NCLEX-PN
NCLEX Genitourinary Questions Questions
Extract:
Question 1 of 5
The client is 12 hours postoperative renal surgery. Which data warrant immediate intervention by the nurse?
Correct Answer: D
Rationale: A vancomycin level of 24 mcg/mL is above the therapeutic range (10–20 mcg/mL), risking nephrotoxicity, especially post-renal surgery. Soft abdomen, no pain on dorsiflexion, and 60 mL urine output are normal.
Question 2 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 3 of 5
Which assessment before and after peritoneal dialysis is most valuable in evaluating the outcome of treatment?
Correct Answer: B
Rationale: Body weight is the most valuable assessment, as weight loss after dialysis indicates effective removal of excess fluid.
Question 4 of 5
If this client is typical of others who acquire bladder cancer, which symptoms are most likely to have manifested in the early stage of this disease? Select all that apply.
Correct Answer: C
Rationale: Painless hematuria is the most common early symptom of bladder cancer.
Question 5 of 5
The client is 12 hours postoperative renal surgery. Which data warrant immediate intervention by the nurse?
Correct Answer: D
Rationale: A vancomycin level of 24 mcg/mL is above the therapeutic range (10–20 mcg/mL), risking nephrotoxicity, especially post-renal surgery. Soft abdomen, no pain on dorsiflexion, and 60 mL urine output are normal.