NCLEX-PN
Genitourinary NCLEX Questions Questions
Extract:
Question 1 of 5
The client who is postoperative TURP asks the nurse, 'When will I know if I will be able to have sex after my TURP?' Which response is most appropriate by the nurse?
Correct Answer: C
Rationale: Sexual function typically resumes 6–8 weeks post-TURP, providing a direct and reassuring answer. Other responses avoid the question or assume anxiety without addressing the concern.
Question 2 of 5
When the client asks about the source of donated kidneys, the nurse correctly identifies which of the following as the preferred donor?
Correct Answer: B
Rationale: A sibling or living relative is preferred due to better histocompatibility, reducing the risk of rejection.
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 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?
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
Immediately after the dialysate solution has been instilled, which nursing action is correct?
Correct Answer: A
Rationale: Clamping the tubing after instillation allows the dialysate to dwell, facilitating the exchange of waste products.