NCLEX-PN
Genitourinary NCLEX Questions Questions
Extract:
Question 1 of 5
When administering the bladder instillation containing the chemotherapeutic drug, which safety precaution is most important for the nurse to take?
Correct Answer: A
Rationale: Wearing two pairs of latex gloves protects the nurse from exposure to the chemotherapeutic drug during instillation.
Question 2 of 5
The client diagnosed with a fluid and electrolyte disturbance in the emergency department is exhibiting peaked T waves on the STAT electrocardiogram. Which interventions should the nurse implement? List in order of priority.
Order the Items
Source Container
Correct Answer: B,C,E,D,A
Rationale: Peaked T waves indicate hyperkalemia. Priority: 1) Check potassium level to confirm; 2) Notify HCP for orders; 3) Administer Kayexalate to lower potassium; 4) Transfer to telemetry for monitoring; 5) Assess cramps, a less urgent symptom.
Question 3 of 5
Considering the amount of time the client must remain in bed, why is it imperative for the nurse to monitor for a urinary tract infection?
Correct Answer: B
Rationale: Prolonged bed rest can lead to incomplete bladder emptying, increasing the risk of urinary stasis and subsequent urinary tract infections.
Question 4 of 5
The client is in the intensive care department (ICD) after a motor-vehicle accident in which the client lost an estimated three (3) units of blood. Which action by the nurse could prevent the client from developing acute renal failure?
Correct Answer: D
Rationale: Significant blood loss risks prerenal ARF due to hypoperfusion. Maintaining BP above 100/60 ensures adequate renal perfusion. Vital signs, dressing checks, and urine output monitoring are supportive but less preventive.
Question 5 of 5
Which statements should be included when the nurse instructs a female client about the technique for collecting a clean-catch midstream urine specimen for routine urinalysis? Select all that apply.
Correct Answer: A,C
Rationale: Cleaning the urethral area and voiding a small amount before collecting the sample ensure a clean-catch specimen, reducing contamination and ensuring accurate results.