NCLEX-PN
Genitourinary NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
Before peritoneal dialysis begins, the nurse correctly informs the client that the procedure involves the movement of urea and creatinine through the peritoneum by which means?
Correct Answer: B
Rationale: Diffusion is the primary mechanism by which urea and creatinine move across the peritoneal membrane during dialysis.
Question 2 of 5
Which of the following findings is the most significant information to report when caring for a client undergoing peritoneal dialysis?
Correct Answer: C
Rationale: An elevated body temperature may indicate infection, a serious complication of peritoneal dialysis, and must be reported.
Question 3 of 5
The nurse is preparing a plan of care for the client diagnosed with acute glomerulonephritis. Which statement is an appropriate long-term goal?
Correct Answer: C
Rationale: Maintaining normal renal function is the ultimate long-term goal for acute glomerulonephritis, as it indicates resolution of renal damage. Normal BP and no proteinuria are intermediate goals, and clear lung sounds are unrelated.
Question 4 of 5
The client diagnosed with CKD has a new arteriovenous fistula in the left forearm. Which intervention should the nurse implement?
Correct Answer: A
Rationale:
To protect the new AV fistula, the client should avoid stress on the left arm. Carrying heavy objects with the right arm prevents fistula damage. Blood tests should avoid the fistula arm, lying on it risks compression, and hand exercises are encouraged to promote fistula maturation.
Question 5 of 5
When the nurse examines the voided urine specimen, which finding is most supportive of the diagnosis of urolithiasis?
Correct Answer: B
Rationale: Blood-tinged urine (hematuria) is a hallmark of urolithiasis due to irritation or injury from kidney stones.