NCLEX-PN
NCLEX Genitourinary Questions Questions
Extract:
Question 1 of 5
A nurse is assigned to care for a client with a cutaneous ureterostomy. Which of the following images correlates with the client's urinary diversion?
Correct Answer: C
Rationale: A cutaneous ureterostomy involves the ureters being brought to the skin surface, typically depicted as a stoma on the abdomen, which corresponds to a specific image (assumed as C based on standard depictions).
Question 2 of 5
Which statement by the client with an ileal conduit indicates a need for further teaching?
Correct Answer: D
Rationale: Avoiding fluids is incorrect, as adequate fluid intake is necessary to maintain urine flow and prevent complications.
Question 3 of 5
The nurse is caring for a client diagnosed with rule-out ARF. Which condition predisposes the client to developing prerenal failure?
Correct Answer: B
Rationale: Prerenal failure results from decreased renal perfusion. Hypotension reduces blood flow to the kidneys, directly causing prerenal ARF. Diabetes and aminoglycosides contribute to intrinsic renal damage, while BPH causes postrenal issues.
Question 4 of 5
The client diagnosed with ARF is admitted to the intensive care department and placed on a therapeutic diet. Which diet is most appropriate for the client?
Correct Answer: C
Rationale: ARF patients require a restricted-protein diet to reduce urea production and a high-carbohydrate diet to provide energy, minimizing protein catabolism. High-potassium diets are contraindicated due to hyperkalemia risk, and low-fat or regular diets are less specific.
Question 5 of 5
The UAP tells the nurse the client with ARF has a white crystal-like layer on top of the skin. Which intervention should the nurse implement?
Correct Answer: D
Rationale: The white crystal-like layer is uremic frost, a result of urea crystallizing on the skin due to severe uremia in ARF. This is an expected finding and requires no specific intervention beyond routine skin care and dialysis to address uremia.