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clinical judgement practice exam for GU

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practice exam for nursing clinical judgement course on UTI and incontinence covering assessments, diagnosing, medications, and non medical cures.

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  • November 6, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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laurentrombino
1. A patient with a urinary tract infection (UTI) reports dysuria and suprapubic pain.
Which of the following medications would most likely be prescribed for symptomatic
relief?

A. Ciprofloxacin
B. Nitrofurantoin
C. Phenazopyridine
D. Trimethoprim-sulfamethoxazole

2. Which risk factor places a 67-year-old female patient at increased risk for UTIs?

A. Frequent exercise
B. Type 2 diabetes
C. Smoking history
D. High-fiber diet

3. A nurse instructs a patient with a history of UTIs on prevention strategies. Which of the
following statements by the patient indicates understanding?

A. "I will reduce my fluid intake to prevent frequent urination."
B. "I should avoid taking any medications for UTI symptoms."
C. "I will increase my fluid intake daily."
D. "I can wait a few days before seeking treatment if symptoms return."

4. When assessing a patient with incontinence, the nurse notes urine leakage during
laughing and coughing. This type of incontinence is classified as:

A. Urge incontinence
B. Reflex incontinence
C. Stress incontinence
D. Overflow incontinence

5. A patient with stress incontinence is advised to perform Kegel exercises. What is the
purpose of these exercises?

A. Strengthen the bladder wall
B. Relax the bladder muscles
C. Strengthen pelvic floor muscles
D. Increase urethral resistance

6. Which of the following is a primary symptom of urge incontinence?

, A. Infrequent urination
B. Leakage with coughing or sneezing
C. A strong urge to urinate followed by leakage
D. Constant dribbling of urine

7. A patient with UTI is prescribed nitrofurantoin. The nurse should instruct the patient
to:

A. Take the medication on an empty stomach
B. Take it with a full glass of milk
C. Avoid dairy products with the medication
D. Increase water intake while taking the medication

8. The nurse is caring for a patient with an indwelling catheter for overflow incontinence.
Which intervention is essential to prevent complications?

A. Limiting fluid intake
B. Performing clean intermittent catheterization
C. Encouraging double voiding
D. Monitoring the skin for signs of breakdown

9. Which of the following medications would most likely be used to reduce bladder
contractility in a patient with urge incontinence?

A. Anticholinergics
B. Tricyclic antidepressants
C. Beta-3 adrenergic agonist
D. Alpha-adrenergic blocking agents

10. For a patient with urinary incontinence, which complication should the nurse be most
concerned about?

A. Pain with urination
B. Skin breakdown
C. Loss of appetite
D. Increased fluid intake

11. A patient is scheduled for surgery to insert a suburethral sling. This intervention is
intended to treat which type of incontinence?

A. Functional incontinence
B. Reflex incontinence
C. Urge incontinence
D. Stress incontinence

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