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NCLEX RN· RN Urinary · Urinary NCLEX RN Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The infection control nurse assesses clients at risk for a urinary tract infection (UTI). Which client is at the greatest risk of developing a UTI? A client with

A. a chronic indwelling urinary catheter receiving intravenous diuretics.
B. diabetes mellitus who is receiving intravenous antibiotics for a wound infection.
C. obesity being treated for urge incontinence.
D. a history of frequent bladder infections.

Expert Explanatory Rationale

Correct Answer: a chronic indwelling urinary catheter receiving intravenous diuretics.

Question 2 of 5

Which of the following anticholinergics does the nurse recognize as appropriate for a patient diagnosed with urinary bladder urgency and incontinence?

A. Dicyclomine
B. Ipratropium
C. Oxybutynin
D. Scopolamine

Expert Explanatory Rationale

Correct Answer: Oxybutynin

Question 3 of 5

Following surgery for a prolapsed bladder, a 74-year-old female client is two days postoperative with an indwelling urinary catheter. While the nurse is making morning rounds, the client states, 'I feel like peeing again!' The most appropriate response for the nurse is:

A. It's just bladder spasms. Nothing to worry about.'
B. Let me look at your urine bag to ensure it's draining properly.'
C. You should do Kegel exercises regularly to stop this urge to void.'
D. Is this the first time this has happened?'

Expert Explanatory Rationale

Correct Answer: Let me look at your urine bag to ensure it's draining properly.'

Question 4 of 5

The nurse cares for a client with a potassium of 5.7 mEq/L (mmol/L) [3.5-5 mEq/L, mmol/L]. The nurse understands that this potassium level may be caused by Select all that apply.

A. Cushing's disease.
B. nasogastric tube suctioning.
C. salt substitutes.
D. hyperinsulinism.
E. adrenal insufficiency.

Expert Explanatory Rationale

Correct Answer:

Question 5 of 5

A client with benign prostatic hyperplasia (BPH) is post-operative following transurethral resection of the prostate (TURP) and is now receiving continuous bladder irrigation. Upon assessment, the nurse notes that the output from the urinary catheter has stopped. Which nursing intervention is most appropriate?

A. Reinsert a new catheter
B. Increase the infusion rate of the irrigation
C. Attempt to dislodge a clot
D. Contact the health care provider (HCP)

Expert Explanatory Rationale

Correct Answer: Attempt to dislodge a clot

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