Genitourinary NCLEX Questions

Extract:

Question 1 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 2 of 5

Which nursing assessment is most important before beginning bladder retraining for this client?

A. Recording the times at which the client is incontinent B. Checking the specific gravity of the urine C. Beginning the client's incontinence pad

Correct Answer: A

Rationale: Recording the times of incontinence helps establish a pattern, which is critical for developing an effective bladder retraining schedule tailored to the client's needs.

Question 3 of 5

The client is in the intensive care department (ICD) after a motor-vehicle accident in which the client lost an estimated three (3) units of blood. Which action by the nurse could prevent the client from developing acute renal failure?

A. Take and document the client’s vital signs every hour. B. Assess the client’s dressings every two (2) hours. C. Check the client’s urinary output every shift. D. Maintain the client’s blood pressure greater than 100/60.

Correct Answer: D

Rationale: Significant blood loss risks prerenal ARF due to hypoperfusion. Maintaining BP above 100/60 ensures adequate renal perfusion. Vital signs, dressing checks, and urine output monitoring are supportive but less preventive.

Question 4 of 5

When documenting the client's urine output in the medical record, which measurement is correct for the nurse to record?

A. Only the output from the urethral catheter B. Only the output from the wound catheter C. The outputs from each catheter separately D. The combined output from both catheters

Correct Answer: D

Rationale: The combined output from both catheters provides the total urine output, which is essential for accurate monitoring.

Question 5 of 5

The nurse is caring for clients on a renal surgery unit. After the afternoon report, which client should the nurse assess first?

A. The male client who just returned from a CT scan who states he left his glasses in the x-ray department. B. The client who is one (1) day postoperative and has a moderate amount of serous drainage on the dressing. C. The client who is scheduled for surgery in the morning and wants an explanation of the operative procedure before signing the permit. D. The client who had ileal conduit surgery this morning and has not had any drainage in the drainage bag.

Correct Answer: D

Rationale: No drainage in the ileal conduit bag post-surgery suggests obstruction or complications, risking urine backup and renal damage. This is critical. Lost glasses, serous drainage, and surgical education are less urgent.

Genitourinary NCLEX Questions | Nurselytic

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