Genitourinary NCLEX Questions

Extract:

Question 1 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.

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 2 of 5

The nurse is caring for the client recovering from a percutaneous renal biopsy. Which data indicate the client is complying with client teaching?

A. The client is lying flat in the saline position. B. The client continues oral fluids restriction while on bedrest. C. The client uses the bedside commode to urinate. D. The client refuses to ask for any pain medication.

Correct Answer: A

Rationale: Post-renal biopsy, lying flat (supine, assuming 'saline' is a typo) prevents bleeding complications, indicating compliance. Fluid restriction is unnecessary, using a commode risks bleeding, and refusing pain meds is unrelated.

Question 3 of 5

When performing a physical assessment, which sensation would the nurse expect to detect when palpating the site of the arteriovenous fistula?

A. A pulse B. A bruit C. A thrill D. A click

Correct Answer: C

Rationale: A thrill, a buzzing sensation, is expected when palpating a functioning arteriovenous fistula, indicating proper blood flow.

Question 4 of 5

The nurse is caring for the client diagnosed with chronic kidney disease (CKD) who is experiencing metabolic acidosis. Which statement best describes the scientific rationale for metabolic acidosis in this client?

A. There is an increased excretion of phosphates and organic acids, which leads to an increase in arterial blood pH. B. A shortened life span of red blood cells because of damage secondary to dialysis treatments in turn leads to metabolic acidosis. C. The kidney cannot excrete increased levels of acid because they cannot excrete ammonia or cannot reabsorb sodium bicarbonate. D. An increase in nausea and vomiting causes a loss of hydrochloric acid and the respiratory system cannot compensate adequately.

Correct Answer: C

Rationale: In CKD, the kidneys fail to excrete acids (via ammonia) and reabsorb bicarbonate, leading to metabolic acidosis. Increased acid excretion would raise pH, RBC lifespan affects anemia, and vomiting causes alkalosis, not acidosis.

Question 5 of 5

Which comment is the best response the nurse can offer?

A. You're a very nice person. B. You're a very nice person. C. You should expect this at your age. D. You're discouraged right now.

Correct Answer: D

Rationale: Acknowledging the client's feelings of discouragement validates their emotional state and opens the door for supportive communication.

Genitourinary NCLEX Questions | Nurselytic

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NCLEX-PN

NCLEX-PN