NCLEX-PN
NCLEX Genitourinary Questions Questions
Extract:
Question 1 of 5
The client diagnosed with ARF is admitted to the intensive care department and placed on a therapeutic diet. Which diet is most appropriate for the client?
Correct Answer: C
Rationale: ARF patients require a restricted-protein diet to reduce urea production and a high-carbohydrate diet to provide energy, minimizing protein catabolism. High-potassium diets are contraindicated due to hyperkalemia risk, and low-fat or regular diets are less specific.
Question 2 of 5
The client is 12 hours postoperative renal surgery. Which data warrant immediate intervention by the nurse?
Correct Answer: D
Rationale: A vancomycin level of 24 mcg/mL is above the therapeutic range (10–20 mcg/mL), risking nephrotoxicity, especially post-renal surgery. Soft abdomen, no pain on dorsiflexion, and 60 mL urine output are normal.
Question 3 of 5
The client diagnosed with CKD is receiving peritoneal dialysis. Which assessment data warrant immediate intervention by the nurse?
Correct Answer: A
Rationale: Peritoneal dialysis does not involve a fistula, so inability to auscultate a bruit suggests a documentation error or confusion with hemodialysis, requiring immediate clarification. Soft abdomen, clear dialysate, and equal instill/removal volumes are normal findings.
Question 4 of 5
When a client asks the clinic nurse why women have more bladder infections than men, which answer is most accurate?
Correct Answer: C
Rationale: The shorter female urethra allows pathogens easier access to the bladder, increasing the risk of bladder infections.
Question 5 of 5
Which intervention is most important for the nurse to implement for the client with a left nephrectomy?
Correct Answer: A
Rationale: Post-nephrectomy, maintaining adequate hydration and perfusion to the remaining kidney is critical to prevent acute kidney injury. Assessing IV fluid rate and volume ensures proper fluid balance. Dressing changes, coagulation monitoring, and meal intake are less urgent.