NCLEX-PN
Genitourinary NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is planning the care of a postoperative client with an ileal conduit. Which intervention should be included in the plan of care?
Correct Answer: A
Rationale: Meticulous skin care and proper pouching prevent skin breakdown and infection around the ileal conduit stoma. Sterile bags are unnecessary, weekly pH monitoring is not standard, and daily stoma assessment is part of skin care.
Question 2 of 5
When performing a physical assessment, which sensation would the nurse expect to detect when palpating the site of the arteriovenous fistula?
Correct Answer: C
Rationale: A thrill, a buzzing sensation, is expected when palpating a functioning arteriovenous fistula, indicating proper blood flow.
Question 3 of 5
If the client makes the following statements, which information is most important to report to the physician before the client undergoes an intravenous pyelography (IVP)?
Correct Answer: C
Rationale: A previous reaction to a contrast dye, as implied by the gallbladder X-ray reaction, indicates a potential allergy risk, which must be reported before IVP.
Question 4 of 5
Which intervention is most important for the nurse to implement for the client diagnosed with rule-out renal calculi?
Correct Answer: B
Rationale: Straining urine to capture stones or sediment is critical for diagnosing renal calculi, as it confirms the presence and type of stones. Neurological status, lab monitoring, and dietary recall are secondary.
Question 5 of 5
The nurse emptied 2,000 mL from the drainage bag of a continuous irrigation of a client who had a transurethral resection of the prostate (TURP). The amount of irrigation in the bag hanging was 3,000 mL at the beginning of the shift. There was 1,800 mL left in the bag eight (8) hours later. What is the correct urine output at the end of the eight (8) hours?
Correct Answer: 800 mL
Rationale: Irrigation used: 3,000 mL - 1,800 mL = 1,200 mL.
Total drainage: 2,000 mL. Urine output: 2,000 mL - 1,200 mL = 800 mL. This isolates actual urine from irrigation fluid.