NCLEX-PN
NCLEX Questions on Genitourinary System Questions
Extract:
Question 1 of 5
The client diagnosed with chronic renal failure (CRF) is prescribed a 60-gm protein, 2,000-mg sodium diet. Which food choices indicate the client understands the dietary restrictions?
Correct Answer: A
Rationale: A 4-oz chicken breast (≈28 g protein), broccoli, and tea are low-sodium and fit the 60-g protein, 2,000-mg sodium diet. Other options exceed protein/sodium limits with high-sodium foods (ham, cheeseburger, chips).
Question 2 of 5
The client is diagnosed with a uric acid stone. Which foods should the client eliminate from the diet to help prevent reoccurrence?
Correct Answer: C
Rationale: Uric acid stones are linked to high purine intake. Venison and sardines are high-purine foods, increasing uric acid production. Beer/colas affect hydration, asparagus/cabbage are low-purine, and cheese/eggs are less relevant.
Question 3 of 5
The nurse is developing a nursing care plan for the client diagnosed with CKD. Which nursing problem is priority for the client?
Correct Answer: D
Rationale: Excess fluid volume is the priority in CKD due to impaired kidney excretion, leading to edema, hypertension, and heart failure risk. Fluid overload is a life-threatening issue, whereas self-esteem, knowledge, and activity intolerance are secondary.
Question 4 of 5
The nurse is teaching the female client diagnosed with tuberculosis of the urinary tract prior to discharge. Which information should the nurse include specific to this diagnosis?
Correct Answer: B
Rationale: Urinary TB can spread to sexual partners, so condoms are recommended during treatment. Medication timing, chest x-rays (for pulmonary T
B), and diet/fluids are general or less specific.
Question 5 of 5
When the nurse interviews the client, which symptoms will the client most likely report if a bladder infection has been acquired? Select all that apply.
Correct Answer: C,D,E,F
Rationale: Symptoms of a bladder infection typically include strong-smelling urine, burning on urination, urgency, and frequency, as these reflect irritation and inflammation of the bladder.