NCLEX-PN
Genitourinary NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse and a licensed practical nurse (LPN) are caring for a group of clients. Which intervention should be assigned to the LPN?
Correct Answer: D
Rationale: Caring for a client going for an MRI involves routine tasks (e.g., transport, preparation) within an LPN’s scope. Assessment, monitoring high WBC, and administering chemotherapy require RN judgment.
Question 2 of 5
Postoperatively, which assessment finding is most suggestive that the client is hemorrhaging?
Correct Answer: B
Rationale: Abdominal distention may indicate internal bleeding, a critical sign of hemorrhage post-nephrectomy.
Question 3 of 5
The nurse observes red urine and several large clots in the tubing of the normal saline continuous irrigation catheter for the client who is one (1) day postoperative TURP. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Red urine and clots indicate bleeding. Increasing the irrigation rate clears clots and prevents catheter obstruction. Removing the catheter is premature, and protamine/vitamin K are for anticoagulant reversal, not surgical bleeding.
Question 4 of 5
The client diagnosed with CKD has a new arteriovenous fistula in the left forearm. Which intervention should the nurse implement?
Correct Answer: A
Rationale:
To protect the new AV fistula, the client should avoid stress on the left arm. Carrying heavy objects with the right arm prevents fistula damage. Blood tests should avoid the fistula arm, lying on it risks compression, and hand exercises are encouraged to promote fistula maturation.
Question 5 of 5
Which information indicates to the nurse the client teaching about treatment of urinary incontinence has been effective?
Correct Answer: C
Rationale: Pelvic floor (Kegel) exercises strengthen muscles to reduce incontinence, indicating effective teaching. Scheduled voiding is a strategy, increased fluids may worsen incontinence, and vaginal cones are not used all day.