NCLEX-PN
NCLEX Questions on Genitourinary System 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 means the patient?
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
The nurse is developing a nursing care plan for the client diagnosed with CKD. Which nursing problem is priority for the client?
Correct Answer: D
Rationale: Excess fluid volume is the priority in CKD due to impaired kidney excretion, leading to edema, hypertension, and heart failure risk. Fluid overload is a life-threatening issue, whereas self-esteem, knowledge, and activity intolerance are secondary.
Question 3 of 5
Which assessment finding indicates a potential complication of the client's ileal conduit?
Correct Answer: C
Rationale: Foul-smelling, cloudy urine suggests a possible urinary tract infection, a common complication of an ileal conduit.
Question 4 of 5
When the nurse interviews the client, which symptoms will the client most likely report if a bladder infection has been acquired? Select all that apply.
Correct Answer: C,D,E,F
Rationale: Symptoms of a bladder infection typically include strong-smelling urine, burning on urination, urgency, and frequency, as these reflect irritation and inflammation of the bladder.
Question 5 of 5
The client has been vomiting and has had numerous episodes of diarrhea. Which laboratory test should the nurse monitor?
Correct Answer: C
Rationale: Vomiting and diarrhea cause significant potassium loss, leading to hypokalemia, which can cause arrhythmias. Calcium, phosphorus, and sodium are less critically affected in this scenario.