NCLEX-PN
NCLEX Questions on Genitourinary System Questions
Extract:
Question 1 of 5
The nurse is preparing the discharge teaching plan for the male client with a left-sided nephrectomy. Which statement indicates the teaching is effective?
Correct Answer: B
Rationale: Effective discharge teaching post-nephrectomy includes recognizing signs of infection, such as fever above 101°F, requiring prompt reporting. Returning to work too soon, not monitoring urine output, or resuming a normal diet may be incorrect.
Question 2 of 5
The client is diagnosed with a uric acid stone. Which foods should the client eliminate from the diet to help prevent reoccurrence?
Correct Answer: C
Rationale: Uric acid stones are linked to high purine intake. Venison and sardines are high-purine foods, increasing uric acid production. Beer/colas affect hydration, asparagus/cabbage are low-purine, and cheese/eggs are less relevant.
Question 3 of 5
The nurse is caring for a client with a TURP. Which expected outcome indicates the client’s condition is improving?
Correct Answer: B
Rationale: Relief of bladder spasms indicates reduced irritation and healing post-TURP. Maximum PCA use, scrotal swelling, or hard stools do not reflect improvement and may indicate complications.
Question 4 of 5
The nurse is discussing how to prioritize care with the UAP. Which client should the nurse instruct the UAP to see first?
Correct Answer: B
Rationale: Assisting an elderly woman to the bathroom prevents falls and addresses immediate elimination needs, prioritizing safety. Removing SCDs, changing gowns, and discontinuing IVs are less urgent.
Question 5 of 5
The client diagnosed with chronic renal failure (CRF) is prescribed a 60-gm protein, 2,000-mg sodium diet. Which food choices indicate the client understands the dietary restrictions?
Correct Answer: A
Rationale: A 4-oz chicken breast (≈28 g protein), broccoli, and tea are low-sodium and fit the 60-g protein, 2,000-mg sodium diet. Other options exceed protein/sodium limits with high-sodium foods (ham, cheeseburger, chips).