NCLEX-PN
Genitourinary NCLEX Questions Questions
Extract:
Question 1 of 5
The client is admitted to a nursing unit from a long-term care facility with a hematocrit of 56% and a serum sodium level of 152 mEq/L. Which condition is a cause for these findings?
Correct Answer: C
Rationale: Elevated hematocrit (56%) and hypernatremia (152 mEq/L) indicate dehydration, which concentrates blood components and sodium. Overhydration dilutes these values, anemia lowers hematocrit, and renal failure typically causes hyponatremia.
Question 2 of 5
The nurse is caring for clients on a renal surgery unit. After the afternoon report, which client should the nurse assess first?
Correct Answer: D
Rationale: No drainage in the ileal conduit bag post-surgery suggests obstruction or complications, risking urine backup and renal damage. This is critical. Lost glasses, serous drainage, and surgical education are less urgent.
Question 3 of 5
The client is experiencing urinary incontinence. Which intervention should the nurse implement?
Correct Answer: B
Rationale: A high-fiber diet prevents constipation, which can exacerbate incontinence by pressuring the bladder. Prune juice is too specific, voiding every 6 hours is too infrequent, and cotton underwear is secondary.
Question 4 of 5
When the client asks about the source of donated kidneys, the nurse correctly identifies which of the following as the preferred donor?
Correct Answer: B
Rationale: A sibling or living relative is preferred due to better histocompatibility, reducing the risk of rejection.
Question 5 of 5
When the nurse inspects the client's urine specimen, which finding best indicates that the urine contains red blood cells?
Correct Answer: B
Rationale: Smoky urine is indicative of hematuria (red blood cells in the urine), a common finding in glomerulonephritis due to kidney inflammation.