GI/GU NCLEX QUESTIONS AND ANSWERS
A patient undergoes surgery due to having massive trauma to the kidneys resulting from
a fall from a scaffold. Which assessment data obtained postoperatively is most
important to communicate to the surgeon.
A. Blood pressure is 102/48
B. Urine output is 20 ml/hr for 2 hours
C. Crackles are heard at both lung bases
D. Incisional pain level is 8/10 - Answers- Answer is B
Min Amt of urine per hour is 30 ml.
If we are getting at least 30 we know we are getting sufficient amount of blood to the
kidneys.
A client admitted to the hospital with pneumonia has a history of functional urinary
incontinence. Which nursing action will be included in the plan of care?
A. Demonstrate the use of the creed maneuver
B. Teach kegal exercise to strengthen pelvic floor
C. Place a bedside commode close to the clients bed
D. use an ultrasound scanner to check for post cord residual's. - Answers- C. Place a
bedside commode close to the clients bed.
The nurse is providing discharge teaching to a female patient on how to prevent urinary
tract infections. Which statement is incorrect?
A. "Void immediately after sexual intercourse"
B. "Avoid wearing tight fitting underwear"
C. "Try to void every 2-3 hours"
D. "Use scented sanitary napkins or tampons during menstruation" - Answers- D
colored clothing can cause irritation and chemicals can disrupt PH
On your nursing care plan for a patient with a urinary tract infection, Which of the
following would be appropriate nursing interventions? (SELECT ALL THAT APPLY)
A. Encourage voiding every 2-3 hours while awake
B. Restrict fluid intake to 1-2 liters per day
C. Monitor intake and output daily.
, D. Administer antibiotics before urinalysis collection. - Answers- A,C,
Encourage voiding every 2-3 hours while awake (yes)
Restrict fluid intake to 1-2 liters per day (Encourage not restrict)
Monitor intake and output daily. (yes)
Administer antibiotics before urinalysis collection. (Not before, after.)
Following rectal surgery, a client voids about 50 ml of urine every 30 -60 minutes for the
first 4 hours. Which nursing action is most appropriate?
A. Monitor the clients intake and output over night
B. Have the client drink small amounts of fluid frequently
C. Use an ultrasound scanner to check the postpaid residual volume
D. Reassurance the client that is normal after rectal surgery because of anesthesia -
Answers- C
Best answer because this is an assessment and as a nurse we always assist first, but
also we need to check if the patient retaining any urine in the bladder.
A 55 year old woman admitted for shoulder surgery asks the nurse for a perineal pad,
stating that laughing or couching causes leakage of urine. Which intervention is most
appropriate to include in the care plan?
A. Assist the client to the bathroom every 3 hours
B. Place a commode at the clients bedside
C. Demonstrate how to perform the creed maneuver
D. Teach the client how to perform Kegal exercise. - Answers- D
A patent, who is having spasms and during while urinating due to a UTI, is prescribed
"pyridum" (phenazopyridine). Which option below is a normal side effect of drug?
A. Hematuria
B. Crystalluria
C. Urethra mucous
D. Orange Colored urine - Answers- D
A male client in the client provides a urine sample that is red orange in color. What
action should the nurse take first?
A. Notify the clients healthcare provider
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