NCLEX Genitourinary Questions

Extract:

Question 1 of 5

The UAP tells the nurse the client with ARF has a white crystal-like layer on top of the skin. Which intervention should the nurse implement?

Correct Answer: D

Rationale: The white crystal-like layer is uremic frost, a result of urea crystallizing on the skin due to severe uremia in ARF. This is an expected finding and requires no specific intervention beyond routine skin care and dialysis to address uremia.

Question 2 of 5

The client diagnosed with cancer of the bladder is scheduled to have a cutaneous urinary diversion procedure. Which preoperative teaching intervention specific to the procedure should be included?

A. Demonstrate turn, cough, and deep breathing. B. Explain a bag will drain the urine from now on. C. Instruct the client on the use of a PCA pump. D. Take the client to the ICD so the client can become familiar with it.

Correct Answer: B

Rationale: A cutaneous urinary diversion (e.g., ileal conduit) requires a stoma and drainage bag. Explaining this prepares the client for post-op care. Coughing/breathing, PCA use, and ICU visits are general, not specific.

Question 3 of 5

The male client diagnosed with CKD has received the initial dose of erythropoietin, a biologic response modifier, one (1) week ago. Which complaint by the client indicates the need to notify the health-care provider?

A. The client complains of flu-like symptoms. B. The client complains of being tired all the time. C. The client reports an elevation in his blood pressure. D. The client reports discomfort in his legs and back.

Correct Answer: C

Rationale: Erythropoietin can cause hypertension as a side effect, which is significant in CKD patients and warrants notifying the provider. Flu-like symptoms and fatigue are common and expected, while leg/back discomfort is less specific.

Question 4 of 5

Which statement by the client with an ileal conduit indicates a need for further teaching?

A. I will change the pouch every 5 to 7 days. B. I will keep the skin around the stoma clean and dry. C. I will empty the pouch when it is one-third full. D. I will avoid drinking fluids to reduce urine output.

Correct Answer: D

Rationale: Avoiding fluids is incorrect, as adequate fluid intake is necessary to maintain urine flow and prevent complications.

Question 5 of 5

The client diagnosed with CKD is receiving peritoneal dialysis. Which assessment data warrant immediate intervention by the nurse?

A. Inability to auscultate a bruit over the fistula. B. The client’s abdomen is soft, is nontender, and has bowel sounds. C. The dialysate being removed from the client’s abdomen is clear. D. The dialysate instilled was 1,500 mL and removed was 1,500 mL.

Correct Answer: A

Rationale: Peritoneal dialysis does not involve a fistula, so inability to auscultate a bruit suggests a documentation error or confusion with hemodialysis, requiring immediate clarification. Soft abdomen, clear dialysate, and equal instill/removal volumes are normal findings.

NCLEX Genitourinary Questions | Nurselytic

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