NCLEX-PN
Genitourinary NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is caring for clients on a renal surgery unit. After the afternoon report, which client should the nurse assess first?
Correct Answer: D
Rationale: No drainage in the ileal conduit bag post-surgery suggests obstruction or complications, risking urine backup and renal damage. This is critical. Lost glasses, serous drainage, and surgical education are less urgent.
Question 2 of 5
Which comment is the best response the nurse can offer?
Correct Answer: D
Rationale: Acknowledging the client's feelings of discouragement validates their emotional state and opens the door for supportive communication.
Question 3 of 5
The client is reporting chills, fever, and left costovertebral pain. Which diagnostic test should the nurse expect the HCP to prescribe first?
Correct Answer: A
Rationale: Chills, fever, and costovertebral pain suggest pyelonephritis. A midstream urine culture is the first test to identify the causative organism. Imaging (sonogram, IVP, CT) is secondary to confirm complications or other diagnoses.
Question 4 of 5
When documenting the client's urine output in the medical record, which measurement is correct for the nurse to record?
Correct Answer: D
Rationale: The combined output from both catheters provides the total urine output, which is essential for accurate monitoring.
Question 5 of 5
After the TURP, which assessment finding would the nurse expect to observe during the immediate postoperative period?
Correct Answer: D
Rationale: Grossly bloody urine is expected immediately after TURP due to surgical trauma to the prostate.