NCLEX-PN
Genitourinary NCLEX Questions Questions
Question 1 of 5
Which information should the nurse include when explaining the management of the client's urolithiasis? Select all that apply.
Correct Answer: A,B,C,F
Rationale: Increasing fluid intake, straining urine, taking analgesics, and reporting fever or chills are key management strategies for urolithiasis to promote stone passage and prevent complications.
Question 2 of 5
When the client asks about the source of donated kidneys, the nurse correctly identifies which of the following as the preferred donor?
Correct Answer: B
Rationale: A sibling or living relative is preferred due to better histocompatibility, reducing the risk of rejection.
Question 3 of 5
The client receiving dialysis is complaining of being dizzy and light-headed. Which action should the nurse implement first?
Correct Answer: B
Rationale: Dizziness and light-headedness during dialysis suggest hypotension, often due to rapid fluid removal. Turning off the dialysis machine stops fluid removal, stabilizing the client. Trendelenburg, saline bolus, or notifying the provider are secondary actions.
Question 4 of 5
Because of the client's impaired urine elimination, which potential skin problem will require additional team planning?
Correct Answer: D
Rationale: Pronounced itching is a common skin problem in renal failure due to uremia and phosphate accumulation.
Question 5 of 5
If the client makes the following statements, which information is most important to report to the physician before the client undergoes an intravenous pyelography (IVP)?
Correct Answer: C
Rationale: A previous reaction to a contrast dye, as implied by the gallbladder X-ray reaction, indicates a potential allergy risk, which must be reported before IVP.