N4 - test - Urinary System Chapter 43

Med surg Book
NCLEX Examination Review Questions Chapter 43
answers in comments

1. A renal stone in the pelvis of the kidney will alter the function of the kidney by interfering with
A. the structural support of the kidney.
B. regulation of the concentration of urine.
C. the entry and exit of blood vessels at the kidney.
D. collection and drainage of urine from the kidney.

2. A patient with renal disease has oliguria and a creatinine clearance of 40 ml per minute. The nurse recognizes that these findings most directly reflect abnormal function of
A. tubular secretion.
B. glomerular filtration.
C. capillary permeability.
D. concentration of filtrate.

3. The nurse identifies a risk for urinary calculi in a patient who relates a past health history that includes
A. measles.
B. gastric ulcer.
C. diabetes mellitus.
D. hyperparathyroidism.

4. Normal changes associated with aging of the urinary system that the nurse expects to find include
A. decreased levels of BUN.
B. urine postvoiding residual.
C. increased bladder capacity.
D. more easily palpable kidneys.

5. During physical assessment of the urinary system, the nurse
A. percusses the flank area with a firm blow.
B. palpates an empty bladder as a small nodule.
C. positions the patient prone to palpate the kidneys.
D. uses auscultation to determine the level of urine in the bladder.

6. Normal findings expected by the nurse on physical assessment of the urinary system include
A. nonpalpable left kidney.
B. auscultation of renal artery bruit.
C. CVA tenderness elicited by a kidney punch.
D. palpable bladder to the level of the pubic symphysis.

7. An important nursing responsibility after an IVP is to
A. assess the patient for flank pain.
B. encourage extra oral fluid intake.
C. observe urine for remaining contrast material.
D. encourage ambulation 2 to 3 hours after the study.

8. On reading the urinalysis results of a dehydrated patient, the nurse would expect to find
A. a pH of 8.4.
B. RBC of 4/hpf.
C. color: yellow, cloudy.
D. specific gravity of 1.035.