NCLEX-PN
NCLEX Genitourinary Questions Questions
Extract:
Question 1 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 2 of 5
Which response by the nurse is most appropriate?
Correct Answer: C
Rationale:
To comply with HIPAA, the nurse must protect the client's privacy and not disclose health information without consent, making this the most appropriate response.
Question 3 of 5
The UAP tells the nurse the client with ARF has a white crystal-like layer on top of the skin. Which intervention should the nurse implement?
Correct Answer: D
Rationale: The white crystal-like layer is uremic frost, a result of urea crystallizing on the skin due to severe uremia in ARF. This is an expected finding and requires no specific intervention beyond routine skin care and dialysis to address uremia.
Question 4 of 5
When the client questions why both drugs are not taken daily, which response by the nurse is best?
Correct Answer: B
Rationale: Alternating methylprednisolone and prednisone helps maintain adrenal function by mimicking natural cortisol rhythms, reducing suppression of the adrenal glands.
Question 5 of 5
Which client should the nurse not assign to a UAP working on a surgical floor?
Correct Answer: C
Rationale: A client on a bladder-training regimen requires nursing judgment to assess progress and adjust the plan, which is outside the UAP’s scope. Routine catheter care or post-removal care can be assigned.