NCLEX-PN
Genitourinary NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
To avoid erroneous test results caused by the manipulation of the prostate, which diagnostic test should be performed before the client's rectal examination?
Correct Answer: C
Rationale: The PSA test should be done before rectal examination, as manipulation can elevate PSA levels, leading to false results.
Question 2 of 5
The client has received IV solutions for three (3) days through a 20-gauge IV catheter placed in the left cephalic vein. On morning rounds, the nurse notes the IV site is tender to palpation and a red streak has formed. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Tenderness and a red streak indicate phlebitis or infection. Discontinuing the IV line prevents further complications. Starting a new IV, completing an incident report, or applying warmth are secondary actions.
Question 3 of 5
When the client asks the nurse to clarify the surgeon's explanation of the procedure, which statement is most accurate?
Correct Answer: C
Rationale: An ileal conduit diverts urine to an abdominal stoma, where it drains externally.
Question 4 of 5
When the client with an ileal conduit expresses concern about odor, which recommendation by the nurse is most effective?
Correct Answer: B
Rationale: Using a deodorizing pouch spray effectively controls odor, addressing the client's concern.
Question 5 of 5
The nurse is caring for a client with chronic pyelonephritis. Which assessment data support the diagnosis of chronic pyelonephritis?
Correct Answer: B
Rationale: Chronic pyelonephritis presents with subtle symptoms like fatigue, headaches, and polyuria due to long-term renal damage. Acute symptoms (fever, chills) are more typical of acute pyelonephritis. Strep or pneumonia are unrelated.