Genitourinary NCLEX Questions

Extract:

Question 1 of 5

The client diagnosed with ARF has a serum potassium level of 6.8 mEq/L. Which collaborative treatment should the nurse anticipate for the client?

Correct Answer: D

Rationale: A potassium level of 6.8 mEq/L indicates severe hyperkalemia, which can cause cardiac arrhythmias. Dialysis is the most effective treatment to rapidly lower potassium in ARF. Phosphate binders, blood transfusions, or assessing cramps do not address hyperkalemia directly.

Question 2 of 5

The nurse is discharging a client with a healthcare facility acquired urinary tract infection. Which information should the nurse include in the discharge teaching?

A. Limit fluid intake so the urinary tract can heal. B. Collect a routine urine specimen for culture. C. Take all the antibiotics as prescribed. D. Tell the client to void every five (5) to six (6) hours.

Correct Answer: C

Rationale: Completing the full course of antibiotics prevents recurrence and resistance in UTIs. Limiting fluids increases infection risk, routine cultures are unnecessary, and voiding every 2–3 hours is preferred.

Question 3 of 5

Which information should the nurse include when explaining the management of the client's urolithiasis? Select all that apply.

A. Increase fluid intake to 3 liters per day. B. Strain all urine to collect stones for analysis. C. Take prescribed analgesics for pain relief. D. Avoid all dairy products to prevent stone formation. E. Follow a low-sodium diet to reduce stone risk. F. Report fever or chills immediately.

Correct Answer: A,B,C,F

Rationale: Increasing fluid intake, straining urine, taking analgesics, and reporting fever or chills are key management strategies for urolithiasis to promote stone passage and prevent complications.

Question 4 of 5

The nurse is preparing the plan of care for the client diagnosed with a neurogenic flaccid bladder. Which expected outcome is appropriate for this client?

A. The client has conscious control over bladder activity. B. The client’s bladder does not become overdistended. C. The client has bladder sensation and no discomfort. D. The client demonstrates how to check for bladder distention.

Correct Answer: B

Rationale: A neurogenic flaccid bladder lacks tone, risking overdistention. Preventing this is a key outcome to avoid complications like infection or reflux. Conscious control and sensation are unlikely, and checking distention is an intervention.

Question 5 of 5

The nurse is caring for the client diagnosed with chronic kidney disease (CKD) who is experiencing metabolic acidosis. Which statement best describes the scientific rationale for metabolic acidosis in this client?

A. There is an increased excretion of phosphates and organic acids, which leads to an increase in arterial blood pH. B. A shortened life span of red blood cells because of damage secondary to dialysis treatments in turn leads to metabolic acidosis. C. The kidney cannot excrete increased levels of acid because they cannot excrete ammonia or cannot reabsorb sodium bicarbonate. D. An increase in nausea and vomiting causes a loss of hydrochloric acid and the respiratory system cannot compensate adequately.

Correct Answer: C

Rationale: In CKD, the kidneys fail to excrete acids (via ammonia) and reabsorb bicarbonate, leading to metabolic acidosis. Increased acid excretion would raise pH, RBC lifespan affects anemia, and vomiting causes alkalosis, not acidosis.

Genitourinary NCLEX Questions | Nurselytic

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