NCLEX-PN
NCLEX Questions on Genitourinary System Questions
Extract:
Question 1 of 5
The elderly client recovering from a prostatectomy has been experiencing stress incontinence. Which independent nursing intervention should the nurse discuss with the client?
Correct Answer: D
Rationale: A bladder drill with timed voiding strengthens bladder control and reduces stress incontinence post-prostatectomy. Voiding every 2 hours is part of it, family assistance reduces independence, and electrical stimulators are not standard.
Question 2 of 5
The nurse is caring for a pregnant client diagnosed with acute pyelonephritis. Which scientific rationale supports the client being hospitalized for this condition?
Correct Answer: A
Rationale: Acute pyelonephritis in pregnancy risks maternal sepsis and fetal complications (e.g., preterm labor). Hospitalization ensures aggressive IV antibiotic treatment and monitoring. Dehydration and antibiotic fears are secondary concerns.
Question 3 of 5
The nurse is caring for a client with a TURP. Which expected outcome indicates the client’s condition is improving?
Correct Answer: B
Rationale: Relief of bladder spasms indicates reduced irritation and healing post-TURP. Maximum PCA use, scrotal swelling, or hard stools do not reflect improvement and may indicate complications.
Question 4 of 5
The nurse is preparing the discharge teaching plan for the male client with a left-sided nephrectomy. Which statement indicates the teaching is effective?
Correct Answer: B
Rationale: Effective discharge teaching post-nephrectomy includes recognizing signs of infection, such as fever above 101°F, requiring prompt reporting. Returning to work too soon, not monitoring urine output, or resuming a normal diet may be incorrect.
Question 5 of 5
The nurse is teaching the female client diagnosed with tuberculosis of the urinary tract prior to discharge. Which information should the nurse include specific to this diagnosis?
Correct Answer: B
Rationale: Urinary TB can spread to sexual partners, so condoms are recommended during treatment. Medication timing, chest x-rays (for pulmonary T
B), and diet/fluids are general or less specific.