NCLEX-PN
NCLEX Genitourinary Questions Questions
Extract:
Question 1 of 5
The female client in an outpatient clinic is being sent home with a diagnosis of urinary tract infection (UTI). Which instruction should the nurse teach to prevent a recurrence of a UTI?
Correct Answer: D
Rationale: Avoiding bladder irritants like coffee, tea, colas, and alcohol reduces UTI recurrence risk. Wiping back to front increases infection risk, tub baths are less effective than showers, and voiding before intercourse is less critical than after.
Question 2 of 5
Which problem is the nurse's immediate concern after kidney transplant surgery?
Correct Answer: A
Rationale: Risk for infection is the immediate concern post-transplant due to immunosuppression, which increases susceptibility to infections.
Question 3 of 5
The client diagnosed with renal calculi is scheduled for lithotripsy. Which postprocedure nursing task is the most appropriate to delegate to the UAP?
Correct Answer: C
Rationale: Assisting the client to the car is a non-clinical task within the UAP’s scope. Monitoring urine, teaching catheter care, and taking vital signs require nursing judgment and are not delegable.
Question 4 of 5
Which data support to the nurse the client’s diagnosis of acute bacterial prostatitis?
Correct Answer: D
Rationale: Acute bacterial prostatitis presents with sudden systemic symptoms like fever and chills, often with dysuria. Terminal dribbling, frequency, and incontinence are more typical of BPH or chronic conditions.
Question 5 of 5
The nurse is developing a care map to care for a client diagnosed with chronic renal failure (CRF) on hemodialysis. Which interrelated concepts should be included in the map? Select all that apply.
Correct Answer: A,B,D,F
Rationale: CRF affects fluid/electrolyte balance (impaired excretion), hematologic regulation (anemia from low erythropoietin), metabolism (altered drug clearance), and nutrition (dietary restrictions). Digestion and mobility are less directly impacted.