NCLEX-PN
NCLEX Questions on Genitourinary System Questions
Extract:
Question 1 of 5
When the nurse interviews the client, which symptoms will the client most likely report if a bladder infection has been acquired? Select all that apply.
Correct Answer: C,D,E,F
Rationale: Symptoms of a bladder infection typically include strong-smelling urine, burning on urination, urgency, and frequency, as these reflect irritation and inflammation of the bladder.
Question 2 of 5
Which assessment finding indicates a potential complication of the client's ileal conduit?
Correct Answer: C
Rationale: Foul-smelling, cloudy urine suggests a possible urinary tract infection, a common complication of an ileal conduit.
Question 3 of 5
The nurse is caring for a client diagnosed with diabetic ketoacidosis (DKA). Which statement best explains the scientific rationale for the client’s Kussmaul’s respirations?
Correct Answer: C
Rationale: Kussmaul’s respirations (rapid, deep breathing) in DKA compensate for metabolic acidosis by excreting carbon dioxide, a volatile acid, to raise blood pH. Kidneys excrete acid, not urine, and respirations do not increase CO2 or HCO3.
Question 4 of 5
Which medication is most appropriate to administer to the client who is having bladder spasms?
Correct Answer: D
Rationale: Belladonna and opium suppositories are specifically used to relieve bladder spasms post-TURP.
Question 5 of 5
The elderly client being seen in the clinic has complaints of urinary frequency, urgency, and 'leaking.' Which priority intervention should the nurse implement when interviewing the client?
Correct Answer: A
Rationale: Nonjudgmental, respectful communication builds trust, encouraging the elderly client to discuss sensitive incontinence issues openly. Comfort, loud speech, and lighting are secondary to effective communication.