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NURS 321 Practice Questions for Renal_GU Quiz
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NURS 321 Practice Questions for Renal_GU Quiz
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NURS 321 Practice Questions forRenal/GU Quiz
A nurse is assessing a client who has a urine output of 250mL in a 24-hr period. Which
of the following descriptive terms should the nurse place in the client's electronic
record?
a. Enuresis
b. Anuria
c. Nocturia
d. Oliguria - ANS-D
rationale: Oliguria is where the total output is 100-400mL of urine in 24hr. Anuria is
where the total output <100L in 24hr
A nurse is assessing a client who has chronic kidney disease for fluid volume increase.
Which of the following provides a reliable measure of fluid retention
a. Daily weight
b. Sodium level
c. Tissue turgor
d. Intake and output - ANS-A
A nurse is assessing a client who has end-stage kidney disease and is receiving
hemodialysis. Which of the following findings should the nurse identify as an indication
the client is experiencing fluid overload?
a. The client has a 5lb weight gain since yesterday
b. Flattened neck veins
c. Oxygen saturation 93%
d. Return of skin to previous position when the client's shin is palpated - ANS-A
rationale: a gain of more than 2lbs per day or 5lb per week is an indication of fluid
overload
A nurse is caring for a client 4 hr postoperative following a kidney biopsy. Which of the
following interventions should the nurse take? (Select all that apply)
a. Monitor for hematuria
b. Check for flank pain
c. Monitor for extravasion of tissue surrounding the biopsy site
d. Encourage ambulation
e. Administer aspirin PRN for pain - ANS-A,B
, rationale: A&B: detect bleeding, C: infiltration of dye or med around an IV site and not
for biopsy, D: should be on strict bedrest, E: ASA can cause increased risk of bleeding
A nurse is caring for a client who has a new arteriovenous (AV) graft in his left forearm.
Which of the following techniques should the nurse use to assess the patency of this
graft?
a. Measure the client's blood pressure to ensure it is higher in the left arm than the right
b. Check the brachial and radial pulses of the left arm simultaneously
c. Auscultate the site for a bruit
d. Auscultate the antecubital fossa using a Doppler stethoscope - ANS-C
rationale: The nurse should auscultate for the presence of a bruit or palpate the site for
a thrill every 4hr to assess for blood flow
A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the
following should the nurse identify as an associated risk factor?
a. Hypocalcemia
b. BMI less than 25
c. Family history
d. Diuretic use - ANS-C
A nurse is caring for a client who has an indwelling urinary catheter and notes
blood-tinged urine in the catheter bag. The nurse recognizes this finding can be a
manifestation of which of the following urinary alterations?
a. Pernicious anemia
b. Dehydration
c. Prostate enlargement
d. Bladder infection - ANS-D
rationale: A: is from lack of intrinsic factor which is needed to absorb B12 which is used
for formation of RBC. Hematuria is not a manifestations of pernicious anemia; B: is for
oliguria; C: is for urinary hesitancy of difficulty initiating a stream of urine
A nurse is caring for a client who has an indwelling urinary catheter. Which of the
following actions should the nurse take to prevent infection?
a. Replace the catheter every 3 days
b. Check the catheter tubing for kinks or twisting
c. Irrigate the catheter once each shift
d. Clean the perineal area with an antiseptic solution daily - ANS-B
rationale: These obstructions can affect the flow of urine causing pooling in the tubing
that could backflow into the bladder; C: nurse should avoid irrigation of the catheter
unless there is an obstruction
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