NCLEX-PN
Genitourinary NCLEX Questions Questions
Extract:
Question 1 of 5
The client is reporting chills, fever, and left costovertebral pain. Which diagnostic test should the nurse expect the HCP to prescribe first?
Correct Answer: A
Rationale: Chills, fever, and costovertebral pain suggest pyelonephritis. A midstream urine culture is the first test to identify the causative organism. Imaging (sonogram, IVP, CT) is secondary to confirm complications or other diagnoses.
Question 2 of 5
Which intervention is most important for the nurse to implement for the client diagnosed with rule-out renal calculi?
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 diagnosed with ARF has a serum potassium level of 6.8 mEq/L. Which collaborative treatment should the nurse anticipate for the client?
Correct Answer: D
Rationale: A potassium level of 6.8 mEq/L indicates severe hyperkalemia, which can cause cardiac arrhythmias. Dialysis is the most effective treatment to rapidly lower potassium in ARF. Phosphate binders, blood transfusions, or assessing cramps do not address hyperkalemia directly.
Question 4 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 5 of 5
When administering the bladder instillation containing the chemotherapeutic drug, which safety precaution is most important for the nurse to take?
Correct Answer: A
Rationale: Wearing two pairs of latex gloves protects the nurse from exposure to the chemotherapeutic drug during instillation.