NCLEX-PN
Genitourinary NCLEX Questions Questions
Extract:
Question 1 of 5
When documenting the client's urine output in the medical record, which measurement is correct for the nurse to record?
Correct Answer: D
Rationale: The combined output from both catheters provides the total urine output, which is essential for accurate monitoring.
Question 2 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 3 of 5
The client is reporting chills, fever, and left costovertebral pain. Which diagnostic test should the nurse expect the HCP to prescribe first?
Correct Answer: A
Rationale: Chills, fever, and costovertebral pain suggest pyelonephritis. A midstream urine culture is the first test to identify the causative organism. Imaging (sonogram, IVP, CT) is secondary to confirm complications or other diagnoses.
Question 4 of 5
The client who is postoperative TURP asks the nurse, 'When will I know if I will be able to have sex after my TURP?' Which response is most appropriate by the nurse?
Correct Answer: C
Rationale: Sexual function typically resumes 6–8 weeks post-TURP, providing a direct and reassuring answer. Other responses avoid the question or assume anxiety without addressing the concern.
Question 5 of 5
Which statement by the client provides the best evidence that he understands the potential side effects associated with hormonal therapy? Select all that apply.
Correct Answer: A,F
Rationale: Estradiol can cause gynecomastia (breast enlargement) and weight gain, which are expected side effects.