Genitourinary NCLEX Questions

Extract:

Question 1 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 2 of 5

Which intervention is most important for the nurse to implement for the client diagnosed with rule-out renal calculi?

A. Assess the client’s neurological status every two (2) hours. B. Strain all urine and send any sediment to the laboratory. C. Monitor the client’s creatinine and BUN levels. D. Take a 24-hour dietary recall during the client interview.

Correct Answer: B

Rationale: Straining urine to capture stones or sediment is critical for diagnosing renal calculi, as it confirms the presence and type of stones. Neurological status, lab monitoring, and dietary recall are secondary.

Question 3 of 5

The client is NPO and is receiving total parenteral nutrition (TPN) via a subclavian line. Which precautions should the nurse implement? Select all that apply.

A. Place the solution on an IV pump at the prescribed rate. B. Monitor blood glucose every six (6) hours. C. Weigh the client weekly, first thing in the morning. D. Change the IV tubing every three (3) days. E. Monitor intake and output every shift.

Correct Answer: A,B,E

Rationale: TPN requires an IV pump for precise delivery, frequent glucose monitoring due to high dextrose content, and intake/output monitoring to assess fluid balance. Weekly weights and tubing changes every 3 days are less critical or incorrect.

Question 4 of 5

The client diagnosed with renal calculi is scheduled for a 24-hour urine specimen collection. Which interventions should the nurse implement? Select all that apply.

A. Check for the ordered diet and medication modifications. B. Instruct the client to urinate, and discard this urine when starting collection. C. Collect all urine during 24 hours and place in appropriate specimen container. D. Insert an indwelling catheter in client after having the client empty the bladder. E. Instruct the UAP to notify the nurse when the client urinates.

Correct Answer: A,B,C

Rationale: For a 24-hour urine collection, ensure diet/medication orders are followed, discard the first void to start the collection period, and collect all subsequent urine. Catheters are unnecessary, and UAP notification is not standard.

Question 5 of 5

Which statements should be included when the nurse instructs a female client about the technique for collecting a clean-catch midstream urine specimen for routine urinalysis? Select all that apply.

A. Clean the urethral area using several circular motions. B. Void into the plastic liner under the toilet seat. C. Void a small amount, and then collect a sample of urine. D. Mix the antiseptic solution with the collected urine specimen. E. Collect the urine in the nonsterile cup. F. Drink several caffeinated beverages before collecting the urine.

Correct Answer: A,C

Rationale: Cleaning the urethral area and voiding a small amount before collecting the sample ensure a clean-catch specimen, reducing contamination and ensuring accurate results.

Genitourinary NCLEX Questions | Nurselytic

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