NCLEX-PN
NCLEX Genitourinary Questions Questions
Extract:
Question 1 of 5
The client is two (2) days postureterosigmoidostomy for cancer of the bladder. Which assessment data warrant notification of the HCP by the nurse?
Correct Answer: D
Rationale: A rigid abdomen and fetal position suggest peritonitis or other serious complications (e.g., anastomotic leak) post-ureterosigmoidostomy, requiring immediate HCP notification. Mild pain, coughing discomfort, and ambulation are less urgent.
Question 2 of 5
The client diagnosed with ARF is admitted to the intensive care department and placed on a therapeutic diet. Which diet is most appropriate for the client?
Correct Answer: C
Rationale: ARF patients require a restricted-protein diet to reduce urea production and a high-carbohydrate diet to provide energy, minimizing protein catabolism. High-potassium diets are contraindicated due to hyperkalemia risk, and low-fat or regular diets are less specific.
Question 3 of 5
Which assessment before and after peritoneal dialysis is most valuable in evaluating the outcome of treatment?
Correct Answer: B
Rationale: Body weight is the most valuable assessment, as weight loss after dialysis indicates effective removal of excess fluid.
Question 4 of 5
Which nursing instruction is most appropriate for prevention and treatment in the client's urine?
Correct Answer: C
Rationale: Drinking 3 quarts of water daily promotes urine production, helping to flush bacteria from the urinary tract and prevent infection.
Question 5 of 5
The client is one (1) day postoperative TURP. Which task should the nurse delegate to the UAP?
Correct Answer: B
Rationale: Elevating the scrotum is a simple supportive task within the UAP’s scope. Adjusting irrigation, changing dressings, and teaching require nursing judgment and are not delegable.