NCLEX-PN
Genitourinary NCLEX Questions Questions
Extract:
Question 1 of 5
The client is admitted with a serum sodium level of 110 mEq/L. Which nursing intervention should be implemented?
Correct Answer: D
Rationale: Severe hyponatremia (110 mEq/L) increases seizure risk due to cerebral edema. Seizure precautions are the priority to ensure safety. Oral fluids or ADH may worsen hyponatremia, and 10% saline is not standard.
Question 2 of 5
Which nursing assessment is most important before beginning bladder retraining for this client?
Correct Answer: A
Rationale: Recording the times of incontinence helps establish a pattern, which is critical for developing an effective bladder retraining schedule tailored to the client's needs.
Question 3 of 5
The client is in the intensive care department (ICD) after a motor-vehicle accident in which the client lost an estimated three (3) units of blood. Which action by the nurse could prevent the client from developing acute renal failure?
Correct Answer: D
Rationale: Significant blood loss risks prerenal ARF due to hypoperfusion. Maintaining BP above 100/60 ensures adequate renal perfusion. Vital signs, dressing checks, and urine output monitoring are supportive but less preventive.
Question 4 of 5
The nurse is admitting a client diagnosed with acute renal failure (ARF). Which question is most important for the nurse to ask during the admission interview?
Correct Answer: D
Rationale: Acute renal failure can be caused by nephrotoxic agents, including over-the-counter medications like NSAIDs. Asking about medication use identifies potential causes of ARF, which is more directly relevant than travel, exercise, or viral exposure.
Question 5 of 5
The nurse is planning the care of a postoperative client with an ileal conduit. Which intervention should be included in the plan of care?
Correct Answer: A
Rationale: Meticulous skin care and proper pouching prevent skin breakdown and infection around the ileal conduit stoma. Sterile bags are unnecessary, weekly pH monitoring is not standard, and daily stoma assessment is part of skin care.