NCLEX Genitourinary Questions

Extract:

Question 1 of 5

The nurse is caring for a client diagnosed with rule-out ARF. Which condition predisposes the client to developing prerenal failure?

Correct Answer: B

Rationale: Prerenal failure results from decreased renal perfusion. Hypotension reduces blood flow to the kidneys, directly causing prerenal ARF. Diabetes and aminoglycosides contribute to intrinsic renal damage, while BPH causes postrenal issues.

Question 2 of 5

Which dietary recommendation should the nurse provide to the client to prevent the recurrence of calcium oxalate stones?

A. Increase intake of leafy green vegetables B. Limit intake of oxalate-rich foods C. Avoid all protein-rich foods D. Decrease fluid intake

Correct Answer: B

Rationale: Limiting oxalate-rich foods (e.g., spinach, nuts) reduces the formation of calcium oxalate stones.

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?

A. Demonstrate turn, cough, and deep breathing. B. Explain a bag will drain the urine from now on. C. Instruct the client on the use of a PCA pump. D. Take the client to the ICD so the client can become familiar with it.

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 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 5 of 5

Which intervention should the nurse include when assessing the client for urinary retention? Select all that apply.

A. Inquire if the client has the sensation of fullness. B. Percuss the suprapubic region for a dull sound. C. Scan the bladder with the ultrasound scanner. D. Palpate from the umbilicus to the suprapubic area. E. Auscultate the two (2) lower abdominal quadrants.

Correct Answer: A,B,C,D

Rationale: Assessing urinary retention involves asking about fullness, percussing for dullness (indicating a full bladder), scanning with ultrasound for residual urine, and palpating for a distended bladder. Auscultation is not relevant.

NCLEX Genitourinary Questions | Nurselytic

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