Genitourinary NCLEX Questions

Extract:

Question 1 of 5

The nurse and an unlicensed assistive personnel (UAP) are caring for clients on a medical floor. Which nursing task is most appropriate for the nurse to delegate?

Correct Answer: A

Rationale: Collecting a clean voided midstream urine specimen is a task within the UAP’s scope, as it involves following a standard procedure. Evaluating intake/output, checking blood, or administering enemas require nursing judgment or specialized training, making them inappropriate for delegation.

Question 2 of 5

The client diagnosed with renal calculi is scheduled for a 24-hour urine specimen collection. Which interventions should the nurse implement? Select all that apply.

A. Check for the ordered diet and medication modifications. B. Instruct the client to urinate, and discard this urine when starting collection. C. Collect all urine during 24 hours and place in appropriate specimen container. D. Insert an indwelling catheter in client after having the client empty the bladder. E. Instruct the UAP to notify the nurse when the client urinates.

Correct Answer: A,B,C

Rationale: For a 24-hour urine collection, ensure diet/medication orders are followed, discard the first void to start the collection period, and collect all subsequent urine. Catheters are unnecessary, and UAP notification is not standard.

Question 3 of 5

The nurse is discharging a client with a healthcare facility acquired urinary tract infection. Which information should the nurse include in the discharge teaching?

A. Limit fluid intake so the urinary tract can heal. B. Collect a routine urine specimen for culture. C. Take all the antibiotics as prescribed. D. Tell the client to void every five (5) to six (6) hours.

Correct Answer: C

Rationale: Completing the full course of antibiotics prevents recurrence and resistance in UTIs. Limiting fluids increases infection risk, routine cultures are unnecessary, and voiding every 2–3 hours is preferred.

Question 4 of 5

The client diagnosed with a fluid and electrolyte disturbance in the emergency department is exhibiting peaked T waves on the STAT electrocardiogram. Which interventions should the nurse implement? List in order of priority.

Order the Items

Source Container

Assess the client for leg and muscle cramps.

Check the serum potassium level.

Notify the health-care provider.

Arrange for a transfer to the telemetry floor.

Administer Kayexalate, a cation resin.

Correct Answer: B,C,E,D,A

Rationale: Peaked T waves indicate hyperkalemia. Priority: 1) Check potassium level to confirm; 2) Notify HCP for orders; 3) Administer Kayexalate to lower potassium; 4) Transfer to telemetry for monitoring; 5) Assess cramps, a less urgent symptom.

Question 5 of 5

When the client asks about the source of donated kidneys, the nurse correctly identifies which of the following as the preferred donor?

A. A additional peritoneal human B. A sibling or living relative C. An unrelated living human D. A chimpanzee or other primate

Correct Answer: B

Rationale: A sibling or living relative is preferred due to better histocompatibility, reducing the risk of rejection.

Genitourinary NCLEX Questions | Nurselytic

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