NCLEX-PN
NCLEX Questions on Genitourinary System Questions
Extract:
Question 1 of 5
The client diagnosed with cancer of the bladder states, 'I have young children. I am too young to die.' Which statement is the nurse’s best response?
Correct Answer: C
Rationale: Reflecting the client’s fear of dying and concern for their children validates emotions and encourages dialogue. Reassurance, generalizing cancer, or prompting child discussions may dismiss the client’s feelings.
Question 2 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 3 of 5
Which urinary change provides the best evidence that the phenazopyridine (Pyridium) is achieving its intended therapeutic effect?
Correct Answer: C
Rationale: Phenazopyridine is prescribed to relieve urinary burning, so a decrease in this symptom indicates the medication is effective.
Question 4 of 5
The client diagnosed with ARF is placed on bedrest. The client asks the nurse, 'Why do I have to stay in bed? I don’t feel bad.' Which scientific rationale supports the nurse’s response?
Correct Answer: B
Rationale: Bedrest reduces the body’s metabolic demands, minimizing stress on the kidneys during the acute phase of ARF. It does not directly increase renal blood flow, reduce heart workload, or address edema in this context.
Question 5 of 5
If the client asks the nurse to outline the benefits of the cystoscopy procedure, which ones should the nurse list as possible? Select all that apply.
Correct Answer: B,C,F
Rationale: Cystoscopy identifies causes of urinary symptoms, allows sample collection, and is minimally invasive via the urethra.