NCLEX-RN
Urinary NCLEX RN Questions Questions
Question 1 of 5
The nurse performs a physical assessment on a client and observes the client demonstrate palmar flexion while obtaining the blood pressure. The nurse should take which action?
Correct Answer: B
Rationale: Palmar flexion (Trousseau's sign) suggests hypocalcemia or hypomagnesemia, warranting a magnesium level check.
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?
Correct Answer: C
Rationale: Oxybutynin is an anticholinergic specifically used to treat urinary bladder urgency and incontinence by relaxing bladder muscles. Dicyclomine (
A) is used for gastrointestinal issues, Ipratropium (
B) for respiratory conditions, and Scopolamine (
D) for motion sickness.
Question 3 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
Correct Answer: A
Rationale: Chronic indwelling catheters significantly increase UTI risk due to prolonged bacterial exposure.
Extract:
The following scenario applies to the next 1 items
The nurse in the medical-surgical unit is caring for a client.
Item 1 of 1
Progress Notes
Day 1
1700: Admitted from the emergency department with a small bowel obstruction. Nasogastric tube (NGT) was inserted with intermittent suction. Awaiting surgical consult.
Day 2
0900: Morning labs reviewed and orders were given. Still awaiting surgical consult.
Orders
Day 1:
• Insert nasogastric tube to low intermittent suction
• Insert a peripheral vascular access device
• nothing by mouth (n.p.o.) status
• consult surgery for evaluation
• continuous infusion of 0.9% sodium chloride (normal saline) 100 mL/hr
Day 2:
• potassium chloride 40 mEq via intravenous piggy-back x 1 dose
Question 4 of 5
The nurse reviews the clinical data. The nurse prepares to implement the orders from day 2. Complete the following sentences by choosing from the list of options. Prior to the nurse administering the prescribed IV potassium, the nurse should....... The nurse should also.......... The nurse should infuse the IV potassium over. During the infusion, if the client should report pain at the vascular access device, the nurse should......
Correct Answer: A,C,E,F
Rationale: Adequate urine output and cardiac monitoring are essential before and during IV potassium infusion to prevent hyperkalemia. Infuse over 4 hours and stop if pain occurs to avoid complications.
Extract:
Question 5 of 5
The nurse is caring for a client with a phosphorus level of 5.3 mg/dL (1.71 mmol/L) [normal range: 3.0-4.5 mg/dL (0.97-1.45 mmol/L)]. The nurse identifies which of the following as possible causes of this condition? Select all that apply.
Correct Answer: A,B,D
Rationale: Tumor lysis syndrome, hypoparathyroidism, and renal failure cause hyperphosphatemia by increasing phosphate release or reducing excretion.