NCLEX-PN
Genitourinary NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The client diagnosed with renal calculi is admitted to the medical unit. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Severe pain is a hallmark of renal calculi, and complications like obstruction or infection must be ruled out first. Pain assessment guides treatment. Monitoring output, increasing fluids, and using a gait belt are secondary.
Question 2 of 5
The client is diagnosed with an acute episode of ureteral calculi. Which client problem is priority when caring for this client?
Correct Answer: D
Rationale: Severe pain (alteration in comfort) is the priority in acute ureteral calculi, as it affects the client’s immediate well-being and requires prompt management. Fluid loss, urinary elimination, and knowledge are secondary.
Question 3 of 5
The client with a history of renal calculi calls the clinic and reports having burning on urination, chills, and an elevated temperature. Which instruction should the nurse discuss with the client?
Correct Answer: C
Rationale: Burning, chills, and fever suggest a UTI, possibly related to calculi. A urinalysis specimen is needed to diagnose and guide treatment. Increasing fluids, taking Tylenol, or straining urine are secondary.
Question 4 of 5
Which modifiable risk factor should the nurse identify for the development of cancer of the bladder in a client?
Correct Answer: C
Rationale: Cigarette smoking is a major modifiable risk factor for bladder cancer due to carcinogenic compounds in tobacco. Chemical exposure and radiation are risks but less modifiable, and parasitic infections are rare.
Question 5 of 5
The nurse and a licensed practical nurse (LPN) are caring for a group of clients. Which intervention should be assigned to the LPN?
Correct Answer: D
Rationale: Caring for a client going for an MRI involves routine tasks (e.g., transport, preparation) within an LPN’s scope. Assessment, monitoring high WBC, and administering chemotherapy require RN judgment.