NCLEX-PN
NCLEX Questions on Genitourinary System Questions
Question 1 of 5
When teaching a client with cystitis about urinary tract irritants, the nurse correctly identifies which of the following substances as potential irritants to avoid? Select all that apply.
Correct Answer: A,C,E
Rationale: Alcohol, tea, and coffee are bladder irritants that can exacerbate cystitis symptoms, while milk and pears are generally neutral.
Question 2 of 5
The female client diagnosed with bladder cancer who has a cutaneous urinary diversion states, 'Will I be able to have children now?' Which statement is the nurse’s best response?
Correct Answer: A
Rationale: Bladder cancer itself does not cause sterility, but treatments (e.g., chemotherapy, radiation) may affect fertility. This response is accurate and informative. Reflecting concern, promising fertility, or referring to a chaplain avoids the question.
Question 3 of 5
After the cystoscopy, which urinary symptom can the nurse expect the client to report?
Correct Answer: A
Rationale: A sense of urgency is common after cystoscopy due to urethral irritation from the procedure.
Question 4 of 5
The nurse is caring for a pregnant client diagnosed with acute pyelonephritis. Which scientific rationale supports the client being hospitalized for this condition?
Correct Answer: A
Rationale: Acute pyelonephritis in pregnancy risks maternal sepsis and fetal complications (e.g., preterm labor). Hospitalization ensures aggressive IV antibiotic treatment and monitoring. Dehydration and antibiotic fears are secondary concerns.
Question 5 of 5
The nurse is discussing kidney transplants with clients at a dialysis center. Which population is less likely to participate in organ donation?
Correct Answer: B
Rationale: African Americans are statistically less likely to participate in organ donation due to cultural beliefs, mistrust in healthcare systems, and lower registration rates. Other groups have higher participation rates, though disparities exist across all populations.