Genitourinary NCLEX Questions

Extract:

Question 1 of 5

The nurse is preparing the plan of care for the client diagnosed with a neurogenic flaccid bladder. Which expected outcome is appropriate for this client?

Correct Answer: B

Rationale: A neurogenic flaccid bladder lacks tone, risking overdistention. Preventing this is a key outcome to avoid complications like infection or reflux. Conscious control and sensation are unlikely, and checking distention is an intervention.

Question 2 of 5

Because the client also has diabetes mellitus, which statement by the nurse best explains why that client is at higher risk for a training in a bladder infection?

A. Glucose in urine supports bacterial growth. B. Diabetes suppresses white blood cell activity. C. Diabetic clients urinate more frequently. D. The urine is more concentrated in diabetic clients.

Correct Answer: A

Rationale: Glucose in the urine, common in diabetes, provides a nutrient-rich environment that promotes bacterial growth, increasing infection risk.

Question 3 of 5

The nurse is admitting a client diagnosed with acute renal failure (ARF). Which question is most important for the nurse to ask during the admission interview?

A. Have you recently traveled outside the United States? B. Did you recently begin a vigorous exercise program? C. Is there a chance you have been exposed to a virus? D. What over-the-counter medications do you take regularly?

Correct Answer: D

Rationale: Acute renal failure can be caused by nephrotoxic agents, including over-the-counter medications like NSAIDs. Asking about medication use identifies potential causes of ARF, which is more directly relevant than travel, exercise, or viral exposure.

Question 4 of 5

The client with a continent urinary diversion is being discharged. Which discharge instructions should the nurse include in the teaching?

A. Have the client demonstrate catheterizing the stoma. B. Instruct the client on how to pouch the stoma. C. Explain the use of a bedside drainage bag at night. D. Tell the client to call the HCP if the temperature is 99°F or less.

Correct Answer: A

Rationale: A continent urinary diversion (e.g., Indiana pouch) requires periodic catheterization of the stoma. Demonstrating this ensures the client can manage it. Pouching and drainage bags are for incontinent diversions, and a 99°F fever is not concerning.

Question 5 of 5

The client diagnosed with renal calculi is scheduled for a 24-hour urine specimen collection. Which interventions should the nurse implement? Select all that apply.

A. Check for the ordered diet and medication modifications. B. Instruct the client to urinate, and discard this urine when starting collection. C. Collect all urine during 24 hours and place in appropriate specimen container. D. Insert an indwelling catheter in client after having the client empty the bladder. E. Instruct the UAP to notify the nurse when the client urinates.

Correct Answer: A,B,C

Rationale: For a 24-hour urine collection, ensure diet/medication orders are followed, discard the first void to start the collection period, and collect all subsequent urine. Catheters are unnecessary, and UAP notification is not standard.

Genitourinary NCLEX Questions | Nurselytic

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