NCLEX Genitourinary Questions

Extract:

Question 1 of 5

The male client diagnosed with CKD secondary to diabetes has been receiving dialysis for 12 years. The client is notified he will not be placed on the kidney transplant list. The client tells the nurse he will not be back for any more dialysis treatments. Which response by the nurse is most therapeutic?

Correct Answer: B

Rationale: A therapeutic response acknowledges the client’s emotions and encourages discussion. Reflecting anger and the desire to quit dialysis validates feelings and opens dialogue. Other options are dismissive, confrontational, or non-therapeutic.

Question 2 of 5

The male client diagnosed with CKD secondary to diabetes has been receiving dialysis for 12 years. The client is notified he will not be placed on the kidney transplant list. The client tells the nurse he will not be back for any more dialysis treatments. Which response by the nurse is most therapeutic?

A. You cannot just quit your dialysis. This is not an option.' B. You’re angry at not being on the list, and you want to quit dialysis?' C. I will call your nephrologist right now so you can talk to the HCP.' D. Make your funeral arrangements because you are going to die.'

Correct Answer: B

Rationale: A therapeutic response acknowledges the client’s emotions and encourages discussion. Reflecting anger and the desire to quit dialysis validates feelings and opens dialogue. Other options are dismissive, confrontational, or non-therapeutic.

Question 3 of 5

The male client diagnosed with metastatic cancer of the bladder is emaciated and refuses to eat. Which nursing action is an example of the ethical principle of paternalism?

A. The nurse allows the client to talk about not wanting to eat. B. The nurse tells the client if he does not eat, a feeding tube will be placed. C. The nurse consults the dietitian about the client’s nutritional needs. D. The nurse asks the family to bring favorite foods for the client to eat.

Correct Answer: B

Rationale: Paternalism involves acting in the client’s best interest without their consent. Threatening a feeding tube overrides the client’s refusal to eat. Allowing discussion, consulting a dietitian, or involving family respect autonomy.

Question 4 of 5

The client diagnosed with ARF is admitted to the intensive care department and placed on a therapeutic diet. Which diet is most appropriate for the client?

A. A high-potassium and low-calcium diet. B. A low-fat and low-cholesterol diet. C. A high-carbohydrate and restricted-protein diet. D. A regular diet with six (6) small feedings a day.

Correct Answer: C

Rationale: ARF patients require a restricted-protein diet to reduce urea production and a high-carbohydrate diet to provide energy, minimizing protein catabolism. High-potassium diets are contraindicated due to hyperkalemia risk, and low-fat or regular diets are less specific.

Question 5 of 5

The nurse is preparing the plan of care for a client with fluid volume deficit. Which interventions should the nurse include in the plan of care? Select all that apply.

A. Monitor vital signs every two (2) hours until stable. B. Monitor the client’s oral intake and urinary output daily. C. Administer mouth care when bathing the client. D. Weigh the client weekly in the same clothing at the same time. E. Assess skin turgor and mucous membranes every shift.

Correct Answer: A,B,E

Rationale: For fluid volume deficit, monitor vital signs frequently for stability, track intake/output daily to assess hydration, and assess skin turgor/mucous membranes for dehydration. Weekly weights are too infrequent, and mouth care during bathing is not specific.

NCLEX Genitourinary Questions | Nurselytic

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