NCLEX-PN
NCLEX Questions on Genitourinary System Questions
Extract:
Question 1 of 5
The client has been vomiting and has had numerous episodes of diarrhea. Which laboratory test should the nurse monitor?
Correct Answer: C
Rationale: Vomiting and diarrhea cause significant potassium loss, leading to hypokalemia, which can cause arrhythmias. Calcium, phosphorus, and sodium are less critically affected in this scenario.
Question 2 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.
Question 3 of 5
Before peritoneal dialysis begins, the nurse correctly informs the client that the procedure involves the movement of urea and creatinine through the peritoneum by means the patient?
Correct Answer: B
Rationale: Diffusion is the primary mechanism by which urea and creatinine move across the peritoneal membrane during dialysis.
Question 4 of 5
The nurse is caring for a pregnant client diagnosed with acute pyelonephritis. Which scientific rationale supports the client being hospitalized for this condition?
Correct Answer: A
Rationale: Acute pyelonephritis in pregnancy risks maternal sepsis and fetal complications (e.g., preterm labor). Hospitalization ensures aggressive IV antibiotic treatment and monitoring. Dehydration and antibiotic fears are secondary concerns.
Question 5 of 5
Which assessment finding indicates that the client with urolithiasis is experiencing a complication?
Correct Answer: C
Rationale: Fever and chills suggest a possible urinary tract infection or obstruction, which are complications of urolithiasis.