increase blood pressure.

25. Which condition can cause urinary obstruction in older males?. Prostatitis. Benign prostatic hyperplasia. Cystitis. Renal calculi.

26. Which symptom indicates BPH?. Sudden chest pain. Urinary hesitancy. Severe headache. Blurred vision.

27. Which surgical procedure is commonly used for BPH?. TURP. Appendectomy. Cholecystectomy. Thyroidectomy.

28. After TURP surgery, the nurse should prioritize: Fluid restriction. Monitoring urinary output. Encouraging coughing. Limiting urine drainage.

29. Which value indicates normal BUN levels?. 25 mg/dL. 1020 mg/dL. 5060 mg/dL. 100 mg/dL.

30. According to NCLEX prioritization, which need takes priority?. Psychosocial needs. Physiological needs. Spiritual needs. Educational needs.