NCLEX-PN
NCLEX Questions on Genitourinary System Questions
Extract:
Question 1 of 5
The nurse is examining a 15-year-old female who is complaining of pain, frequency, and urgency when urinating. After asking the parent to leave the room, which question should the nurse ask the client?
Correct Answer: C
Rationale: Sexual activity is a risk factor for UTIs in young females due to urethral irritation. Asking this privately ensures honesty and guides diagnosis/treatment. Menstrual cycle, urine color, and pain relief are secondary.
Question 2 of 5
The client diagnosed with ARF is experiencing hyperkalemia. Which medication should the nurse prepare to administer to help decrease the potassium level?
Correct Answer: C
Rationale: Regular insulin, often given with glucose, drives potassium into cells, temporarily lowering serum potassium levels in hyperkalemia. Calcium gluconate stabilizes cardiac membranes, erythropoietin treats anemia, and osmotic diuretics are not used for hyperkalemia.
Question 3 of 5
Which symptom indicative of renal failure would the nurse expect to note when assessing this client?
Correct Answer: A
Rationale: Anemia is a common symptom of renal failure due to decreased erythropoietin production by the kidneys.
Question 4 of 5
When teaching a client with cystitis about urinary tract irritants, the nurse correctly identifies which of the following substances as potential irritants to avoid? Select all that apply.
Correct Answer: A,C,E
Rationale: Alcohol, tea, and coffee are bladder irritants that can exacerbate cystitis symptoms, while milk and pears are generally neutral.
Question 5 of 5
The nurse is caring for an elderly client who has an indwelling catheter. Which data warrant further investigation?
Correct Answer: B
Rationale: New-onset confusion and irritability in an elderly client with a catheter suggest a possible UTI, requiring investigation. Normal temperature, clear urine, and urge sensation are expected or less concerning.