NCLEX Genitourinary Questions

Extract:

Question 1 of 5

If this client shares cultural characteristics of other Native Americans, which findings in the cultural assessment should be included in the client's care plan? Select all that apply.

Correct Answer: A,B,C

Rationale: These cultural characteristics reflect common Native American values and should guide culturally sensitive care.

Question 2 of 5

The male client diagnosed with CKD has received the initial dose of erythropoietin, a biologic response modifier, one (1) week ago. Which complaint by the client indicates the need to notify the health-care provider?

A. The client complains of flu-like symptoms. B. The client complains of being tired all the time. C. The client reports an elevation in his blood pressure. D. The client reports discomfort in his legs and back.

Correct Answer: C

Rationale: Erythropoietin can cause hypertension as a side effect, which is significant in CKD patients and warrants notifying the provider. Flu-like symptoms and fatigue are common and expected, while leg/back discomfort is less specific.

Question 3 of 5

The client diagnosed with renal calculi is scheduled for lithotripsy. Which postprocedure nursing task is the most appropriate to delegate to the UAP?

A. Monitor the amount, color, and consistency of urine output. B. Teach the client about care of the indwelling Foley catheter. C. Assist the client to the car when being discharged home. D. Take the client’s postprocedural vital signs.

Correct Answer: C

Rationale: Assisting the client to the car is a non-clinical task within the UAP’s scope. Monitoring urine, teaching catheter care, and taking vital signs require nursing judgment and are not delegable.

Question 4 of 5

The nurse identifies the concepts of elimination and immunity for a female client diagnosing with a urinary tract infection. Which discharge instructions should the nurse provide the client? Select all that apply.

A. Teach the client to wipe from front to back after voiding. B. Encourage the client to drink cranberry juice each morning. C. Inform the client that frequent episodes of incontinence are expected. D. Discuss the signs and symptoms of a recurrent infection. E. Have the client fill a container of water to sip until at least 2,000 mL is consumed. F. Request that the client sit in a tub of warm water twice a day for 25 minutes.

Correct Answer: A,B,D,E

Rationale: Wiping front to back prevents bacterial spread, cranberry juice may reduce UTI risk, discussing recurrent symptoms aids early detection, and 2,000 mL fluid intake flushes the bladder. Incontinence is not expected, and tub baths increase infection risk.

Question 5 of 5

Which data support to the nurse the client’s diagnosis of acute bacterial prostatitis?

A. Terminal dribbling. B. Urinary frequency. C. Stress incontinence. D. Sudden fever and chills.

Correct Answer: D

Rationale: Acute bacterial prostatitis presents with sudden systemic symptoms like fever and chills, often with dysuria. Terminal dribbling, frequency, and incontinence are more typical of BPH or chronic conditions.

NCLEX Genitourinary Questions | Nurselytic

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