NCLEX Genitourinary Questions

Extract:

Question 1 of 5

The nurse performs bladder irrigation through an indwelling catheter. The nurse instilled 90 mL of sterile normal saline. The catheter drained 710 mL. What is the client’s output?

Correct Answer: 620 mL

Rationale: Urine output =
Total drainage - Irrigation fluid instilled = 710 mL - 90 mL = 620 mL. This isolates the client’s actual urine production from the irrigation fluid.

Question 2 of 5

The male client diagnosed with metastatic cancer of the bladder is emaciated and refuses to eat. Which nursing action is an example of the ethical principle of paternalism?

A. The nurse allows the client to talk about not wanting to eat. B. The nurse tells the client if he does not eat, a feeding tube will be placed. C. The nurse consults the dietitian about the client’s nutritional needs. D. The nurse asks the family to bring favorite foods for the client to eat.

Correct Answer: B

Rationale: Paternalism involves acting in the client’s best interest without their consent. Threatening a feeding tube overrides the client’s refusal to eat. Allowing discussion, consulting a dietitian, or involving family respect autonomy.

Question 3 of 5

Which client should the nurse not assign to a UAP working on a surgical floor?

A. The client with a suprapubic catheter inserted yesterday. B. The client who has had an indwelling catheter for the past week. C. The client who is on a bladder-training regimen. D. The client who had a catheter removed this morning and is being discharged.

Correct Answer: C

Rationale: A client on a bladder-training regimen requires nursing judgment to assess progress and adjust the plan, which is outside the UAP’s scope. Routine catheter care or post-removal care can be assigned.

Question 4 of 5

If this client shares cultural characteristics of other Native Americans, which findings in the cultural assessment should be included in the client's care plan? Select all that apply.

A. Native Americans may hesitate to share personal information with strangers. B. Questions regarding health history may be interpreted as prying. C. Native Americans value listening skills. D. Touching on the head is considered offensive. E. Native Americans pattern their lifestyle according to 'clock time.' F. Direct eye contact should be used when addressing the client or family.

Correct Answer: A,B,C

Rationale: These cultural characteristics reflect common Native American values and should guide culturally sensitive care.

Question 5 of 5

Which problem is the nurse's immediate concern after kidney transplant surgery?

A. Risk for infection B. Fluid overload C. Hypotension D. Pain management

Correct Answer: A

Rationale: Risk for infection is the immediate concern post-transplant due to immunosuppression, which increases susceptibility to infections.

NCLEX Genitourinary Questions | Nurselytic

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NCLEX-PN

NCLEX-PN