NCLEX-PN
NCLEX Questions on Genitourinary System Questions
Extract:
Question 1 of 5
If the client asks the nurse to outline the benefits of the cystoscopy procedure, which ones should the nurse list as possible? Select all that apply.
Correct Answer: B,C,F
Rationale: Cystoscopy identifies causes of urinary symptoms, allows sample collection, and is minimally invasive via the urethra.
Question 2 of 5
In evaluating multiple clients with UTIs, the clinic nurse should identify which client to be at least risk for developing a UTI?
Correct Answer: C
Rationale: An altered metabolic state, without specific risk factors like diabetes, poses the least risk for UTIs compared to mucosal damage, mental status changes, or immunosuppression.
Question 3 of 5
Which urinary change provides the best evidence that the phenazopyridine (Pyridium) is achieving its intended therapeutic effect?
Correct Answer: C
Rationale: Phenazopyridine is prescribed to relieve urinary burning, so a decrease in this symptom indicates the medication is effective.
Question 4 of 5
The clinic nurse is caring for a client diagnosed with chronic pyelonephritis who is prescribed trimethoprim-sulfamethoxazole (Bactrim), a sulfa antibiotic, twice a day for 90 days. Which statement is the scientific rationale for prescribing this medication?
Correct Answer: B
Rationale: Chronic pyelonephritis often requires long-term antibiotics like Bactrim to suppress bacterial growth when complete eradication is not possible. It does not treat spasms, and 90 days may not eliminate all bacteria or be for future use.
Question 5 of 5
Which statements made by a diabetic client at the clinic strongly suggest that the client has a urinary tract infection? Select all that apply.
Correct Answer: A,B,C,F
Rationale: Frequent urination, inability to hold urine, burning sensation, and foul-smelling urine are classic symptoms of a urinary tract infection.