NCLEX-PN
Genitourinary NCLEX Questions Questions
Extract:
Question 1 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 2 of 5
Which intervention is most important for the nurse to implement for the client diagnosed with rule-out renal calculi?
Correct Answer: B
Rationale: Straining urine to capture stones or sediment is critical for diagnosing renal calculi, as it confirms the presence and type of stones. Neurological status, lab monitoring, and dietary recall are secondary.
Question 3 of 5
The nurse emptied 2,000 mL from the drainage bag of a continuous irrigation of a client who had a transurethral resection of the prostate (TURP). The amount of irrigation in the bag hanging was 3,000 mL at the beginning of the shift. There was 1,800 mL left in the bag eight (8) hours later. What is the correct urine output at the end of the eight (8) hours?
Correct Answer: 800 mL
Rationale: Irrigation used: 3,000 mL - 1,800 mL = 1,200 mL.
Total drainage: 2,000 mL. Urine output: 2,000 mL - 1,200 mL = 800 mL. This isolates actual urine from irrigation fluid.
Question 4 of 5
The nurse is caring for clients on a renal surgery unit. After the afternoon report, which client should the nurse assess first?
Correct Answer: D
Rationale: No drainage in the ileal conduit bag post-surgery suggests obstruction or complications, risking urine backup and renal damage. This is critical. Lost glasses, serous drainage, and surgical education are less urgent.
Question 5 of 5
Which nursing intervention is most helpful in assisting the client undergoing hemodialysis to cope with the treatment?
Correct Answer: D
Rationale: Exploring the impact of the disorder on the client's life fosters emotional coping and supports psychosocial adjustment.