NCLEX Questions on Genitourinary System

Extract:

Question 1 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 2 of 5

Which response by the nurse is best?

A. Encourage the client to restrict fluid intake because it shows evidence of client cooperation. B. Encourage the client to restrict fluid intake because it leads to accomplishing the goal. C. Discourage the client from restricting fluid intake because it contributes to constipation. D. Discourage the client from restricting fluid intake because it potentiates fluid imbalance.

Correct Answer: D

Rationale: Restricting fluid intake can lead to dehydration and fluid imbalance, which can worsen health outcomes, so the nurse should discourage this action.

Question 3 of 5

The nurse is discussing how to prioritize care with the UAP. Which client should the nurse instruct the UAP to see first?

A. The immobile client who needs sequential compression devices removed. B. The elderly woman who needs assistance ambulating to the bathroom. C. The surgical client who needs help changing the gown after bathing. D. The male client who needs the intravenous catheter discontinued.

Correct Answer: B

Rationale: Assisting an elderly woman to the bathroom prevents falls and addresses immediate elimination needs, prioritizing safety. Removing SCDs, changing gowns, and discontinuing IVs are less urgent.

Question 4 of 5

The nurse is caring for a client with a TURP. Which expected outcome indicates the client’s condition is improving?

A. The client is using the maximum amount allowed by the PCA pump. B. The client’s bladder spasms are relieved by medication. C. The client’s scrotum is swollen and tender with movement. D. The client has passed a large, hard, brown stool this morning.

Correct Answer: B

Rationale: Relief of bladder spasms indicates reduced irritation and healing post-TURP. Maximum PCA use, scrotal swelling, or hard stools do not reflect improvement and may indicate complications.

Question 5 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?

A. The client must be treated aggressively to prevent maternal/fetal complications. B. The nurse can force the client to drink fluids and avoid nausea and vomiting. C. The client will be dehydrated and there won’t be sufficient blood flow to the baby. D. Pregnant clients historically are afraid to take the antibiotics as ordered.

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.

NCLEX Questions on Genitourinary System | Nurselytic

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