NCLEX-PN
NCLEX Genitourinary Questions Questions
Extract:
Question 1 of 5
The client had surgery to remove a kidney stone. Which laboratory assessment data warrant immediate intervention by the nurse?
Correct Answer: D
Rationale: An elevated WBC (14,000/mm3) suggests infection, a serious post-surgical complication requiring immediate intervention. Normal potassium (3.8 mEq/L), creatinine (0.8 mg/dL), and microscopic hematuria are expected or benign.
Question 2 of 5
Before administering an analgesic to the client, which information is most important for the nurse to assess?
Correct Answer: C
Rationale: Ensuring the catheter is draining urine is critical to prevent bladder distention, which could exacerbate discomfort.
Question 3 of 5
The nurse is developing a care map to care for a client diagnosed with chronic renal failure (CRF) on hemodialysis. Which interrelated concepts should be included in the map? Select all that apply.
Correct Answer: A,B,D,F
Rationale: CRF affects fluid/electrolyte balance (impaired excretion), hematologic regulation (anemia from low erythropoietin), metabolism (altered drug clearance), and nutrition (dietary restrictions). Digestion and mobility are less directly impacted.
Question 4 of 5
The client diagnosed with ARF is admitted to the intensive care department and placed on a therapeutic diet. Which diet is most appropriate for the client?
Correct Answer: C
Rationale: ARF patients require a restricted-protein diet to reduce urea production and a high-carbohydrate diet to provide energy, minimizing protein catabolism. High-potassium diets are contraindicated due to hyperkalemia risk, and low-fat or regular diets are less specific.
Question 5 of 5
When a client asks the clinic nurse why women have more bladder infections than men, which answer is most accurate?
Correct Answer: C
Rationale: The shorter female urethra allows pathogens easier access to the bladder, increasing the risk of bladder infections.