NCLEX-PN
Genitourinary NCLEX Questions Questions
Extract:
Question 1 of 5
Considering the amount of time the client must remain in bed, why is it imperative for the nurse to monitor for a urinary tract infection?
Correct Answer: B
Rationale: Prolonged bed rest can lead to incomplete bladder emptying, increasing the risk of urinary stasis and subsequent urinary tract infections.
Question 2 of 5
The client is reporting chills, fever, and left costovertebral pain. Which diagnostic test should the nurse expect the HCP to prescribe first?
Correct Answer: A
Rationale: Chills, fever, and costovertebral pain suggest pyelonephritis. A midstream urine culture is the first test to identify the causative organism. Imaging (sonogram, IVP, CT) is secondary to confirm complications or other diagnoses.
Question 3 of 5
When the nurse inspects the client's urine specimen, which finding best indicates that the urine contains red blood cells?
Correct Answer: B
Rationale: Smoky urine is indicative of hematuria (red blood cells in the urine), a common finding in glomerulonephritis due to kidney inflammation.
Question 4 of 5
Immediately after the dialysate solution has been instilled, which nursing action is correct?
Correct Answer: A
Rationale: Clamping the tubing after instillation allows the dialysate to dwell, facilitating the exchange of waste products.
Question 5 of 5
The nurse is observing the UAP providing direct care to a client with an indwelling catheter. Which data warrant immediate intervention by the nurse?
Correct Answer: C
Rationale: Placing the collection bag on the bed risks contamination and infection, as it should be below bladder level and off surfaces. Securing tubing, providing care during bathing, and hand washing are appropriate.