NCLEX Genitourinary Questions

Extract:

Question 1 of 5

Before administering an analgesic to the client, which information is most important for the nurse to assess?

Correct Answer: C

Rationale: Ensuring the catheter is draining urine is critical to prevent bladder distention, which could exacerbate discomfort.

Question 2 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?

A. A high-potassium and low-calcium diet. B. A low-fat and low-cholesterol diet. C. A high-carbohydrate and restricted-protein diet. D. A regular diet with six (6) small feedings a day.

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 3 of 5

The male client diagnosed with metastatic cancer of the bladder is emaciated and refuses to eat. Which nursing action is an example of the ethical principle of paternalism?

A. The nurse allows the client to talk about not wanting to eat. B. The nurse tells the client if he does not eat, a feeding tube will be placed. C. The nurse consults the dietitian about the client’s nutritional needs. D. The nurse asks the family to bring favorite foods for the client to eat.

Correct Answer: B

Rationale: Paternalism involves acting in the client’s best interest without their consent. Threatening a feeding tube overrides the client’s refusal to eat. Allowing discussion, consulting a dietitian, or involving family respect autonomy.

Question 4 of 5

Which response by the nurse is most appropriate?

A. His bladder retraining is coming along, and before long he will be urinating like normal. B. He seems to have more incontinence in the afternoon and evening. C. In order to protect his privacy, I can't give you that information. D. Bladder retraining is slow work. We have to take him to the toilet every 2 hours.

Correct Answer: C

Rationale:
To comply with HIPAA, the nurse must protect the client's privacy and not disclose health information without consent, making this the most appropriate response.

Question 5 of 5

When the client questions why both drugs are not taken daily, which response by the nurse is best?

A. The medications are too toxic if taken on a daily basis. B. This alternating schedule maintains adrenal function. C. Each medication has a prolonged period of action. D. Most people cannot tolerate the medications' daily side effects.

Correct Answer: B

Rationale: Alternating methylprednisolone and prednisone helps maintain adrenal function by mimicking natural cortisol rhythms, reducing suppression of the adrenal glands.

NCLEX Genitourinary Questions | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN