NCLEX-PN
Genitourinary NCLEX Questions Questions
Extract:
Question 1 of 5
The client diagnosed with a fluid and electrolyte disturbance in the emergency department is exhibiting peaked T waves on the STAT electrocardiogram. Which interventions should the nurse implement? List in order of priority.
Correct Answer: B,C,E,D,A
Rationale: Peaked T waves indicate hyperkalemia. Priority: 1) Check potassium level to confirm; 2) Notify HCP for orders; 3) Administer Kayexalate to lower potassium; 4) Transfer to telemetry for monitoring; 5) Assess cramps, a less urgent symptom.
Question 2 of 5
The client with a continent urinary diversion is being discharged. Which discharge instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: A continent urinary diversion (e.g., Indiana pouch) requires periodic catheterization of the stoma. Demonstrating this ensures the client can manage it. Pouching and drainage bags are for incontinent diversions, and a 99°F fever is not concerning.
Question 3 of 5
Because of the client's impaired urine elimination, which potential skin problem will require additional team planning?
Correct Answer: D
Rationale: Pronounced itching is a common skin problem in renal failure due to uremia and phosphate accumulation.
Question 4 of 5
Which nursing intervention is most helpful in assisting the client undergoing hemodialysis to cope with the treatment?
Correct Answer: D
Rationale: Exploring the impact of the disorder on the client's life fosters emotional coping and supports psychosocial adjustment.
Question 5 of 5
Because the client also has diabetes mellitus, which statement by the nurse best explains why that client is at higher risk for a training in a bladder infection?
Correct Answer: A
Rationale: Glucose in the urine, common in diabetes, provides a nutrient-rich environment that promotes bacterial growth, increasing infection risk.