NCLEX-PN
NCLEX Questions on Genitourinary System Questions
Extract:
Question 1 of 5
The client diagnosed with ARF is experiencing hyperkalemia. Which medication should the nurse prepare to administer to help decrease the potassium level?
Correct Answer: C
Rationale: Regular insulin, often given with glucose, drives potassium into cells, temporarily lowering serum potassium levels in hyperkalemia. Calcium gluconate stabilizes cardiac membranes, erythropoietin treats anemia, and osmotic diuretics are not used for hyperkalemia.
Question 2 of 5
The nurse is caring for a client diagnosed with diabetic ketoacidosis (DKA). Which statement best explains the scientific rationale for the client’s Kussmaul’s respirations?
Correct Answer: C
Rationale: Kussmaul’s respirations (rapid, deep breathing) in DKA compensate for metabolic acidosis by excreting carbon dioxide, a volatile acid, to raise blood pH. Kidneys excrete acid, not urine, and respirations do not increase CO2 or HCO3.
Question 3 of 5
The elderly client being seen in the clinic has complaints of urinary frequency, urgency, and 'leaking.' Which priority intervention should the nurse implement when interviewing the client?
Correct Answer: A
Rationale: Nonjudgmental, respectful communication builds trust, encouraging the elderly client to discuss sensitive incontinence issues openly. Comfort, loud speech, and lighting are secondary to effective communication.
Question 4 of 5
Which symptom indicative of renal failure would the nurse expect to note when assessing this client?
Correct Answer: A
Rationale: Anemia is a common symptom of renal failure due to decreased erythropoietin production by the kidneys.
Question 5 of 5
The nurse is examining a 15-year-old female who is complaining of pain, frequency, and urgency when urinating. After asking the parent to leave the room, which question should the nurse ask the client?
Correct Answer: C
Rationale: Sexual activity is a risk factor for UTIs in young females due to urethral irritation. Asking this privately ensures honesty and guides diagnosis/treatment. Menstrual cycle, urine color, and pain relief are secondary.