NCLEX CRUSADE ACADEMY TEST - 1 RENAL-URINARY DISORDERS

1. A nurse is caring for a patient with end-stage renal disease (ESRD). Which therapy mimics kidney function by removing waste and excess fluid from the blood?. Hemodialysis. Peritoneal dialysis. Mechanical ventilation. Plasmapheresis.

2. Which vascular access is the preferred method for long-term hemodialysis?. Central venous catheter. AV fistula. Peripheral IV catheter. PICC line.

3. Which statement describes the mechanism of peritoneal dialysis?. Blood is filtered through an artificial membrane outside the body. The abdominal cavity acts as a filtration membrane. Blood is oxygenated through a ventilator. Urine is directly filtered through a catheter.

4. A nurse is assessing a patient with an AV fistul. Which assessment finding indicates proper function? A. Absence of bruit. Weak pulse distal to fistula. Palpable thrill. Severe pain at site.

5. Which action is contraindicated in a patient with an AV fistula?. Palpating for thrill. Measuring blood pressure on the fistula arm. Inspecting the site. Auscultating for bruit.

6. Which complication should the nurse monitor for in a patient receiving peritoneal dialysis?. Peritonitis. Pneumothorax. Pulmonary embolism. Stroke.

7. A nurse is teaching about stress urinary incontinence. Which trigger commonly causes symptoms?. Urinary infection. Increased abdominal pressure. Neurologic injury. Bladder tumor.

8. Which intervention strengthens pelvic floor muscles in stress incontinence?. Bladder irrigation. Foley catheterization. Kegel exercises. Antibiotic therapy.

9. Which management strategy is used for bladder training?. Drinking only once per day. Scheduled voiding every 23 hours. Continuous catheterization. Limiting all fluids.

10. A patient reports sudden intense urge to urinate with frequency greater than 8 times daily. This finding suggests which condition?. Stress incontinence. Overflow incontinence. Urge incontinence. Functional incontinence.

11. Which medications are commonly used for urge incontinence?. Diuretics. Anticholinergics. Antibiotics. Beta blockers.

12. Anticholinergic medications are contraindicated in which condition?. Asthma. Hypertension. Open-angle glaucoma. Diabetes.

13. Overflow incontinence is most commonly caused by which underlying condition?. Bladder spasms. Pelvic muscle weakness. Bladder obstruction. Excess hydration.

14. Which symptom is characteristic of overflow incontinence?. Sudden urge to void. Continuous dribbling. Leakage with coughing. Complete bladder emptying.

15. Which diagnostic method is preferred initially for evaluating urinary retention?. CT scan. MRI. Bladder scanner. Catheterization.

16. Which fluid intake recommendation is appropriate for overflow incontinence?. Restrict fluids to prevent leakage. Avoid fluids entirely. Maintain 1.52 L fluid intake daily. Drink only caffeinated beverages.

17. Which catheter type is inserted to drain the bladder and then removed immediately?. Foley catheter. Intermittent catheter. Suprapubic catheter. Nephrostomy tube.

18. Which catheter remains in the bladder using an inflatable balloon?. Foley catheter. Straight catheter. Ureteral stent. Drainage tube.

19. Long-term indwelling catheters are typically reserved for which condition?. Mild urinary retention. Severe immobility. Stress incontinence. Bladder training.

20. Which patient should the nurse assess first?. Postoperative patient with expected hypotension. CKD patient with mild edema. Nephrectomy patient with mild flank pain. ESRD patient with K+ 7.5 and widened QRS.

21. Which prioritization principle identifies unstable patients first?. Chronic vs acute. Stable vs unstable. Expected vs unexpected. Risk vs potential.

22. Which prioritization framework focuses on airway, breathing, and circulation?. Maslow hierarchy. ABC framework. Infection control. Pain scale.

23. Which condition is considered acute and requires immediate intervention?. Chronic hypertension. Stable CKD. Sudden respiratory distress. Mild edema.

24. Which problem represents an actual nursing issue rather than a potential risk?. Risk for infection. Risk for falls. Active bleeding. Potential dehydration.

25. Which postoperative finding is considered expected rather than urgent?. Sudden confusion. Hard distended abdomen. Mild postoperative pain. Severe hypotension.