NCLEX-PN
NCLEX Questions on Genitourinary System Questions
Extract:
Question 1 of 5
When teaching a client with cystitis about urinary tract irritants, the nurse correctly identifies which of the following substances as potential irritants to avoid? Select all that apply.
Correct Answer: A,C,E
Rationale: Alcohol, tea, and coffee are bladder irritants that can exacerbate cystitis symptoms, while milk and pears are generally neutral.
Question 2 of 5
The client diagnosed with cancer of the bladder states, 'I have young children. I am too young to die.' Which statement is the nurse’s best response?
Correct Answer: C
Rationale: Reflecting the client’s fear of dying and concern for their children validates emotions and encourages dialogue. Reassurance, generalizing cancer, or prompting child discussions may dismiss the client’s feelings.
Question 3 of 5
The nurse writes the client problem of 'fluid volume excess' (FVE). Which intervention should be included in the plan of care?
Correct Answer: B
Rationale: Restricting sodium reduces fluid retention in FVE, as sodium promotes water reabsorption. D5W provides free water, worsening FVE; glucose monitoring is unrelated; and hemodialysis is reserved for severe cases.
Question 4 of 5
The nurse is developing a nursing care plan for the client diagnosed with CKD. Which nursing problem is priority for the client?
Correct Answer: D
Rationale: Excess fluid volume is the priority in CKD due to impaired kidney excretion, leading to edema, hypertension, and heart failure risk. Fluid overload is a life-threatening issue, whereas self-esteem, knowledge, and activity intolerance are secondary.
Question 5 of 5
Which outcome should the nurse identify for the client diagnosed with fluid volume excess?
Correct Answer: C
Rationale: No adventitious breath sounds (e.g., crackles) indicates resolution of pulmonary edema from fluid volume excess. Adequate urine output and elastic skin turgor are normal but not specific, and creatinine reflects renal function, not fluid status.