NCLEX-PN
NCLEX Genitourinary Questions Questions
Extract:
Question 1 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients. Which nursing intervention should the nurse perform?
Correct Answer: C
Rationale: Instructing on fluid restrictions requires nursing judgment and education skills, which are outside the UAP’s scope. Measuring output, recording I&O, and providing water are delegable tasks.
Question 2 of 5
The client with possible renal calculi is scheduled for a renal ultrasound. Which intervention should the nurse implement for this procedure?
Correct Answer: D
Rationale: Renal ultrasound is noninvasive, painless, and requires minimal preparation. Explaining this reduces anxiety. No contrast (iodine) is used, NPO is unnecessary, and informed consent is not typically required.
Question 3 of 5
The client diagnosed with cancer of the bladder is scheduled to have a cutaneous urinary diversion procedure. Which preoperative teaching intervention specific to the procedure should be included?
Correct Answer: B
Rationale: A cutaneous urinary diversion (e.g., ileal conduit) requires a stoma and drainage bag. Explaining this prepares the client for post-op care. Coughing/breathing, PCA use, and ICU visits are general, not specific.
Question 4 of 5
The UAP tells the nurse the client with ARF has a white crystal-like layer on top of the skin. Which intervention should the nurse implement?
Correct Answer: D
Rationale: The white crystal-like layer is uremic frost, a result of urea crystallizing on the skin due to severe uremia in ARF. This is an expected finding and requires no specific intervention beyond routine skin care and dialysis to address uremia.
Question 5 of 5
The client had surgery to remove a kidney stone. Which laboratory assessment data warrant immediate intervention by the nurse?
Correct Answer: D
Rationale: An elevated WBC (14,000/mm3) suggests infection, a serious post-surgical complication requiring immediate intervention. Normal potassium (3.8 mEq/L), creatinine (0.8 mg/dL), and microscopic hematuria are expected or benign.