NCLEX-PN
Genitourinary NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is assessing a client diagnosed with urethral strictures. Which data support the diagnosis?
Correct Answer: D
Rationale: Urethral strictures obstruct urine flow, causing a diminished force and stream. Frequency, urgency, and burning suggest UTI, and clear drainage is unrelated.
Question 2 of 5
The nurse is observing the UAP providing direct care to a client with an indwelling catheter. Which data warrant immediate intervention by the nurse?
Correct Answer: C
Rationale: Placing the collection bag on the bed risks contamination and infection, as it should be below bladder level and off surfaces. Securing tubing, providing care during bathing, and hand washing are appropriate.
Question 3 of 5
If this client's condition is similar to that of others in the oliguric phase of renal failure, the nurse would anticipate the client's urine output to be within what range?
Correct Answer: D
Rationale: The oliguric phase of renal failure is characterized by a urine output of 100–500 mL/day, reflecting significantly reduced kidney function.
Question 4 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.
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 5 of 5
When administering the bladder instillation containing the chemotherapeutic drug, which safety precaution is most important for the nurse to take?
Correct Answer: A
Rationale: Wearing two pairs of latex gloves protects the nurse from exposure to the chemotherapeutic drug during instillation.