NCLEX-PN
NCLEX Questions on Genitourinary System Questions
Extract:
Question 1 of 5
The elderly client being seen in the clinic has complaints of urinary frequency, urgency, and 'leaking.' Which priority intervention should the nurse implement when interviewing the client?
Correct Answer: A
Rationale: Nonjudgmental, respectful communication builds trust, encouraging the elderly client to discuss sensitive incontinence issues openly. Comfort, loud speech, and lighting are secondary to effective communication.
Question 2 of 5
Which assessment supports the nurse's assumption that the client's sleep disturbance was most likely due to anxiety?
Correct Answer: A
Rationale: Pacing before bedtime is a behavioral sign of anxiety, supporting the assumption that anxiety caused the sleep disturbance.
Question 3 of 5
The nurse is developing a nursing care plan for the client diagnosed with CKD. Which nursing problem is priority for the client?
Correct Answer: D
Rationale: Excess fluid volume is the priority in CKD due to impaired kidney excretion, leading to edema, hypertension, and heart failure risk. Fluid overload is a life-threatening issue, whereas self-esteem, knowledge, and activity intolerance are secondary.
Question 4 of 5
After the cystoscopy, which urinary symptom can the nurse expect the client to report?
Correct Answer: A
Rationale: A sense of urgency is common after cystoscopy due to urethral irritation from the procedure.
Question 5 of 5
Which outcome should the nurse identify for the client diagnosed with fluid volume excess?
Correct Answer: C
Rationale: No adventitious breath sounds (e.g., crackles) indicates resolution of pulmonary edema from fluid volume excess. Adequate urine output and elastic skin turgor are normal but not specific, and creatinine reflects renal function, not fluid status.