NCLEX-PN
Genitourinary NCLEX Questions Questions
Extract:
Question 1 of 5
The client with a continent urinary diversion is being discharged. Which discharge instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: A continent urinary diversion (e.g., Indiana pouch) requires periodic catheterization of the stoma. Demonstrating this ensures the client can manage it. Pouching and drainage bags are for incontinent diversions, and a 99°F fever is not concerning.
Question 2 of 5
The laboratory data reveal a calcium phosphate renal stone for a client diagnosed with renal calculi. Which discharge teaching intervention should the nurse implement?
Correct Answer: C
Rationale: Calcium phosphate stones are linked to hypercalciuria. Limiting vitamin D-enriched foods reduces calcium absorption, preventing recurrence. Low-purine diets are for uric acid stones, water restriction is contraindicated, and ESWL is a treatment, not teaching.
Question 3 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 4 of 5
The client from a long-term care facility is admitted to the medical unit with a fever, hot flushed skin, and clumps of white sediment in the indwelling catheter. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Symptoms suggest a catheter-associated UTI. Collecting a urine culture first identifies the causative organism, guiding antibiotic therapy. Starting an IV, antibiotics, or changing the catheter are secondary to obtaining a diagnostic sample.
Question 5 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.