NCLEX-PN
Genitourinary NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The telemetry monitor technician notifies the nurse of the morning telemetry readings. Which client should the nurse assess first?
Correct Answer: A
Rationale: Peaked T waves indicate hyperkalemia, which can lead to life-threatening arrhythmias, requiring immediate assessment. Atrial fibrillation, PVCs, and first-degree AV block are less urgent unless unstable.
Question 2 of 5
Which intervention should the nurse implement for the client who has had an ileal conduit?
Correct Answer: D
Rationale: Monitoring the stoma for infection (e.g., redness, discharge) prevents complications. Pouching requires a precise fit, not a 1-inch margin; ostomy referrals are secondary; and decreased output is monitored but not always reported immediately.
Question 3 of 5
When the nurse reviews the results of the client's urinalysis, which substance in the urine is most suggestive of a bladder infection?
Correct Answer: B
Rationale: Blood in the urine (hematuria) is a common sign of a bladder infection due to inflammation and irritation of the bladder lining.
Question 4 of 5
Which information indicates to the nurse the client teaching about treatment of urinary incontinence has been effective?
Correct Answer: C
Rationale: Pelvic floor (Kegel) exercises strengthen muscles to reduce incontinence, indicating effective teaching. Scheduled voiding is a strategy, increased fluids may worsen incontinence, and vaginal cones are not used all day.
Question 5 of 5
The client diagnosed with chronic renal failure (CRF) is prescribed hemodialysis on Monday, Wednesday, and Friday. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,B,D
Rationale: Weighing pre/post-dialysis assesses fluid removal, fluid restriction education prevents overload, and monitoring the access site prevents complications. Salty snacks increase thirst, and conversation is not a priority intervention.